前不久发表的这篇文章近日由网友“听见月光”翻译

           成中文了，感谢“听见月光”！下面是完整的译文和原版的英文。

     这是一个不了解Paget病的年轻女人的悲惨故事。如果你读了这篇文章，希望你能够通过电子邮件把Paget病及它的危险性转告给所有熟悉的女性，您的母亲、女儿、姐妹、朋友、同事等所有的人。
    也许这会花掉您一点时间，但是这封信却足以挽救一个生命！

    11月，一种罕见的乳腺癌被发现。一个妇女在乳房上长了一块疹子，这类似于正在哺乳的年轻母亲长疹子。
    由于她的乳房X光片无阴影，医生替她开了一些防止感染的抗生素，服用一段时间后不见任何好转，且症状恶化，所以，医生让她再次照乳房X光片。这次，X光片显示有一个肿块。
    切片检查显示有一个正在迅速生长的恶性肿瘤。于是医生先采用化疗抑制肿瘤的生长；接着，进行乳房切除手术；然后，是一轮全面的化疗；最后，进行放射性治疗。经过9个月的紧张治疗，她重新康复。
    她充实地过了一年以后，她的癌症在肝脏复发了。她做了4次治疗最终决定：她想要的是有质量的生活，而不是化疗的后果。她开心地过了最后的5个月，并且为这最后的日子做最精妙的安排。经历了一段需要吗啡的日子，她去世了。她留这个遗言，希望传递给全世界的所有女性：

    “女人们，请警惕身体的任何不正常现象，并且要尽早寻求帮助。
     Paget病：这是一种罕见的乳腺癌，它生长在乳房的外部（包括，乳头和乳晕），看上去像疹子，而癌症后期呈皮状。我没想到它会是乳腺癌，但它的的确确是。我的乳头看上去没什么异常，但是最初疹子困扰着我。因此，我去看了医生。有时候，它会瘙痒疼痛，但除此之外，它并没有太困扰我。它只是不好看也比较让人讨厌，就在疹子爆发之前，我用过医生（包括皮肤科医生）给我开的治疗眼睛发炎的药膏。但并未引起我对乳房癌的警惕。
    现在，我想很少女性会认为，在乳头或者是乳晕上的疹子和病变会是乳腺癌。（我的症状开始只是在乳晕上长了一个红色疙瘩。它经常被认为是一种皮肤炎症或感染，从而导致检测和治疗的延误。）

    Paget’s 症状：
     1. 乳头持续发红，渗血，脱皮，并造成骚痒和疼痛（我的乳头不是非常痒和疼，也没有渗血，但我一边的乳头边缘确实脱皮。）
     2. 在乳头上长不愈合的疮。（我的是在乳晕和乳头中心长了一层厚厚的白色的Crust！） 。
     3. 通常只有一个乳头有症状。如何诊断？医生会做检查，并立即检查双侧乳房及做乳房X线。对两边的乳房做一个乳房X光检查。如果您只有一只乳房发红，渗血和出现相似性皮炎（皮肤炎症），您的医生则应怀疑是癌症。并为您做活体组织检查，以确定是否是癌症。
     这封信必须得到认真的对待，并请尽可能地把它传给您的亲戚朋友，或许它可以挽救某人的生命。
     接受大剂量的化疗和28次放射性治疗后，我的乳腺癌已经扩散并转移到我的骨头。如果在一开始就被确诊为乳腺癌，或许它不会扩散……”

以下部分是原文-----New kind of Breast Cancer 

In November, a rare kind of breast cancer was found. A lady developed a rash on her breast, similar to that of young mothers who are nursing.    

Because her mammogram had been clear, the doctor treated her with antibiotics for infections. After 2 rounds, it continued to get worse, so her doctor sent her for another mammogram. This time it showed a mass.  

A biopsy found a fast growing malignancy. Chemo was started in order to shrink the growth; then a mastectomy was performed; then a full round of Chemo; then radiation. After about 9 months of intense treatment, she was given a clean bill of health.    

She had one year of living each day to its fullest. Then the cancer returned to the liver area. She took 4 treatments and decided that she wanted quality of life, not the after effects of Chemo. She had 5 great months and she planned each detail of the final days. After a few days of needing morphine, she died. She left this message to be delivered to women everywhere:    

Women, PLEASE be alert to anything that is not normal, and be persistent in getting help as soon as possible.    

Paget's Disease: This is a rare form of breast cancer, and is on the outside of the breast, on the nipple and aureole It appeared as a rash, which later became a lesion with a crusty outer edge. I would not have ever suspected it to be breast cancer but it was. My nipple never seemed any different to me, but the rash bothered me, so I went to the doctor for that. Sometimes, it itched and was sore, but other than that it didn't bother me. It was just ugly and a nuisance, and could not be cleared up with all the creams prescribed by my doctor and dermatologist for the dermatitis on my eyes just prio r to this outbreak. They seemed a little concerned but did not warn me it could be cancerous.    

Now, I suspect not many women out there know a lesion or rash on the nipple or aureole can be breast cancer. (Mine started out as a single red pimple on the aureole. One of the biggest problems with Paget's dis ease of the nipple is that the symptoms appear to be harmless. It is frequently thought to be a skin inflammation or infection, leading to unfortunate delays in detection and care.)    

What are the symptoms?

1. A persistent redness, oozing, and crusting of your nipple causing it to itch and burn (As I stated, mine did not itch or burn much, and had no oozing I was aware of, but it did have a crust along the outer edge on one side.)

2. A sore on your nipple that will not heal. (Mine was on the aureole area with a whitish thick looking area in center of nipple).

3. Usually only one nipple is effected. How is it diagnosed? Your doctor will do a physical exam and should suggest having a mammogram of both breasts, done immediately. Ev en though the redness, oozing and crusting closely resemble dermatitis (inflammation of the skin), your doctor should suspect cancer if the sore is only on one breast. Your doctor should order a biopsy of your sore to confirm what is going on.

This message should be taken seriously and passed on to as many of your relatives and friends as possible; it could save someone's life.

My breast cancer has spread and metastasized to my bones after receiving mega doses of chemotherapy, 28 treatments of radiation and taking Tamaxofin. If this had been diagnosed as breast cancer in the beginning, perhaps it would not have spread... 

TO ALL READERS:

This is sad as women are not aware of Paget's disease. If, by passing this around on the e-mail, we can make others aware of it and its potential danger, we are helping women everywhere.

Please, if you can, take a moment to forward this message to as many people as possible, especially to your family and friends. It only takes a moment, yet the results could save a life.

相关链接：

荷尔蒙健康网 

女人悄悄话正式开通

成功女性---你真正做回成功女人了吗？