Primary treatment of breast cancer

Breast cancer is one of the most common malignancy of women, according to statistics, the incidence of various malignant tumors account for 7-10% of the body, second only to cervical cancer in women. It's often hereditary disease, and between 40-60 years of age, before and after menopause women have a higher prevalence. Only about 1-2% of breast patients were male. Usually occurs in malignant breast epithelial tissue. Affect women's physical and mental health is a serious and even life-threatening one of the most common malignant tumor, a rare male breast cancer.

First, conventional therapy of breast cancer

(A) surgery

Surgical treatment of breast cancer is still one of the main surgical treatment of a variety of means, yet lack a unified view of their choice, the general trend is to minimize the surgical damage to the device under conditions allow try to keep the breast in patients with early breast cancer appearance . No matter what kind of surgical procedures used must be strictly controlled in order to cure the main function and appearance retention, supplemented principle.

(1) surgical indications. Local excision and breast mastectomy is the representation of conservative surgery surgery. To be supplemented by postoperative radiotherapy, radiation dose varies, but is it as a routine treatment for early breast cancer, and how to choose the accuracy of such early cancer would be difficult to draw conclusions.

(2) surgical contraindications. 1, systemic contraindications: ① ② tumor distant metastasis frail elderly can not tolerate surgery. ③ generally poor, showing cachexia ④ important organ dysfunction who can not tolerate surgery. 2, localized disease, contraindications: Ⅲ in patients with one of the following conditions: ① orange peel-like skin, edema of the breast area of ​​more than half of the breast. ② the breast skin and the advent of satellite-like nodules. ③ violations of breast cancer chest wall. ④ parasternal lymph nodes of clinical examination and confirmed to be transferred. ⑤ ipsilateral upper extremity edema. ⑥ supraclavicular lymph node metastasis was confirmed by pathology. ⑦ inflammatory breast cancer. Both of the following five circumstances: ① tumor rupture. ② orange peel-like skin, breast edema of the total breast area l / 3 or less. ② carcinoma with pectoralis major fixed. ④ maximum diameter of axillary lymph node more than 2.5cm. ⑤ adhesion to each other, or axillary lymph nodes and skin, deep tissue adhesion.

(3) surgical

A radical mastectomy, extended radical mastectomy in breast cancer, imitation radical mastectomy (modified radical mastectomy), breast surgery alone, less than mastectomy and other surgical procedures.

(B) radiation therapy

Radiation therapy is a major component of treatment for breast cancer is one of the local treatment. Less affected compared with the surgical treatment of anatomy, patient factors such as physical limitations, but radiation treatment is being affected by the impact of the biological effects of radiation. Common radiotherapy facilities with the current more difficult to achieve "full kill" the primary tumor, the effect of surgery and less so, for most scholars do not advocate the line of incurable breast cancer radiotherapy alone. Radiation therapy used for comprehensive treatment, including radical surgery before or made after adjuvant therapy, palliative treatment of advanced breast cancer. The past 10 years to breast cancer earlier in the comprehensive treatment of local excision increasing efficacy and no significant difference between radical surgery, radiation therapy in reduction surgery has played an important range

The principles of radiation

(1) Ⅰ Ⅱ imitation of breast cancer after radical surgery or radical, outside the primary tumor in the breast quadrant, pathological examination of axillary lymph node negative, no postoperative radiotherapy. Axillary lymph nodes, postoperative irradiation and down within the mammary and supraclavicular area. Primary tumor in the breast area or in the central quadrant, pathological examination of axillary lymph node negative, only radiation within the breast area after surgery, axillary lymph node positive, plus up and down according to the clavicle area. (2) Ⅲ of mastectomy, whether positive or negative axillary lymph nodes, all light up and down within the mammary and supraclavicular area. According to the number of axillary lymph nodes and chest wall involvement were the number could be considered with or without chest wall irradiation. (3) after radical mastectomy, axillary lymph nodes have been removed, generally no longer irradiated axillary area, unless the surgical removal of residual lesions not complete or when the area before considering additional axillary irradiation. (4) radiotherapy should be in the 4 to 6 weeks after surgery began, a skin graft may be extended for 8 weeks.

(C) treatment of hormone receptor determination and the relationship between endocrine

Hormone receptor determination and a clear relationship between the efficacy of breast cancer: ① Application of estrogen receptor-positive endocrine therapy effective rate of 50% to 60%, while the negative effective less than 10%. Determination of progesterone receptor can more accurately estimate the effect of endocrine therapy, both positive efficiency up to 77% of the content of these receptors and effect relationship is positively related to higher levels, the treatment effect was better. ② receptor-negative cell differentiation is often poor. Receptor-negative patients after a relapse easily. Receptor-negative lymph node metastasis regardless of the prognosis worse than the positive. If positive recurrence often tend to the skin, soft tissue or bone metastases, while negative organs tend to transfer. ③ determination of hormone receptors has been used to develop postoperative adjuvant therapy programs, especially receptor-positive cases can be applied to postmenopausal hormone therapy as adjuvant treatment, while pre-menopausal or hormone receptor negative Zeyi adjuvant chemotherapy based.

(D) endocrine therapy

Endocrine non-curative treatment of breast cancer for hormone-dependent breast cancer, but they can receive different levels of palliative treatment. Cytoplasm and nuclei of cancer cells of estrogen receptor (ER) content of more, the stronger the hormone-dependent and should be borne in mind that breast cancer occurring before menopause and after menopause in the treatment of breast cancer is different.

(E) chemotherapy

Most breast cancer is a systemic disease have been many experimental studies and clinical observations confirmed that when breast cancer development to a greater than lcm, clinically palpable mass, they often have a systemic disease may be present distant micrometastases , but with the current inspection methods still can not find it. The purpose of surgery is to make the primary tumor and regional lymph nodes are the greatest degree of local control and reduce local recurrence and improve survival. However, after tumor removal, the body still remaining tumor cells. Based on the time of diagnosis of breast cancer is a systemic disease of the concept, the purpose of chemotherapy is to eradicate residual tumor cells in the body in order to improve the surgical cure rate.

Second, under what circumstances can patients with breast conserving therapy?

The treatment of breast cancer patients in general can be used in patients with early surgical treatment of early breast cancer had smaller tumors, cancer cell proliferation and metastasis has not yet occurred, is the best time for treatment, surgical treatment was significantly and quickly, while taking traditional Chinese medicine treatment can also increase the effect of surgery to prevent recurrence, to a good prognosis.

Breast-conserving treatment for the four conditions are as follows:

1, tumor size less than 3cm.

2, tumor location other than 2cm or more away from the nipple.

3, intraoperative frozen pathologic examination confirmed the rapid removal of the scope of the stump at the non-cancer cells.

4, physical and X ray, magnetic resonance imaging revealed no multiple foci.

Breast conserving therapy compared with the traditional radical mastectomy, just keep the breasts, improve the quality of life, more importantly, to improve upper limb function, reduced surgical complications, and availability and improved the same radical long-term survival. With the emergence of early diagnosis of breast cancer, after breast-conserving therapy and comprehensive treatment of the growing maturity of some patients with early breast cancer may choose to complete resection of the premise, to retain most of the breast, breast shape and remained.

Breast-conserving surgery is not suitable for all breast cancer cases, they can not replace all of the radical surgery, but a way of improving the treatment of breast cancer should be taken to avoid local recurrence. The effects of treatment with the following factors: ① the tumor margin must have a normal border, if there is sufficient margin of normal organizers a better prognosis. ② primary tumor size and histological grade. ③ postoperative radiotherapy, postoperative radiation therapy if not for the local recurrence rate is high. For patients with advanced breast cancer, treatment should be selected carefully, taking into account the physical condition of patients, the disease progresses, whether the proliferation and metastasis, and proliferation of scope, select the most appropriate method of treatment is usually recommended herbal treatment of advanced breast cancer mainly of conservative treatment.

Third, the spirit of breast cancer treatment

Psychological treatment of breast cancer by the medical profession in today's more and more attention. As medical technology advances, the chances of breast cancer patients live longer is also rising, the patient maintain a good state of mind is treated as a critical success factor.

Psychological treatment of breast cancer:

1, for patients with extreme pessimism and disappointment to analyze the causes and good psychological comfort to patients at the same time introduce the new breast cancer treatment, progress and success of the typical cases and describes the treatment of breast cancer patients with the disease and better treatment and state of mind patients to know each other, to promote fight against the disease among patients with the exchange of experiences in order to gain the confidence to overcome the disease. Health care workers should be patient and listen to the psychological experience of patients, patients with breast cancer is not the imagination to tell so terrible, early detection, early treatment, the effect is very ideal, so that cancer patients as soon as possible to bring out the mental torture.

2, to ensure the quiet room, clean and comfortable, timing windows open for ventilation, to maintain optimum temperature for ward to promote good relationships between patients, so that patients are easily treated optimistic environment, to avoid adverse environmental factors that stimulate a variety of patients.

3, the true condition of the patient, special circumstances should take appropriate security measures to avoid patients with excessive fear, tension, to avoid negative treatment of emotions. For patients who have been informed that the disease should take the initiative to communicate with patients to talk to patients to explain the disease-related knowledge, comfort and encourage patients so that patients have a correct understanding of breast cancer.

4 questions for patients to give careful, scientific, patient answers to, to calm, cool attitude to ease the anxiety of patients, excluding breast cancer treatment is not conducive to psychological factors and social factors.

5, the medical staff should be a high degree of compassion and sense of responsibility, positive and sincere attitude, caring, kind words and deeds to patients. In patients with a bad mood, disrespectful, the restraint and patience to do to affection, and a conscious and more close to the patients, encourage patients to pour out my pain. At the same time, patients get around the understanding, care and support, and help the families of the causes of emotional control in patients, relatives and medical staff to encourage support is the key to reverse the inferiority complex of patients.

6, patients should have a history of health care, treatment and psychological changes, skilled nursing techniques with their patients to obtain the trust, to explain knowledge and knowledge of drugs-related diseases, the treatment of patients to understand and correct understanding of the role of helping patients to adapt to by medical staff patient care given to patients with emotional support, to actively cooperate with the treatment.

Breast cancer is one of the most common malignancy of women, is a serious health hazard malignancy of women, and the impact of mental health patients, these effects throughout the diagnosis, treatment, rehabilitation and the whole process of tumor recurrence . Psychological treatment of breast cancer is very important.

Why psychological treatment of breast cancer patients? Psychological type of breast cancer patients:

1, refused to deny that he did not fear-based cancer patients, because doctors worry that her breast was removed, unwilling to admit that they got their disease, avoid contact with similar expressions.

2, the passive acceptance of their own type of anxiety that had breast cancer, by doctors conventional surgery, chemotherapy can only be the case, but worried all day, sighed, anxious.

3, pessimistic does not help that the type of their own had the disease would be finished, especially for the line in fear of breast cancer patients with radical pessimism at the same time, and believe that his condition continues to increase, has been unable to heal.

4, despair-type disease progression, tumor metastasis and the side effects of chemotherapy, the patient is aware of all the efforts made in vain, in the end is both life and wealth, and lives lost confidence in the treatment.

Fourth, the treatment of breast cancer remedies

Side of a

】 【Medicine angelica, peony, Fritillaria, Cyperus rotundus, Trichosanthes the 15g, habitat, gardenia, pangolins, Curcuma, Vaccaria, the system of frankincense 10g, bellflower, blue the 6g, safflower 9g, Astragalus 30g.

Indications of breast cancer, breast fibroids, breast hyperplasia. Breast lumps as hard as stone, superficial, initial symptoms, followed by axillary lancinating chest, red tongue, thin white fur, slippery pulse string or tight Shibuya, permit those who are Ecchymosis a knot.

【Usage】 Shuijianbi day one.

Fang Er

Drug】 【Angelica, Fritillaria, habitat of the 15g, red peony root, Curcuma, Cyperus rotundus, pangolin, Vaccaria the 10g, Chuan Xiong, Cyathula the 6g, Campanulaceae, turmeric, saffron the 9g.

Indications of breast cancer, breast fibroids, breast hyperplasia. Breast swelling, hard lumps, smooth activity, pressure by the pain, the line of poor, abdominal pain associated with stasis block, Shenpi anorexia, irritability, red tongue with petechia side, or yellow and thick, greasy moss, pulse strings slip and the number of cards are those phlegm.

【Usage】 decoction, after meal, day 1.

Other remedies to treat breast cancer:

1, 30 grams of fresh root Berberis, amount of pork. 1 day, Shuijianbi. This side features Xiehuo detoxification for breast cancer.

2, snake slough, The Hives, the whole insect of the decile. Total to fine a day for 3 times, each time under 5.5 grams water delivery, 1 month to 1 course of treatment. Blood detoxification function of the side for breast cancer.

3, Hill arrowhead 200 grams, 100 grams of crab, crab claw (with Zhao Jian) ​​100 grams. Joint research to fine, with honey for the pills, each pill weighing 10 grams, 3 times a day, 1-2 pills each time, after a meal with. This side features detoxification Sanjie for breast cancer.

4, Scutellaria barbata, six ear edges, wild chrysanthemum, 30 grams each. 1 day, Shuijianbi. This side features Qingrejiedu for breast fibroids.

5, frankincense, myrrh 30 grams each, realgar 15 grams, 4.5 grams of musk. 9 grams per serving, old wine to get the next. This side features reducing swelling and pain relief, for breast cancer.

6, Scorpio 6 g, centipede 2, walnuts 4. Walnut opened two and a half, half to the kernel, put the two drugs together and then tied the other half on, set fire to burn off smoke as the degree of risk into powder, 2 times, clothes, wine delivery, the day 2 times. The side Xiaoyu Sanjie for breast cancer.

7, earth mother of pearl, walnut separated, honeysuckle, forsythia, 15 grams each. 1 day, wine Shuijianbi. This side features Qingrejiedu for breast cancer has been collapse.

8, Trichosanthes 1, angelica, licorice, 15 grams, 3 grams of frankincense, myrrh 8 grams. 1 day, Shuijianbi. The function of blood circulation side, for breast cancer.

9, several pieces of turtle shell, black date amount of meat. Sunburn Huang Yan Mo turtle shell, black date meat mash, a mixture of both for the pills, 10 grams per day, or plain water. The Yin Fang Yiwei for breast cancer.

10, 120 grams of fenugreek, salt, rice wine taste. Will be placed in salt water fenugreek, fried dried into powder, 10 grams per day, 1 day, wine delivery service. The pain and cold side for breast cancer.

Recipe above is for reference only and does not represent medicinal value, for use, under the guidance of doctors.