I-Ductal carcinoma in situ

Ukuba khona kwamaseli angavamile ngaphakathi komgudu wobisi ebeleni kwaziwa ngokuthi i-ductal carcinoma in situ (DCIS). Isigaba sokuqala somdlavuza webele saziwa nge-DCIS. I-DCIS inethuba eliphansi lokuhlasela ngenxa yokuthi ayikasuki ngaphandle komgudu wobisi futhi ayihlaseli.

Ukuze uhlole isigaxa sebele noma njengengxenye ye umdlavuza webele ukuhlolwa, i-DCIS ivame ukutholakala ngesikhathi se-mammography. I-DCIS idinga ukuhlolwa futhi ezinye izindlela zokwelapha kufanele zibhekwe nakuba kungesona isimo esiphuthumayo. Ukuhlinzwa ukususa zonke izicubu zebele noma ukwelapha ngemisebe kungase kusetshenziswe njengohlobo lokwelapha. Okunye ukukhetha kungaba a isivivinyo somtholampilo ukubheka ukuqapha okusebenzayo njengenye indlela yokuhlinzwa.

I-DCIS ayikwazi ukusabalala (i-metastasize) ngaphandle kwebele iye kwezinye izifunda zomzimba njengoba ingakathutheleki esicutshini sebele esisizungezile.

I-DCIS, nokho, ngezinye izikhathi ingathuthukela ekuguleni okunonya. Ngaleso sikhathi, umdlavuza usuphumile emgudwini futhi wangena esicutshini esiseduze; ukusuka lapho, kungenzeka ukuthi ithuthele kwezinye izifunda zomzimba.

Cishe bonke abesifazane abane-DCIS bazothola ukwelashwa ngoba okwamanje alikho ikhono elithembekile lokunquma ukuthi yiziphi izimo ezizoba umdlavuza ohlaselayo nokuthi yiziphi ezingeke zenzeke.

Izimpawu 

I-DCIS ngokuvamile ayinazo izimpawu noma izimpawu. Kodwa-ke, i-DCIS kwesinye isikhathi ingadala izimpawu ezinjengalezi:

• Isigaxa sebele
• Ukuphuma kwengono enegazi

I-DCIS ivamise ukutholakala ku-mammogram futhi ivela njengamaqoqo amancane okubala anomumo nobukhulu obungajwayelekile.

Izimbangela 

Imbangela ye-DCIS akucaci. I-DCIS iqala lapho i-DNA yamaseli emigudu yamabele iba nezinguquko zofuzo. Nakuba amangqamuzana enokushintshwa kofuzo okuwenza abonakale ehlanekezela, awakwazi ukubalekela umgudu wamabele.

Imbangela eqondile yokukhula kweseli ehlanekezela okubangela i-DCIS ayaziwa. Indlela yakho yokuphila, indawo okuyo, nezakhi zofuzo abazali bakho abazidlulisela kuwe ngezinye zezinto ezingase zibe khona.

Izici zengozi

Izinto ezingase zandise ubungozi bakho be-DCIS zifaka:

• Ukukhula kweminyaka
• Umlando womuntu siqu we-benign breast disease, njenge-atypical hyperplasia
• Umlando womndeni womdlavuza webele
• Engakaze akhulelwe
• Ukuba nengane yakho yokuqala ngemva kweminyaka engama-30
• Ukuba nesikhathi sakho sokuqala ngaphambi kweminyaka eyi-12
• Ukuqala kokuya esikhathini ngemva kweminyaka engama-55
• Ukuguqulwa kofuzo okwandisa ingozi yomdlavuza webele, njengalezo zezakhi zofuzo zomdlavuza webele i-BRCA1 ne-BRCA2

Ukwelashwa kwe-DCIS

Owesifazane one-DCIS ngokuvamile unenketho yokuhlinzwa okonga ibele (BCS) noma i-mastectomy eqondile. Ngokuvamile, i-BCS ilandelwa imisebe. Uma i-DCIS i-hormone-receptor positive, ukusebenzisa i-tamoxifen noma i-aromatase inhibitor ngemva kokuhlinzwa kungase kube inketho.