Kanseri ya gatatu

Kanseri ya gatatu ya kanseri y'ibere: Kanseri yuzuye ya kanseri y'amatwe ya gatatu: Kanseri y'ikindi umurwayi-kanseri y'intoki (TNBC) ni subtype ya kanseri y'ibere itagaragaza resrogen, progesterone, cyangwa he2. Uku kubura resitora bituma bikomera kandi bigoye kugereranya ugereranije nibindi bya kanseri yigituza. Aka gatabo gatanga incamake yuzuye ya Kanseri ya gatatu, Gupfuka ibiranga, gusuzuma, uburyo bwo kuvura, hamwe no gutera inkunga. Dufite intego yo kuguha imbaraga nubumenyi no gusobanukirwa kugirango tuyobore uru rugendo rutoroshye.

Gusobanukirwa ibiranga TNBC

Niki gituma TNBC itandukanye?

Bitandukanye nindi bwoko bwa kanseri ya kanseri, Kanseri ya gatatu Kubura reseptor (er), progesterone reaptor (pr), hamwe no gukura kwabantu kuganisha ku byakira 2 (Her2). Aba bakira akenshi bashishikajwe no kuvura izindi kanseri y'ibere, ariko kubura muri TNBC bigabanya uburyo bwo kuvura. Ibi akenshi biganisha kumasomo yindwara iteye ubwoba hamwe ningaruka nyinshi zo kwisubiraho.

Ibyibatsi n'ingaruka

Kanseri ya gatatu Konti zigera kuri 10-20% ya kanseri y'Amabere yose. Impamvu ziterwa na TNBC zirimo imyaka itoroshye muri Dignose, Mutation ya BRCA1, ubwoko bwabanyamerika, hamwe namateka yumuryango wa kanseri y'ibere. Ariko, abagore benshi basuzumye hamwe na TNBC nta mpamvu igaragara.

Gusuzuma no gukanda tnbc

Uburyo bwo gusuzuma

Gusuzuma Kanseri ya gatatu Mubisanzwe birimo biopsy gusuzuma ingirabuzimafatizo munsi ya microscope. Impumurohistochemical Stain (IHC) yerekana ko ER ibaho cyangwa idahari, pr, na resitora ye. Ibindi bizamini, nko gutekereza (Mammography, ultrasound, MRI), birashobora gukoreshwa mugusuzuma urugero kanseri.

STRIGS N'UBUNTU

STANDA igena ubunini nurugero rwa kanseri, kugira uruhare mu gufata ibyemezo no kuba prognose. Sisitemu ya TNM ikoreshwa mubisanzwe, isuzuma ingano yigituba (t), lymph node irimo uruhare (n), na metastasis ya kure (m). Prognose ya TNBC iratandukanye bitewe na stage nibindi bintu; Kumenya hakiri kare no kuvura mugihe ni ngombwa kugirango utezimbere.

Amahitamo yo kuvura TNBC

Kubaga

Kubaga akenshi ni umurongo wambere wo kuvura Kanseri ya gatatu, agamije gukuraho ikibyimba cya kanseri. Ibi birashobora kuba birimo lumpectomy (gukuraho ikibyimba) cyangwa mastectomy (gukuraho amabere). Sentinel Lymph node biopsy cyangwa axllary lymph node yo gutandukana irashobora gukorwa kugirango isuzume lymph node.

Chimiotherapie

Chimiotherapie ni imfuruka yo kuvura TNBC, akenshi ikoreshwa mbere yo kubagwa (Chemotherapy ya neothetherapy) kugirango igabanye ikibyimba cyangwa nyuma yo kubagwa (adraint chiomitherapy) kugirango igabanye ibyago byo kwisubiraho. Ubutegetsi butandukanye bwa chemitherapy burahari, bwatoranijwe bushingiye kubintu byihariye. Ubushakashatsi akomeje gushakisha amashusho ya chemotherapie kugirango atezimbere.

Imivugo

Umuvugizi w'imirasire ukoresha imirasire y'ingufu zo mu rwego rwo kwica kanseri. Bikoreshwa nyuma yo kubagwa kugirango basenye kanseri iyo ari yo yose isigaye mu ibere cyangwa hafi ya lymph node. Irashobora kandi gukoreshwa mugufata indwara metastatike.

Igitekerezo cya Therapies na Imbura

Mugihe TNBC idasubije imivugo ya Hormone cyangwa imivugo ye ifite intego, ubushakashatsi burakomeje muri therapies hamwe na imbura. Bamwe mu bavuzi bagenewe kwibanda ku nzira yihariye yagize uruhare mu iterambere rya TNBC, mu gihe imyumbavu imbibi zigamije kuzamura imirisiyo y'umubiri kurwana mu kurwanya kanseri. Ubuvuzi bugaragaza amasezerano ariko buracyakorwa.

Kubaho hamwe na TNBC

Gukurikirana

Gahunda zisanzwe zo gukurikirana ni ngombwa nyuma yo kuvura kugirango ugenzure. Iyi gahunda mubisanzwe ikubiyemo ibizamini byumubiri, scans scan, nibizamini byamaraso. Kumenya hakiri kare byo kwisubiraho ni ngombwa kugirango ucunge neza.

Inkunga n'umutungo

Guhangana no gusuzuma Kanseri ya gatatu Birashobora kugorana. Inkunga iva mumuryango, inshuti, n'amatsinda afatika ni ntagereranywa. Amashyirahamwe menshi atanga umutungo ninkunga kubantu byatewe na TNBC. Tekereza kuvugana na Shandong Baofa Kanseri Ikigo cyubushakashatsi Kubindi bisobanuro nubutunzi. Batanga ubwitonzi bwuzuye, harimo nubuhanga mugufata sunser ya kanseri itandukanye.

Ubundi Ubushakashatsi hamwe nibigeragezo byubuvuzi

Ubushakashatsi muri Kanseri ya gatatu Ese ahora ihura, hamwe nibigeragezo byubuvuzi bukomeje bubazana ingamba nshya zo kuvura no kunoza ibisubizo. Oncologue yawe arashobora kuganira kubishobora kwitabira ibigeragezo byubuvuzi bishobora kuba bikwiriye ibihe byawe. Gukomeza kumenyeshwa iterambere riheruka mu bushakashatsi bwa TNBC ni ngombwa.