Two young women, one 25 years old and one 32 years old. They recently visited the hospital for stomach pain and back pain respectively, and were diagnosed with advanced breast cancer. The doctors were saddened by the fact that such young lives missed the best treatment period because of carelessness of the initial signs.
Case
Breast lump was not cared for, but the breast cancer was advanced in her 20s and 30s
Xiao Wang was 25 years old when she went to the emergency department of the Chinese medicine hospital for stomach pain, and was found to have metastatic lesions in the thoracic and lumbar spine and fluid in the thoracic cavity by CT, so she was referred to the director of thoracic and external breast department, Chen Junpeng. Wang said she had found a lump on one side of her breast six months ago but did not pay much attention to it. After ultrasound and molybdenum-palladium testing, she further suspected a malignant breast tumor, and the diagnosis was finally confirmed by puncture. It has reached double lung and bone metastasis, which is advanced stage.
A Xia, 32 years old, went to the Chinese medicine hospital after feeling back pain for more than a month, and CT found that there were lesions metastasis in the thoracic and lumbar vertebrae, and the diagnosis of advanced breast cancer was confirmed by biopsy.
According to Chen Junpeng, breast cancer has become a common tumor that threatens women’s physical and mental health. He said that the annual report of Chinese tumor registry shows that the incidence of breast cancer in women is low in the age group of 0-24 years old, gradually increases after 25 years old, reaches a peak in the age group of 50-54 years old, and gradually decreases after 55 years old. However, he saw two young women with breast cancer in a row within a short period of time, and they had metastasized to advanced stages, which was saddening and sobering.
Treatment
Combining local and systemic treatment, breast cancer enters the era of comprehensive treatment
According to Chen Junpeng, breast cancer is a malignant tumor that occurs in the epithelial tissue of the breast, and the breast is not an important organ that sustains human life activities. Once the cancer cells are shed, the free cancer cells can spread throughout the body with blood or lymphatic fluid and form metastasis, which will be life-threatening.
Chen Junpeng said that with the change of understanding and treatment concept of breast cancer, the treatment of breast cancer has entered the era of comprehensive treatment. According to the stage of the tumor and the patient’s physical condition, doctors will use various means such as surgery, radiotherapy, chemotherapy, endocrine therapy, biologically targeted therapy and adjuvant therapy of Chinese medicine as appropriate.
According to Chen Junpeng, surgery plays an important role in the diagnosis, staging and comprehensive treatment of breast cancer; radiotherapy is the use of radiation to destroy the growth and reproduction of cancer cells to achieve the effect of controlling and destroying them. Surgery and radiotherapy are both local treatments; chemotherapy is a treatment method that applies anti-cancer drugs to inhibit the division of cancer cells and destroy them, referred to as chemotherapy; endocrine therapy is a method that uses drugs or removes endocrine glands to regulate the endocrine function of the body and reduce the secretion of endocrine hormones to treat breast cancer; molecular targeting therapy is one of the most active research fields in recent years, and compared with Molecular targeted therapy is one of the most active research fields in recent years, and compared with chemotherapy drugs, it is a new type of anti-tumor treatment drug with multi-linked mechanism of action; TCM treatment for tumor emphasizes the principle of regulation and balance, restoring and enhancing the internal resistance of the body to disease, so as to achieve the balance of yin and yang in the treatment of tumor.
During the treatment process, doctors will take into account both local treatment and systemic treatment of patients, striving for a cure for early and middle stage breast cancer patients, and prolonging the life span and improving the quality of life for advanced stage patients. Green Gold Valley
Medical advice
BFF’s opinion can only be used for reference
According to Chen Junpeng, the prognosis of breast cancer in young women (under 35 years old) is worse than that of their older female friends due to factors such as endocrine exuberance. Therefore, he especially urges women to:
(1) Women under 25 years old should insist on monthly breast self-examination; women between 25 and 35 years old should have monthly self-examination + one ultrasound per year; women at 35 years old should have monthly self-examination + one ultrasound + one molybdenum palladium test per year. He said that ultrasound can clearly detect cysts and nodules, while molybdenum testing has advantages in the identification of hyperplasia and calcification. Doing early screening and detection is better than any excellent treatment plan.
(2) Don’t trust your girlfriends too much. Many women like to talk to their girlfriends first when they have health problems. When you ask your best friend for advice on your condition, don’t judge yourself based on your best friend’s opinion, which can only be used as a reference, it’s best to get a specialist to make a judgment.
Links
Breast-conserving surgery and breast reconstruction
Surgery for breast cancer includes both breast and axillary lymph node surgery. Breast surgery includes breast preservation surgery (breast-conserving surgery) and total mastectomy.
There are strict indications for breast-conserving surgery, and it is not possible to perform breast-conserving surgery for all breast cancer patients. For breast cancer patients who are not suitable for breast-conserving surgery and still need to have their breasts removed, doctors can use plastic surgery techniques to reconstruct the breast. Breast reconstruction can be done with autologous tissue reconstruction or with prosthesis reconstruction. Breast reconstruction can be performed at the same time as the surgery to remove the tumor or at the end of the treatment when all the review results are normal.