5:25 AM
Zhao Yan
In the busy metropolis, work pressure, faster and faster pace of life, suddenly and unexpectedly receive the message, women suffering from breast cancer around someone, do you fear that they face the same fate? Understanding of their physical condition was How? treatment of breast cancer have some knowledge of it?
Currently, the first breast cancer for women is a major cause of cancer deaths in women, one with diet changes in the environment, coupled with work pressure, modern women prone to anxiety, irritability, tension, loneliness, depression and other negative emotions psychological, breast cancer incidence increased year by year, breast cancer prevention and treatment of people is increasingly becoming the focus of attention.
With related issues in diagnosis and treatment of breast cancer, 39 healthy, editor, interviewed Sun Yat-sen Sun Yat-sen Memorial Hospital Department of Breast Medical Oncology, Raonan Yan, associate professor, counseling-related issues and treatment of breast cancer is given a reasonable reference information.
Seize the opportunity to check for their lives hope to secure more
Chance of survival the size of the tumor depends largely on the timing, regular breast examination, can help you find cancer early, and as soon as possible with treatment, in the early stage of cancer lesions killed, which is in fact looking for more for themselves the lives of more than hope.
In this regard, Associate Professor Rao presented three common diagnostic methods, B-ultrasound and mammography are most commonly used, and also check the sensitivity of reliable, up to 80% or even 90% accuracy rate, if the above two methods still have concerns, or that ray mammography may cause harm to young people, consider doing NMR.
MRI sensitivity and accuracy were higher than the B-ultrasound and mammography, because of its high cost and time-consuming, yet more for clinical screening. If family genetic history, especially BRCA1 gene mutation associated individuals need to do screening, suggested the use of this method, first, because of its early clinical diagnosis of high accuracy, and second, mutations in BRCA1 gene in individuals the use of a molybdenum target ray, may to a certain extent, stimulate the body malignant breast cells, causing checks to be certain risks.
By the National Women's Federation, China initiated anti-cancer Association, and actively promoting the "millions of women breast screening project" activities have been carried out for three years, in the pilot cities for free clinics and free medical screening activities, this is a public service activities benefiting women, designed to allow the nation's health and women about breast disease prevention, to arouse the whole society on women's health concerns, but in the long run, prevention and treatment of breast cancer in China long way to go, women friends to raise awareness of breast cancer alert, pay close attention to their own health issues, encouraging is the biggest way.
Tumor growth, "do not follow the common sense out the card" should be treated with caution
Allison after giving birth three or four months, is in the breast-feeding period, the breast is large and there was a slight swelling appeared, the doctor misdiagnosed as mastitis, simple handling of the matter. Who would have thought two or three months, his condition deteriorated, breast enlargement, such as small ball-like large, the regular hospital diagnosed with breast cancer.
This case, Professor Rao introduced: the development of inflammatory breast cancer because of the special time of rapid growth, and no significant incidence of the transition period, the more complex pathology, characterized by the same look and mastitis, easily misdiagnosed. On tumor growth of breast cancer have been very irregular, plus other special signs of the patients, tumor growth status is not clearly defined, which, pre-symptomatic diagnosis and treatment of late are subject to availability.
TNM staging of breast cancer but also the adoption of international standards, that is based on tumor size, lymph node metastasis and clinical stages of different combinations, with 0 to stage Ⅳ:
0: also known as carcinoma in situ, clinical no mass, no lymph node and distant metastasis, mainly rely on mammography found;
Ⅰ - Ⅲ of: breast palpable mass, or skin ulceration, pus and blood flow, axillary lymph nodes occurred; (T1 <2cm T2 :2-5cm, T3> 5cm, local skin ulceration, or chest wall fixed T4)
Ⅳ stage: There is distant organ metastasis, such as transfer to the liver, lungs and so on.
Rao, Associate Professor of experience combined with his patient about the actual situation is that a large proportion of total outpatient breast patients with breast pain comes because, in fact, mostly breast disease, commonly known as breast lobular hyperplasia. Early breast cancer no pain, no other obvious symptoms, such as tumor real symptoms, you may have entered late stage tumors, and tumor growth, sometimes "do not follow the common sense out the card," breast lumps not obvious, but may have occurred far from dirty control transfer, then early detection is very important.
Although the staging is different, the difficulty is not the same treatment can be of no matter in what should actively cooperate with the treatment, which is the minimum medical requirements of patients, but also patients themselves to create life opportunities for themselves to be. Comparative data analysis, lateral view, breast cancer patients of all classes of about 10% the proportion of outpatient visits, but the vertical perspective, the number of breast cancer incidence rate of annual growth of 8%, but should draw attention is that the more the incidence group increasingly tend to be younger.
Treatment of different stages in different ways, selecting the right program is the key
Whether in daily life, or in the medical field, cancer is a negative words should always aroused many negative associations. If there are ways to defeat it, even if it is to find a proactive approach would be a great thing to save countless lives, but has not yet found an effective vaccine can be used for clinical, then the treatment of breast cancer, what does reliable treatment method?
Surgery, chemotherapy, radiotherapy, endocrine therapy and targeted therapy for the treatment of breast cancer is currently the dominant approach, specifically how to combine the different stages can be based on:
0: surgical treatment, radiotherapy and hormone therapy use, where appropriate;
Phase Ⅰ: surgical treatment, you may need chemotherapy, as the case with radiation and endocrine therapy or targeted therapy;
Ⅱ - Ⅲ period: In order to improve the success rate of breast conservation may be chemotherapy and then surgery, postoperative radiotherapy or use under the conditions targeted therapy;
Ⅳ stage: not surgery, to rely on other treatments prolong survival.
For Ⅳ, generally do not recommend surgery, even surgery, but also many non-radical surgery for ulcers, local mass, etc., to reduce the tumor burden as the goal, can be called palliative surgery, supporting the previous period treatment here to become a major method of treatment.
Also, additional information on Professor Rao, the patient is widespread lack of knowledge on the condition, Ⅳ developed to high-risk status of patients, in large part because neglect small problems that appear on the body, without regard to hospital for examination, or without proper diagnosis and timing of treatment to delayed treatment.
For different treatment, fees are also very different, in order to users to provide viable frame of reference, Sun Yat-sen Professor Jao Affiliated Hospital, given the approximate cost and terms of survival data after treatment for friends in need an example:
Surgical treatment costs: 10 000 -1.5 million
Radiotherapy: 1 million or so last a half months, 5 days off every two days to do
Chemotherapy: a few hundred million dollars -2 / cycle, a total of 6-8 cycles
Endocrine therapy: 30 yuan -2000 yuan / month, continuous 5-8 years
Targeted therapy: for 1 year, with about 40 million three weeks time, with a fourth about
During different stages after combined treatment of patients, can not say definitely cure, rehabilitation, physical effects and the patient a greater impact on survival status, the five stages roughly correspond to five different 5-year survival rate and 10-year survival rate, the specific the situation is as follows:
0: cured, long-term survival
Ⅰ period: 20 years free survival 68-80%
Phase Ⅱ: 5-year survival rate of about 80%, 10-year survival was 60%
Ⅲ period: 5-year survival rate of about 50%, 10-year survival rate of 20%
Ⅳ period: 5-year survival rate of 15%
Reasonable comprehensive treatment options to cure breast cancer, the most basic, if not diagnosed in time, did not take reasonable treatment, and even gave up the treatment, will directly affect treatment, it can be said to some extent given up hope of survival, but in fact For early treatment of breast cancer, the lesions in the stifle in the cradle, it will achieve satisfactory results. Hope that the majority of female friends, improve their health awareness, awareness of personal health situation changes, love yourself, problems timely treatment, so in order to ensure the health of the body, on this basis to create their own happy family life, to intellectual achievement and attractive image of a modern career woman.
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