Invasive kenza yemazamu: zvinokonzera, chirwere, kurapwa. Ropa nokuti mota zvezvinangwa

kenza yemazamu haina chokuita zera, munzanga kana kuti munhui. Zvokurwara anogona kuonekwa mune munhu wose. Zvisinei, kuti chikamu varume pakati dzacho kunyora nezvavo. Pane zvakasiyana siyana kenza yemazamu. Munyaya ino isu kutora tikanyatsoongorora shanduro invasive chirwere.

Nemamiriro munhukadzi zamu

Kuti tinzwisise zviri nani pathogenesis kwechirwere chacho, zvakakodzera kunzwisisa anatomi yacho zamu. In ayo mamiriro, Akasarudza govera zvikamu:

• mafuta;
• connective tishu;
• mazamu;
• ducts;
• lobules of mammary mumasero.

Chimwe chinokosha chityu vari lymphadenitis. Ivo kubata kenza uye mabhakitiriya anokuvadza, kuita rwokudzivirira basa.

Pamuviri chinowedzera vawedzere kugadzirwa mukaka ari mumasero. Zvadaro inoyerera kuburikidza ducts ari munyatso. Mamwe akaipa prostate anomera vanotanga kukura kwayo, bata akawanda thoracal mutsinga dzinofamba nemukaka. Izvi zvinosanganisira invasive kenza.

Description of chirwere

kenza yemazamu Invasive - ichi haisi kenza. It kunoratidzwa kuwanda anomera munzvimbo mafuta kana connective tishu. Under nechisimba rinoreva kugona masero nyanyisa kumira kunze chikuru bundu uye nokukurumidza yakarova akapoteredza nhengo. Uyu ndiwo mumwe ezvinhu kuti bundu metastasis. Hazvina invasive kana zvisiri invasive mapundu kunoenderana kurapwa nzira.

In chirwere ichi kenza masero nokukurumidza yarova pedyo node nodes. At mazhinji zvokukura basa ravo asiwo musana, chiropa uye neitsvo. Kana akaipa zvinowanikwa kunze mazamu, kwakadai zvokurwara inonzi metastatic kenza yemazamu chirwere.

The zvikonzero

kenza yemazamu Invasive ari kufambira mberi zvishoma nezvishoma. Chitarisiko rawo asati premalignant chirwere, akadai zamu. Ngatikurukurei muudzame chikuru zvinokonzera chirwere.

1. Zamu. The chirwere hwapedyo pamusoro pakanyorwa kemikari kusaenzana pamuviri. Most kazhinji chirwere vakadzi pasi pemakore 40. Nokuti mastitis kunoratidzwa irwadziwe, tiite kubva minyatso. In zamu bundu nodules vari kuumbwa, zvinoita kuti kuchinja nzvimbo dzomuviri muviri uye kenza.
2. Fibroadenoma. zvokurwara Izvi anovandudza kunyanya vasikana vaduku. Mazamu kuonekwa knotty paumbwe imwe benign hunhu. Somugumisiro kukuvara, kushayikwa kurapwa kana hormone kukundikana, vanotanga kukura kukura, kukanganisa utano tishu.
3. Kubvisa Pamuviri. Kuvhiya evanhu haasi chete zvinodzongonyedza Pamuviri asi anogona kutsamwisa regression pamusoro glandular tishu. Somugumisiro, chisimbiso aumba kubva umo kenza hwapedyo.
4. Lactation. Kurega achiyamwa - ichi ndicho chimwe chikonzero invasive kenza.
5. Kushaya ushamwari. Paunowana dzepabonde upenyu anotyora hormone nengaidzo mumuviri, ine inokanganisa mamiriro ari mammary mumasero.

Clinical zvinoratidza chirwere

hapana anogona kuva akachengeteka nekenza yemazamu. Maererano nenhamba, ose repfumbamwe akanaka pabonde vanotambura kuratidzirwa chirwere ichi. Maererano vanachiremba, varwere vanogona kakawanda kupfuura. Vanodarika miriyoni vakadzi havazivi kuvapo bundu. Mukutanga nzendo zvokurwara kunoitika zvachose asymptomatic, asi unogona chete uonekwe kuburikidza misoro ongororo. Zvinosuruvarisa pakuonekwa rokutanga zviratidzo kazhinji zvinoreva kuti chirwere anenge apinda idzva Danho okukura. Ndezvipi zviratidzo zvinoratidza kenza yemazamu invasive?

• Kuchinja ruvara yacho munyatso ganda.
• The pakuonekwa chisimbiso chiduku kana nemavhinga munharaunda zamu.
• Zvakachinja ukuru uye chimiro zamu.
• Reropa zvinoerera kubva munyatso, kukonzera kupisa manyawi uye kusanzwa.

Kana zviratidzo izvi varipo, unofanira pakarepo chiremba kuziva chikonzero.

marudzi chirwere

The mabhuku ezvokurapa rinorondedzera wandei embodiments pathologies vanoumba kenza yemazamu invasive. zvirwere zvakadai dzinosanganisira:

• kenza Predinvazivny. Neoplasm haaratidzi kuti pedyo zvomukati, asi anoramba ari mukaka ducts.
• Lobular kenza. The chirwere kunokwanisa kuonekwa chaizvo kashoma (muna 15% nyaya). Neoplasm ikabuda iri lobules uye ducts ari mumasero, anogona metastasize kuti munyama pedyo. The chikuru chiratidzo chirwere - muchipfuva marwadzo pamusoro palpation.
• Invasive ductal carcinoma. Neoplasm achiumbwa munyika mukaka ducts. masero nyanyisa kuwanda zvishoma nezvishoma mune adipose rinenge asi nokukurumidza metastasize kune dzimwe nhengo. Ductal carcinoma ndicho chimiro invasive zamu maronda (80% nyaya pakati kenza zvose).

nzira nechirwere

Chirwere chirwere kazhinji rinotanga tizviongorore. Nemamiriro munhukadzi chityu rinozivisa chisimbiso pamusoro palpation. Changing ganda, Maumbirwe munyatso nezvimwe zviratidzo zvepabonde zvokuva pathologies, rinogona kuwanikwa pachavo. Kana uchifungidzira chirwere vanofanira kubvunza chiremba. Mazvikokota inofanira kuitisa kuongororwa mumuviri uye taurira mamwe nemiedzo. Kazhinji kushandiswa nechirwere pamusoro mammography, zamu Ultrasound uye MRI. Pamusoro kuziva miedzo neoplastic biopsy rinoitwa. The zvichiguma mimwe vari ipapo akatumira murabhoritari kuti ongororo. Migumisiro tikwanise kuziva hormone mamiriro bundu, ayo dzose.

Tinofanirawo kutaura nezvekuti, kana uye nei kuti vape ropa kuti bundu zvezvinangwa. Ongororo iyi inoshandiswa chirwere kwechirwere chacho, ipapo - kuongorora kurapwa. Bundu zvezvinangwa vari macromolecules dziri synthesized mumuviri mukadzi pakupindurwa basa masero kenza. Kana pamwero wavo kupfuura ndozvakajairwa, tinogona kutaura pamusoro pathological kwacho, asi kwete nguva dzose. Mune zvimwe zviitiko, kuwedzera macromolecules muropa rinoratidza Kurwara, benign mapundu kana kuzvimba. Kana invasive kenza zvakafanira kuongorora wevasungwa inotevera bundu zvezvinangwa: CA 15-3, CA 27-29, HER2. Kuti vawane yakavimbika nemigumisiro zuva risati chokuendesa Analyses vambozorora, usanwa doro. Ropa bundu zvezvinangwa kupfuura kubva tsinga. Dudziro migumisiro yave chiremba murabhoritari.

kurapa mikana

Pane nzira dzakawanda kurwisa imwe invasive kenza: vavhiyiwa, mishonga uye mwaranzi, utachiona, hormone kurapa. Kazhinji kunzwisisa kurapwa kushandiswa. Chokutanga, chiremba anobvisa bundu. Zvadaro, murwere basa radiotherapy. It anovandudza kunyatsoshanda ari kurapwa kuburikidza 70%. Irradiation hako kuratidzwa varwere vane bundu hukuru kupfuura 5 cm. Kurapwa, kemikari-kurapa uye chaivo gadziriro inoshandiswa sezvo nzira kurwisa kenza. Kana nyama kweprostate kwakaratidza progesterone receptors kana inonzi estrogen kushandiswa kemikari mishonga. Pasina mashoko zvinhu ushandiswe mishonga.

The for kupora

The fungidziro chirwere kunoenderana migumisiro mishonga. Invasive zamu lesion kunoratidzwa refu chikamu kufa. Saka, munyika dzakawanda vari kutanga kushandisa kuongorora zvirongwa kuti kuona tanga oncology. In zvachose pane ina. kenza yemazamu Invasive, giredhi 2 kana 1 maminitsi, nokukurumidza akaonekwa, 90% wamativi nokupora. Positive emuchina zvinogoneka chete kurapwa. Survival mu oncology 3rd dhigirii ndiyo 47%, uye nenguva 4 maminitsi - vanenge 16%. In akazotevera nzendo inonetsa kurapa kenza yemazamu invasive. Kufembera yekudyidzana kuipa chimiro metastases.