Kev kho mob ib nrab ntawm lub mis - cov nqaj sab nraud

Kev kho mob qog mis ib nrab siv cov duab xoo hluav taws xob tua tua qog nqaij hlav cancer mis. Nws tseem hu ua kev ceev nrawm ib nrab ntawm lub mis (APBI).

Ib qho qauv ntawm cov nqaj sab nraud kho lub mis yuav siv 3 txog 6 lub lis piam. APBI tuaj yeem ua tiav nyob rau hauv me li 1 txog 2 lub lim tiam. APBI tsom qhov ntau ntawm cov hluav taws xob ntau rau lossis ze rau thaj chaw uas tshem cov qog mis. Nws txhob pov cov ntaub so ntswg los rau hluav taws xob.

Muaj peb txoj hauv kev rau APBI:

• Cov kab sab nraud, lub ntsiab lus ntawm tsab xov xwm no
• Kho mob hlwb (ntxig cov khoom siv hluav taws xob rau lub mis)
• Kev ntsuas hluav taws xob (xa hluav taws xob thaum lub sijhawm phais mob hauv chav ua haujlwm)

Kev xoo hluav taws xob feem ntau yog xa tawm rau sab nraud, tshwj tsis yog rau kev kho hluav taws xob.

Ob txoj kev tawm tswv yim raug siv rau kev kho mob ib nrab ntawm lub mis sab nraud kho hluav taws xob:

• Peb seem conformal sab nraud beam hluav taws xob (3DCRT)
• Kev siv hluav taws xob ntau (IMRT)

Ua ntej koj muaj kev kho mob hluav taws xob, koj yuav ntsib nrog hluav taws xob oncologist. Tus neeg no yog tus kws kho mob tshwj xeeb hauv kev kho hluav taws xob.

• Tus kws kho mob yuav tso cim me rau koj cov tawv nqaij. Cov cim no kom ntseeg tau tias koj tau tso kom yog thaum lub sijhawm koj cov kev kho mob.
• Cov qhab nia no yuav ua rau lawv yog kua mem lossis hom tattoo. Tsis txhob ntxuav cov mem kua mem kua kom txog thaum kho koj tus mob tiav. Lawv yuav ploj mus raws sijhawm.

Cov kev kho mob feem ntau yog muab 5 hnub ib lim tiam rau txhua qhov chaw ntawm 2 txog 6 lub lim tiam. Qee zaum nws yuav muab ob zaug rau ib hnub (feem ntau nrog 4 rau 6 teev nruab nrab ntawm ntu).

• Txhua ntu kev kho mob koj yuav pw saum ib lub rooj tshwj xeeb, tsis hais nraub qaum lossis hauv koj lub plab.
• Cov kws tshaj lij yuav muab koj tso rau kom hluav taws xob tsom rau thaj chaw kho.
• Koj yuav raug hais kom tuav koj ua pa thaum hluav taws xob xa. Qhov no yuav pab tswj saib koj lub plawv tawg ntau npaum li cas.
• Feem ntau, koj yuav tau txais kev kho mob rau hluav taws xob ntev li 1 mus rau 5 feeb. Koj yuav nyob hauv thiab tawm ntawm lub chaw mob qog nqaij hlav hauv 15 txog 20 feeb nyob rau nruab nrab.

So kom ruaj khov, koj yuav tsis xaj hluav taws xob tom qab cov tshuaj tua hluav taws xob. Nws muaj kev nyab xeeb nyob puag ncig lwm tus, suav nrog menyuam thiab menyuam yaus.

Cov kws tshaj lij kawm tau paub tias qee cov qog nqaij hlav feem ntau yuav rov qab los ze thaj chaw phais mob qub. Yog li, qee kis, tag nrho lub mis yuav tsis tas txais hluav taws xob. Kev tiv thaiv mis ib nrab xwb kho qee yam tab sis tsis yog ntawm ob lub mis, tsom mus rau thaj chaw uas muaj kabmob kheesxaws feem ntau yuav rov qab los.

Qhov kev nrawm nrawm qee ntu ntawm lub mis tau ceev cov txheej txheem.

APBI yog siv los tiv thaiv tus mob cancer mis kom tsis txhob rov qab los. Thaum ntsuas hluav taws xob yog muab tom qab kev phais mob lub mis, nws yog hu ua adjuvant (ntxiv) kev kho hluav taws xob.

APBI tuaj yeem raug muab tom qab lumpectomy lossis phais qhov ncauj ib nrab (hu ua phais mis tshwj xeeb) rau:

• Tus mob carcinoma mob nyob hauv situ (DCIS)
• Theem I lossis II mob cancer mis

Qhia koj tus kws kho mob saib koj noj tshuaj dab tsi.

Hnav khaub ncaws xoob haum nrog txoj kev kho mob.

Kev siv hluav taws xob tua kuj tseem tuaj yeem ua kom puas lossis tua cov hlwb noj qab haus huv. Kev tuag ntawm cov hlwb noj qab haus huv tuaj yeem ua rau phiv phiv. Cov kev mob tshwm sim no yog nyob ntawm qhov ntsuas cov hluav taws xob ntau npaum li cas thiab koj tau kho mob ntau npaum li cas. Hluav taws xob tuaj yeem muaj cov kev mob tshwm sim luv luv (mob) lossis ntev ntev (tom qab).

Cov kev mob tshwm sim luv luv tuaj yeem pib ua ntej hnub los yog ntau lim tiam tom qab pib kho mob. Feem ntau cov kev mob tshwm sim ntawm hom mob no yuav ploj mus hauv 4 rau 6 lub lis piam tom qab kho tas. Feem ntau cov kev cuam tshuam luv luv yog:

• Mis liab, rhiab, rhiab
• Mis o los yog o
• Kab mob kas cees (muaj tsawg)

Ntev-mob tshwm sim yuav pib lub hlis lossis xyoo tom qab kho thiab tej zaum yuav suav nrog:

• Txo lub mis loj
• Ntxiv ruaj khov ntawm lub mis
• Daim tawv nqaij liab thiab ua daj
• Muaj qee zaus, mob qog pob txha, mob plawv (yuav ua mob rau lub mis sab laug), lossis mob ntsws (hu ua mob ntsws) lossis caws pliav cuam tshuam rau kev ua pa
• Kev loj hlob ntawm tus mob cancer thib ob ntawm lub mis lossis hauv siab xyoo lossis qee xyoo tom qab
• Caj npab o (edema) - ntau dua yog tias muaj cov qog ntshav tau raug tshem tawm thiab yog tias qhov tso tawm ntawm thaj chaw tau raug kho nrog hluav taws xob

Koj cov kws khomob yuav piav qhia txog kev khomob hauv tsev thaum thiab tomqab siv hluav taws xob.

Qhov hluav taws xob ib nrab ntawm cov mis tom qab kev kho kev txuag lub mis txo txoj kev pheej hmoo mob kheesxaws rov qab los, thiab tejzaum txawm tias tuag los ntawm mob cancer mis.

Carcinoma ntawm lub mis - kho hluav taws xob ib nrab; Cov hluav taws xob ib nrab sab nraud - lub mis; Kev siv hluav taws xob ntau - kev kho mob cancer mis; IMRT - mob cancer ntawm lub mis WBRT; Adjuvant ib nrab ntawm lub mis - IMRT; APBI - IMRT; Kev nrawm tsis tu ncua lub mis irradiation - IMRT; Conformal sab nraud txoj kab hluav taws xob - lub mis

Lub koom haum Cancer National website. Kev kho mob cancer mis (neeg laus) (PDQ) - kev paub txog kev noj qab haus huv. www.cancer.gov/types/breast/hp/breast-kwv-pdq. Hloov kho Lub Ob Hlis 11, 2021. Nkag mus rau Lub Peb Hlis 11, 2021.

Lub koom haum Cancer National website. Kev kho hluav taws xob thiab koj: txhawb nqa rau cov neeg muaj mob qog noj ntshav. www.cancer.gov/publications/patient-education/radiationttherapy.pdf. Hloov kho thaum Lub Kaum Hlis 2016. Nkag mus Lub Kaum Hlis 5, 2020.

Shah C, Harris EE, Holmes D, Vicini FA. Lub mis tsis qhia qhov tseeb: ua kom nrawm nrawm thiab ncau. Hauv: Bland KI, Copeland EM, Klimberg VS, Gradishar WJ, eds. Ob lub mis: Tso ntxig rau Kev Tswj Kab Mob thiab Malignant Kab MobCov. Thib 5 ed. Philadelphia, PA: Elsevier; 2018: chap 51.