General knowledge of breast diseases

  Women should go to the hospital for examination when you find the following symptoms single painless lump in the breast nipple overflow especially unilateral single hole of bloody overflow sunken breast skin surface, more obvious when pulling the nipple breast skin is orange peel like nipple sunken, displaced or eczema like change in the armpit to feel the hard lump what are the risk factors leading to breast cancer?  The younger the age of menarche and the later the age of menopause, the higher the chance of breast cancer. The younger the age of the first full-term pregnancy, the lower the chance of breast cancer in the lifetime. Adequate physical activity before the age of 40 reduces the incidence of breast cancer in first-degree relatives (mothers, sisters), and the higher the number of patients, the higher the risk Do you know the treatment options for breast cancer?  It includes surgery, chemotherapy, radiotherapy, endocrine therapy, biogene therapy, immunotherapy and psychotherapy. Various treatment methods are combined and complementary to each other. According to the characteristics of different patients’ conditions, a set of individualized combined treatment plan is systematically and scientifically formulated by fixed and experienced doctors, which is the “holistic treatment of breast cancer” advocated at present Surgical treatment simple mastectomy modified radical mastectomy breast cancer breast-conserving surgery: is to obtain the same chance of survival as radical surgery while preserving relatively Chemotherapy includes postoperative adjuvant chemotherapy, preoperative chemotherapy (neoadjuvant chemotherapy) and palliative chemotherapy. Commonly used chemotherapy drugs such as anthracyclines and paclitaxel have been widely used all over the world, and their efficacy is confirmed by the competent doctors involved in diagnosis and surgery according to the characteristics of the disease, strictly grasp the indications of chemotherapy, choose the appropriate chemotherapy regimen, calculate the drug dose precisely according to the body surface area, and Radiation therapy is a complementary treatment for postoperative breast cancer, which can significantly reduce the rate of local recurrence; it is also an important part of the comprehensive treatment for patients with regional recurrence and locally advanced breast cancer that is indispensable for breast-conserving treatment, palliative treatment for patients with metastatic breast cancer, and improving the quality of survival. edema, breast fibrosis, radiation pneumonia, rib fracture, etc. The occurrence of breast cancer by endocrine therapy is closely related to the endocrine environment of human body, especially estrogen level. Endocrine therapy mainly refers to the treatment method to inhibit the growth of tumor cells by counteracting estrogen, but the drugs used in treatment are generally not hormones Endocrine therapy has clear efficacy, easy to use, less toxic side effects and good safety Commonly used methods include ovarian depot (premenopausal patients) and oral drugs such as triamcinolone acetonide, aromatase inhibitors, etc. The target of endocrine therapy must be patients with positive estrogen receptors Breast Breast hyperplasia and breast cancer are actually a type of breast hyperplasia, also known as breast dysplasia, which can occur at any age from adolescents to women in their 70s or 80s. The incidence of breast cancer is 1.7-4.5 times higher in patients with endocrine-related hyperplasia than in those without hyperplasia. The former is not malignant, the latter is closely related to breast cancer diet: vegetables, fruits contain essential vitamins and minerals, it is a good helper to promote your health, we recommend you to choose vegetables: spinach, tomatoes, loofah, white lentils, fresh ginger juice algae mushrooms: kelp, fungus, nori, shiitake.  Fruits: hawthorn, white pear, lotus root, banana, olive.  Fresh juice cereals: sunflower seeds, yam powder, wolfberry, Chen Pi, black fungus moderate amount of milk and soy products: dairy foods contain high calcium, and with soy foods, making an excellent source of protein, it should be noted that excessive intake will have a negative effect on the human body recommended that you choose milk, soy milk, soybean skin and other soy products, vegetable oil a small amount of cream, low-fat dairy products, etc. Less fatty oils and non-vegetarian oils female friends often Women who eat fried or deep-fried food have 1.6 times higher risk of breast cancer, so we recommend you to eat more lean meat. We recommend you to choose various kinds of river and sea fish and poultry (such as chicken, duck and pigeon), eggs, lean meat of pigs and cows, etc., and replace frying and stir-frying with steaming, boiling and stewing, etc. You should try to cooperate with the medical staff and carry out functional exercises to promote the blood and lymphatic reflux of the limb, reduce the swelling of the limb and restore the normal function as soon as possible. 2 days after surgery, you can start to do forearm, elbow flexion and extension movements and palm grip movements, 5-6 times each time, 4-5 times a day. 3-4 days after surgery, you can use the upper limb on the healthy side to help the upper limb on the affected side to do lifting movements, so that the affected limb is raised to the level of the head, 3-4 times each time, 4-5 times a day. On the 5th postoperative day, the affected elbow can be held up by the hand of the healthy side and slowly lifted forward and upward to exceed the head, straightening it as much as possible, 3 times each time, 3 times a day. On the 6th postoperative day, the fingers of the affected side can be used to gradually slide upward along the wall, gradually raising it 2-3 times each time, 2-3 times a day.  On the seventh and eighth postoperative days, the palm of the affected side can be used to cross the head and touch the contralateral ear 2-3 times each time, 3-4 times a day. On the ninth postoperative day, the affected limb can be rotated on the axis of the shoulder joint 2-3 times each time, 3-4 times a day. After the surgery, the patient should gradually raise the affected upper limb to the position of low head since the beginning of the exercise, and then to the position of lifting the head and chest, and then to the position of being able to cross the top of the head and touch the opposite ear with the palm of the affected side until the postoperative rehabilitation guidance of breast cancer is reasonable: breast cancer patients should pay attention to eating more vegetables, fruits and vegetable protein in the diet, and try to eat less animal fat and animal protein. Pay attention to balanced nutrition. Research results show that the survival rate of breast cancer patients with normal weight is higher than those with overweight or too light weight.  Appropriate exercise: pay attention to the combination of work and rest, participate in outdoor activities to increase the immunity of the body Rehabilitation psychology: after discharge from hospital, patients often have to face such problems as how to adapt to family and social life and realistic understanding of their diseases, which bring great psychological pressure.  Regularity of life: Sexual life can be resumed after the completion of comprehensive treatment, which will help to promote family happiness and improve the quality of life.  Prosthetic breast: Patients with mastectomy should wear a prosthetic breast in time after wound removal to prevent cervical bending and maintain body balance.  Post-operative review: Generally, the post-operative period is reviewed every 3 ∽ 6 months for two years, half a year after two years, and once a year after two years. If the date of review is less than the date of review, you should visit the doctor anytime if you have symptoms of maladjustment.  It is very important to follow up after breast cancer surgery. Because breast cancer is a systemic disease, some patients will still have recurrence and metastasis after treatment, and early detection of recurrence and metastasis and timely treatment are expected to prolong the survival of patients.  The follow-up period starts from the month of surgery, every three months in the first year after surgery, every six months in the second and third years, and then every year for life.  To ensure the completeness of the follow-up data, patients are required to visit the breast specialist clinic during the above follow-up time.