Patient: right breast total excision and axillary clearance, right breast ductal carcinoma, lymphatic metastasis 2/13, ER(-), PR(-), underwent phase I chemotherapy, one week after chemotherapy, WBC 7400, good mental status, can eat and sleep, no adverse reaction. Doctor: Patients with lymph node metastasis should receive post-operative chemotherapy for six consecutive cycles, currently paclitaxel plus epi-amycin is more commonly used. Depending on the location of the tumor and lymph node metastasis, radiotherapy should be added if necessary. Endocrine therapy is debatable because of its receptor negativity. It is recommended to check her-2 expression status. No response to chemotherapy does not mean it is not effective. Patient: The tumor is over the right external mammary gland, size is 6×5 cm, the size of the axillary tumor is 1.5 cm, does it need radiotherapy? One week after discharge (one month after surgery), the axilla and the opening of the two drains from the surgery are very swollen. Is there any treatment for this? It seems that the affected side is not a part of the body, so will it be disabled? In your experience, how long is the interval between lymph node metastasis and general recurrence? Since yesterday, the skin of the original swollen area (above the incision) and the inner part of the right arm near the armpit has been bruised and red-purple, and the blood vessels in the skin are clearly visible. Doctor: Postoperative edema of breast cancer is caused by the following factors: local inflammation, infection and poor lymphatic drainage, which can be treated with anti-inflammatory therapy and edema elimination therapy. As for the cost of chemotherapy, the cost of domestic paclitaxel plus epi-amycin should be within 10,000 yuan, and it is difficult to estimate the cost because of the adjuvant drugs and the bad estimation of toxicity.