Patient: description of condition (onset time, main symptoms, hospital visit, etc.): December 15, 2009 you gave me surgery. That day I was the third to do After the operation, I went home for four courses of chemotherapy, and I felt good. The local doctor also let me do radiotherapy and endocrine therapy I am already 50 years old, do I still need to do all this? Li Meng Circle, Breast Surgery Department, First Affiliated Hospital of Zhengzhou University Li Meng Circle, Breast Surgery Department, First Affiliated Hospital of Zhengzhou University: I have read your original pathology, the mass was 2cm, located in the upper outer quadrant. Lymph nodes 0/21, no metastasis. ER,PR,CerBb-2 are negative. You do not need radiotherapy and endocrine therapy. But chemotherapy is a bit insufficient after four courses, you should do enough for six courses of chemotherapy. Patient: Thank you, Dr. Li: I feel much better after seeing your reply. After the first course of chemotherapy in Zhoukou, my aminotransferases have been high, and coupled with the New Year’s Eve, the chemotherapy was not timed. The first course of treatment: January 11th. Second treatment: March 8th. Third course: April 4th. Fourth course: May 4th. Is this okay? Thank you again for your help, Dr. Li! Li Meng Circle, Department of Breast Surgery, First Affiliated Hospital of Zhengzhou University: This is OK, but you need to do two more courses of treatment to achieve a better therapeutic effect. Patient: My surgery has been five months, now the wound feels a little uncomfortable, a little tight feeling, is this normal? Now change limb activities can basically, is the back of the arm when some problems, continue to exercise can still recover? I feel good now, do I still need to take any medicine? Thank you, Dr. Li! Thank you! Zhengzhou University attached hospital breast surgery Li Meng circle: your situation now generally do not need treatment, only need to exercise to restore the function of the affected limbs. All the upper limb function can be restored, but it depends on you to strengthen the exercise. Patient: Thank you! With your help I have confidence, I feel that I do not need to take medication, I have not yet gone to the review of the one year to go back, right? How long will it take to restore the function of the affected limb? Li Menghuan, Department of Breast Surgery, First Affiliated Hospital of Zhengzhou University: It takes about three months for the affected limb to regain function. Regular breast cancer checkups need to be done every three months in the early stage, every six months after three years, and once a year after five years. Patient: Hello, Dr. Li! The last time I went to the hospital for review, I didn’t see you, and I let Hudi see the result, and she said it was fine, and I didn’t need to take medicine. My mood is very good, I feel that I am all better. These days my mom fell, I went to serve her, I did not expect my wound pain again, is tired. May I ask: Is this in the way? What do I need to do to recover? Thanks! Difficulty in lifting the affected limb and pain in front and behind the chest. Li Meng Circle, Department of Breast Surgery, First Affiliated Hospital of Zhengzhou University: There is no problem, it will recover slowly, you should pay attention to rest and avoid exertion. The affected limb also needs functional exercise. Patient: Prof. Li is good! It’s been a long time since I’ve been in touch. My surgery has been done for one whole year, and recently my arm is still a little sore. I just did some housework and didn’t feel tired. Is it because the nerves have recovered that I feel pain? Zhengzhou University attached hospital breast surgery Li Meng circle: your specific situation is not clear, you’d better come to the clinic to review, I can do for your situation to answer in detail. Moreover, one year after the operation, you also need to do a full body checkup.