The following are the treatment methods and pathological and medical theories I have found, hoping to help you, but in the end, I have to listen to the doctor, understand! I hope your mother will get better and recover soon!
Trinity of breast tumor, lung tumor and liver tumor, pathology and medical theory;
Breast tumor is called "breast carbuncle", "breast carbuncle", lung tumor is called "food accumulation", lung cancer is called "knot" and liver tumor is called "dead blood" in ancient Chinese medicine theory. There are three kinds of liver cancer, namely "liver tuberculosis", "fullness" and "jaundice". There are left and right breast tumors. Left breast pain is caused by liver pathogenic factors, while right breast pain is caused by lung pathogenic factors. Although there are differences between the two breasts, the treatment is the same. There is also a cause of breast tumors. It is unsanitary for couples to touch or add breasts with their mouths and tongues, especially in the morning. Everyone's mouth is poisonous in the morning. If you don't brush your teeth in the morning, biting someone's skin with your teeth can kill this person. Therefore, in the morning, the mouth is used to add breast, and toxic gas enters the breast, causing breast lesions and leading to breast tumors. The lung tumor is called dyspepsia, which is caused by spraying pyridine when eating, accidentally bringing food into the lung trachea and failing to handle it in time. Food will corrode in the lungs for a long time, leading to lung inflammation and the birth of lung tumors. Liver tumor is due to the pathogenic factors of liver nerve, which will expel blood from the nervous system and become dead blood, leading to the occurrence of liver tumor. Although the etiology and pathology of these three tumors are different, the treatment methods are the same. Let's talk about the pathology and pharmacology of these three tumors first.
Breast tumor: A breast tumor is a mass occurring in the breast, which is also called "breast carbuncle" and "breast carbuncle" in TCM literature. At present, the names of breast tumor and breast cancer are mostly used in TCM clinic. The main causes and pathogenesis are excessive emotion, stagnation of liver-qi and lung-qi, liver and lung being affected by pathogenic factors, resulting in spleen deficiency of liver and lung, stagnation of qi and phlegm, or physical weakness of the elderly, imbalance of chong and ren, stagnation of qi and blood stasis for a long time, obstruction of meridians and collaterals, and milk stagnation. The occurrence of breast tumor is closely related to the imbalance of spleen and stomach, lung, liver, kidney, chong and ren, lack of healthy qi and retention of pathogenic toxin. Qi deficiency of lung, liver and kidney, qi deficiency and weak blood, emptiness of chong and ren meridians, abnormal operation of qi and blood, leading to imbalance of chong and ren meridians, qi stagnation and blood stasis, and accumulation of phlegm and toxin in chest for a long time, resulting in cancer. Just like "medical zong jinqian. Accumulated chapter ":if the healthy qi is insufficient, the evil qi will stand on it." Righteousness and evil are not harmonious, one wins and one loses. Judging from the etiology of breast cancer, liver, lung and spleen are depressed and angry. For example, in the Theory of Gezhi Shooting, anxiety, anger and depression accumulate in the morning and evening, the temper is depressed, the liver-qi is super-inverse, and the lung-qi gradually becomes a hidden nucleus. Therefore, stagnation of liver and lung is the cause of coagulation and nucleation in breast area. From the point of view of breast cancer masses, they all grow along the liver meridian and lung meridian, accompanied by depression, loss of appetite, chest pain and discomfort, and sometimes accompanied by symptoms of qi depression such as pain and heavy pulse. Breast tumor or cancer, among all kinds of tumors and cancers, Chinese medicine is the easiest, simplest and shortest treatment time. If improper medication leads to death of breast tumor, it is a regret of Chinese medicine.
Lung tumor is called "food accumulation" in the theory of traditional Chinese medicine, and food accumulation refers to the mass that occurs in the mucous membrane, gland and lung cell epithelium of branch gas. The cause of lung tumor formation is poor diet. When spraying pyridine, food will enter the inner membrane of lung trachea, which will lead to pathological changes of lung tissue cells stimulated by these factors, and the lung tissue will be abnormally proliferated and swollen without timely treatment. In recent years, the morbidity and mortality of all countries in the world are rising sharply, especially in developed countries. Lung tumor ranks fourth among male tumors and fifth among female tumors, and now it has become one of the common diseases that seriously threaten human health. Therefore, Chinese medicine therapy plays an important role in the treatment and rehabilitation of lung cancer and lung tumor, especially advanced lung tumor. If a lump or pain is found in the right abdomen, it is the formation or lesion of lung tumor. The nerves of the lung and the liver intersect, with the liver on the right, the liver on the left, the lung on the left and the lung on the right. So a lump or pain in the left abdomen is dead blood (liver tumor), and a lump or pain in the right abdomen is indigestion (lung tumor).
Liver tumor refers to malignant liver tumor that occurs in hepatic nerve cells. If the early clinical symptoms of the disease are left rib mass or pain, liver mass and tumor should be considered as late symptoms, such as tumor rupture and gastrointestinal bleeding. The nerves of the liver and lung intersect, and the focus of liver cancer is on the left. Because the liver is injured by evil, the liver nervous system excretes blood from the liver nervous system, which can not return, becoming dead blood, leading to the occurrence of liver tumors. The clinical manifestations of liver cancer and liver tumor are not obvious, so they are called "dead blood" in ancient Chinese medicine theory, liver cancer caused by hepatitis is called "jaundice" and "yellow addiction", and liver cancer caused by cirrhosis is called "abdominal distension" and "yellow addiction". For example, "Total Record of Promoting Muscle": those who accumulate qi in the abdomen are addicted to it, and those who push hard are also addicted to it. This is because cold and dampness lead to unhealthy diet, weak dirty qi and unnecessary diet. The occurrence of liver tumor is mostly caused by internal injury of diet, emotional disorder or invasion of external evils. Over time, it leads to liver and spleen damage, qi stagnation and blood stasis, damp-heat accumulation and fire toxin accumulation. The disease is mainly liver and spleen, involving the kidney, and the disease is mixed with excess and deficiency, mainly spleen deficiency and liver and kidney deficiency, mainly qi stagnation and blood stasis, phlegm, dampness and heat. Stagnation of liver qi, stagnation of qi and blood, stagnation of spleen deficiency and dampness, stagnation of heat and toxin, liver controlling emotion, joy and nature controlling catharsis. If the liver qi is not depressed, the qi and blood will be blocked, which will accumulate over time. Qi and blood are blocked, meridians are blocked and accumulated, forming stagnation and liver depression.
Prescription drugs for the above three diseases are as follows:
Bupleurum: Bupleurum enters the heart, liver and spleen. Harmonize exterior and interior, soothe the liver and promote yang. Outline: Treat cold and heat, chest fullness and hypochondriac pain. There are five pains in labor, and the disease is in the five internal organs. If the liver and gallbladder are exhausted, the pericardium meridian is hot, or the shaoyang meridian is cold and hot, then Bupleurum chinense is the medicine for treating the shaoyang meridian in the hands and feet. Bupleurum chinense is an essential drug for purging qi and reducing fever, but it is not necessary for fatigue of lung and kidney. Classic of Materia Medica: As the superficial medicine of shaoyang meridian, Bupleurum is mainly responsible for stagnation of qi in the stomach and intestines, food accumulation, pathogenic factors of cold and heat, bringing forth the new, and besides heart cold and typhoid fever, it is also full of shaoyang gallbladder. The gallbladder is a clean room, and there is no going out, no entering, no sweating, no vomiting, and its experience is half-superficial, so the law is reconciled. Pathogenic knot is annoying heat under the heart, and pathogenic dispersion is self-resolving for annoying heat. Yang sinking leads to food accumulation; Yang ascending will clear the qi and ascend; When the qi of the spleen and stomach runs in the yang, the food accumulation will dissipate. Phlegm heat is solid, evil in the chest is reversed, qi swims between the five internal organs, yang deficiency is evil, and excess fever is also present. Beard tastes bitter and flat, slightly cold, and can clear away heat, dissipate stagnation and relieve exterior syndrome, so it can treat the above diseases. ~ ~: Entering the heart, liver and lung meridians, clearing away heat and purging fire to cool blood, treating fever, fatigue, irritability and insomnia, controlling the evil of five internal organs, purging the fire of triple energizer, treating heat syncope and heartache, relieving fever and depression, and promoting qi circulation to relieve depression. ~ ~ clearing the heat of shaoyang will eliminate the evil spirits and stomach heat in the five internal organs. ~ ~: Treat the heart, liver and stomach more, and treat the lungs less. If cold is accompanied by heat, tears are full of blood stasis, which is neither floating heat nor hard heat. It can relieve depression, but it can't be resolutely attacked, and it can't be countered. Therefore, the abdomen of yang is full of dry feces, and the exterior heat of lung disease is cough, which is not its responsibility. Upset or regret accompanied by pain, jaundice, cold and heat, lack of food, or red abdomen are all depression. What is upset is empty, and what is stuffy in the chest is true. ~ ~: "Nourish yin and blood, replenish bone marrow, grow muscles, produce essence and blood to replenish five internal organs, nourish kidney and diuresis, and replenish true yin. ~ ~ Suitable for palm heat, heart heat, nourishing kidney water and treating blood vessel fullness. It can tonify kidney, strengthen essence, cool and warm, and specialize in nourishing liver and enriching blood. Because the liver is bitter and urgent, it should be used slowly, which can warm the gallbladder and benefit the heart, blood, kidney and water. It is suitable for all internal injuries, pains, painful blood and indulgence. It is a holy medicine for soothing five internal organs, harmonizing blood vessels, nourishing skin, nourishing heart and calming nerves, nourishing true yin and sealing bone marrow. " ~ ~: "Spleen and lung, kidney essence, cold and heat, qi, five strains and seven injuries, cold, low back pain, mind, guilty conscience, five internal organs and kidney qi. ~ ~ can strengthen the spleen and tonify deficiency, benefit essence and strengthen kidney, treat various deficiency and treat five strains and seven injuries. The main injury can make up the deficiency and win, and it can make up the middle and replenish qi. Invigorate deficiency in the main injury and win, in addition to cold and heat evil. " "Don't record" is mainly to make up for fatigue, to make up for the five internal organs, and the video is annoying. "~ ~:" tonify liver and kidney, astringent essence, and firm collapse. " Dominate the evil spirits of the heart, which are cold and hot, warm the middle, drive away cold and dampness, remove the wind, remove the qi and break the knots. ~ ~ How can this desiccant dispel evil spirits? All diseases are caused by deficiency and cold of the lower body. If it is used to nourish the liver and kidney in order to benefit its source, the five internal organs will be Amway, and those who close it will pass it and benefit it. ~ ~ can greatly converge the vitality, cheer up the spirit, and be stable and smooth. Smooth convergence, so it can dredge seven orifices, promote blood circulation and dredge collaterals, and treat hypochondriac pain and lumbago caused by liver-qi deficiency, and the wind in liver-qi deficiency is budding, which can converge healthy qi but not evil qi. Different from other acidity, the loss of vitality of ordinary people lies in the liver, so the liver wind will move first, which is a sign that qi is about to lose. The combination of liver and gallbladder and viscera, the gallbladder is shaoyang, the disease is dominated by cold and heat, the liver is Jueyin, and the deficiency is also cold and heat, so it is sweating because of cold and heat. It can not only astringe sweat, but also nourish the liver, which is most effective for those who will lose their vitality due to liver deficiency. "~ ~:" Indications are clearing away heat and cooling blood, promoting blood circulation and removing blood stasis. It can be used for treating heat entering blood, spotty bleeding, convulsion, vomiting, epistaxis, bloody stool, bone steaming and fatigue. Breaking blood, promoting blood circulation, resolving phlegm and blood heat. ~ ~, its taste is bitter and slightly pungent, its cold gas is non-toxic and pungent, and bitter cold can remove blood heat, enter blood and cool blood heat. Cold and heat are also symptoms of yin deficiency and blood heat. Stroke, carbuncle, convulsion and epilepsy are all caused by yin deficiency, internal heat and deficiency of qi and blood. When the fever subsides, the blood will cool, and when it cools, new blood will be born, the yin will be restored, and the fire will not get angry, so there is no evidence that the heat will generate wind. So, I know the master's point of view. Epilepsy and sores are also caused by heat and blood stasis. Cooling blood and activating blood, therefore, it can cure epilepsy and abscess, disperse blood with heat, and purge heat with bitterness, therefore, it can dispel pathogenic blood, strengthen blood stasis, make the stomach and intestines comfortable, the viscera belong to yin and store essence, like clearing away heat, and heat can remove the five internal organs. Bielu: It is also helpful to clear away heat and cool blood for those with headache, fever, five pains, invigorating qi and head and back pain. There is also the main meridian impassability, low back pain and blood dripping, which is also a symptom of blood heat drying up. Fire is hidden in blood, so it is necessary to cure bone steaming without sweat, acne and blood heat. Winter root refers to guilty conscience, stomach heat, heart heat and heart deficiency. That's what this medicine means. "~ ~:" Strengthening the spleen and regulating the stomach, calming the heart and calming the nerves, controlling chest and hypochondriac qi, fear of shock and heartache, cold, fever, cough and dry mouth. ~ ~ its taste is sweet and flat, and it is non-toxic. It begins with the foot yin and the hand sun, the foot is too yin and yang to know the classics, and the yin in the yang is also. Chest and hypochondriac qi, evil in yin deficiency, anxiety and fear of evil are all heart deficiency. Fear of palpitation, kidney deficiency, heartache, cold and heat, cough. Dry mouth, hands are also suffering from yin evil. Gan can make up the middle jiao, which is weak and beneficial; Tonifying the middle energizer can strengthen the heart and spleen; Beneficial to orifices will lead to pathogenic pyrolysis; In fact, the heart and spleen are worried and frightened, and the pathogenic heat cracking will cause pain under the heart, full of cold and heat, cough and dry mouth. If the middle coke is damp and hot, it will cause dry mouth and spleen dampness. If the spleen is weak, it will make sleep easier. If the abdomen is big and spleen deficiency can't induce diuresis, then abdominal distension will be great. If the spleen is wet, the waterway is unfavorable, and the spleen deficiency causes edema in the middle sputum, treat the middle spleen soil. Middle energizer is incurable, so when you see a disease, you will benefit the water and strengthen the spleen, and then you will get rid of it. Open thoracic viscera, regulate dirty qi and reduce kidney evil. What are the functions of diuresis, dehumidification and antipyretic stagnation? White people enter the qi, red people enter the blood, tonify the heart and benefit the spleen, and white people are superior. "Alisma orientalis:" Tonifying fatigue and five pains, except for the fullness of five internal organs, started in Yin Qi to stop ejaculation, quench thirst, drain bladder, and stop triple energizer water, which is sweet and light in taste, light and leaking, and light in taste, so it is beneficial to water and leaking. "If there is damp heat in the spleen and stomach, the head will sink and the eyes will faint, and the ears will be hot. ~ ~, get rid of its dampness, and the heat will follow. But rustic will make your mood clear and the weather bright, so ~ ~ has the function of nourishing five internal organs and benefiting qi, treating head rotation and being smart and alert. If you take it for a long time, it will cool down excessively, clear the air and not rise, consume true yin and be dizzy. " ~ ~ ~: "Nourishing kidney and promoting fluid production, nourishing five internal organs, removing heat, generating yin and generating muscle." ~ ~ ~, used for tonic and cough medicine. ~ ~ ~ Acid can enter the liver and benefit the kidney, enter the heart and benefit the lungs, and enter the middle palace to benefit the spleen and stomach. "Ophiopogon japonicus: nourishing yin and moistening the lungs, clearing the heart and removing troubles, benefiting the stomach and promoting fluid production. Treat hematemesis, hemoptysis and fatigue. It can clear heart, benefit liver, tonify heart qi, stop vomiting, benefit essence, strengthen yin, relieve vexation and quench thirst. The holy medicine to clear the heart and moisten the lungs is also. Qi deficiency, palpitation. But it is a pity that the world often uses it less, and it is not successful until it knows its wonderful use. I don't know if Ophiopogon japonicus must have used many methods, which are powerful and effective. If the fire covers the lungs, the liquid inside will be released. Without Ophiopogon japonicus, the fire could not be suppressed. If heat burns in the stomach, Yin qi will be exhausted. Without Ophiopogon japonicus, the fire can't stop. What's more, there is a fire in the bladder, and the urine drops can't come out. People think that the urine fire is off. Because the bladder meridian is hot, the medicine of running water is invalid, and the medicine of reducing fire is invalid. What's the use? To cover up the qi of the bladder meridian, it is necessary to make it clear that the fire is falling and the water is falling.
This is CCTV's live program "The Road to Health". Today we are going to talk about the early treatment, diagnosis and treatment of breast cancer.
Moderator: Breast cancer is the biggest killer threatening women's lives. In recent years, the incidence of breast cancer has been on the rise, right?
Zhang Baoning: At the end of 1970s, breast cancer ranked first among female malignant tumors in the world, increasing at a rate of 2% every year. It is estimated that the annual incidence of breast cancer will reach about10.4 million in 20 10. Although China is not a country with high incidence of breast cancer, it is not optimistic, and its annual growth rate is 3-4% higher than the global 1-2 percentage points. Breast cancer in big cities of China.
Moderator: What are the typical symptoms of breast cancer?
Yu Zihao: The main manifestation of breast cancer is a lump in the breast. The mass has certain characteristics, such as hard texture, unsmooth surface, unclear boundary, no obvious pain, and a few patients will have dull pain and tingling; Another feature is that the mass will continue to grow. Clinical manifestations of breast cancer: 1, mass; 2, nipple discharge; 3, breast morphological changes; 4, nipple changes; 5. Pain; 6, skin changes; 7, axillary lymph node enlargement, nipple eczema-like changes, itchy skin, running water, nipple long-term decay.
Moderator: Is there any way to find breast changes as soon as possible?
Zhang Baoning: 1, conduct a general survey; 2, for high-risk groups, such as those with a family history of breast, regular monitoring; 3. The most commonly used method of imaging examination is Muba photography of breast cancer. In the United States, women over 50 years old do it once a year, and people aged 40-49 do it once every 65,438+0-2 years, as shown in the figure: put the breast into a breast camera, and you can take axial and standing images through this instrument, so that you can know whether there are tumors or abnormal changes. Muba photography provides pictures for doctors. Another method is self-examination. Nowadays, many patients who are admitted to the hospital go to the hospital after finding breast problems.
Moderator: How to conduct self-examination?
Zhang Baoning: 1. Look in the mirror to see if there is any abnormality in the shape and skin of the breast, including nipple and areola. 2. Touch it with your hand. The method of touching is: stick your hand on your chest, the upper outer quadrant → lower outer quadrant → lower inner quadrant → armpit. In this order, you mainly use the auxiliary side of your fingers to touch whether there is any abnormality between the skin and the chest wall. This kind of examination is chosen between two menstrual periods. If the menstrual regularity can be checked on the 9th 9- 10/0 day, women with irregular menstruation or amenorrhea will choose a fixed day for check-up every month.
Moderator: 85% of breast lumps in the United States are found by themselves, and the awareness of self-examination is very strong. So what is the situation in China?
Yu Zihao: Women in China generally attach importance to self-examination. Many patients have small tumors, which were discovered by accident in bathing, changing clothes or other occasions. Through self-examination, they can still find the lesion as soon as possible.
Moderator: Is it cancer that the self-examination found a lump in the breast?
Zhang Baoning: The proportion of breast cancer in the breast is relatively small, 90% of which are benign lesions, most of which are breast adenosis and breast hyperplasia, and the other is breast fibroadenoma (benign). See a doctor as soon as possible, don't be too nervous.
Moderator: Is it abnormal that there is no lump in the breast but there will be water flow on the nipple?
Zhang Baoning: This condition is called nipple discharge. It can be divided into true nipple discharge and false nipple discharge. Nipple dysplasia can cause inflammation, and there are often secretions called pseudonipple discharge. The discharge of the mammary gland through the nipple mammary duct is called true nipple discharge. There are yellow, watery, milky and bloody nipple discharge, and the probability of bloody and serous breast cancer is high.
Moderator: What is the relationship between breast hyperplasia and breast cancer?
Yu Zihao: Breast hyperplasia is a common disease of women, which usually occurs during the period from marriage to delivery. The main clinical manifestation is breast pain, sometimes quite serious. The pain before menstruation is more obvious, and it disappears after menstruation and will appear repeatedly. Self-examination found that the breast was thickened and had the feeling of nodules. This disease is benign. According to medical literature statistics, the probability of breast cancer in female patients with benign diseases may increase in the future, but the proportion is relatively small. Patients with hyperplasia of mammary glands should be actively treated, and more importantly, they should be reviewed regularly.
Moderator: Do you need to remove the breast after discovering breast cancer?
Zhang Baoning: Early breast cancer can be treated with breast-conserving therapy, and surgery can also be performed with breast-conserving surgery, as shown in the figure: the beauty difference between breast-conserving surgery and radical surgery. The picture above shows breast-conserving surgery, and the picture below shows radical mastectomy (mastectomy). Breast-conserving surgery is widely carried out abroad, but it is more cautious in China. On the one hand, it is an isolated tumor with multiple centers and multiple lesions, which is not suitable for breast-conserving surgery. It is also not suitable for breast-conserving surgery, because its peripheral position is near nipple and areola, or areola. At home, the size of the tumor is limited to less than 2 cm, without axillary and distant metastasis, a lot of radiation or other diseases, including collagen.
Moderator: Where is the incision of breast-conserving surgery, and how is the operation carried out?
Zhang Baoning: Breast-conserving surgery requires not reducing the long-term survival rate, minimizing the local recurrence rate and improving the quality of life. There are two principles in the design of surgical incision: 1, which is beneficial to surgery and anatomy, and also considers aesthetics; 2, surgery should be cleaned, especially the edge of the tumor. If necessary, intraoperative freezing examination should be done, and axillary lymph nodes must be in place; 3. Radiotherapy must be performed after operation.
Moderator: After breast-conserving treatment, the breast is preserved, but will it recur after a period of time?
Yu Zihao: In order to save the breast, there is a great chance that the tumor will recur after resection. Science has proved that although it is a single lesion, there will be small lesions in other parts of the breast. Only removing the lump without other treatment is sure to recur. After tumor resection, radiotherapy must be combined with systemic chemotherapy. Only after comprehensive treatment can breast preservation be allowed.
Moderator: If breast cancer is found early, breast-conserving surgery can't be done in this case, right?
Zhang Baoning: Yes, radical surgery is needed. What we are doing now is an improved radical operation, mastectomy, preservation of pectoralis major and pectoralis minor, and dissection of axillary veins.
Moderator: Mr. Li from Anhui, 1 years ago, his wife found a lump in her breast. She had an operation 65,438+0 months ago, and it was found to be infiltrative ductitis. She was completely eliminated and the pathology did not spread. She had chemotherapy twice. What should she pay attention to in the future?
Zhang Baoning: If cancer is undergoing surgical chemotherapy and endocrine therapy can continue, there are many methods of endocrine therapy. For example, tamoxifen is used for 5 years. It is very important to follow up regularly to prevent recurrence and metastasis, 3 months 1 time in the first year, 6 months 1 time in the second year, 6- 12 months/time in the third year, and every year thereafter.
Moderator: Ms. He from Guangxi, I have left breast cancer and had a radical operation. How to recover after operation?
Yu Zihao: After breast surgery, it mainly affects the function of upper limbs. Many patients can't lift their hands and feel pain, so they should do upper limb exercise as soon as possible after operation, and they can try to return to normal level by climbing the wall. Don't eat estrogen, such as royal jelly and bee milk, and don't be obese.
Moderator: Mr. Zhang from Shijiazhuang, my wife has invasive lobular carcinoma and lymphatic metastasis. How to treat it?
Zhang Baoning: Chemotherapy or endocrine therapy may be needed.
Moderator: Ms. Gao from Beijing, I had breast cancer eradication surgery in May, 438+10 last year. The tumor was twice 1.5cm, and I received 6 times of chemotherapy. There was no lymphatic metastasis, and the receptors PR and ER were high. How should I treat it now?
Zhang Baoning: Endocrine therapy is recommended. Endocrine therapy should be given after chemotherapy.
Moderator: Ms. Cheng from Shaanxi, daughter 18 years old, with hyperplasia of mammary glands. Is it the reason that menstruation is not allowed? Menstruation is accurate, can mammary gland hyperplasia be good?
Yu Zihao: Breast hyperplasia is related to endocrine disorders. Domestic researchers have done research and found that 90% of people have endocrine disorders, and they will decide whether to treat breast hyperplasia after menstruation.
Moderator: Mr. Jin Jilin, my wife was diagnosed with simple breast cancer on the left side four months ago and had a total resection. The lymphatic part did not spread or metastasize. Now her left arm always hurts. What's the matter? What should I do?
Zhang Baoning: Lymphatic reflux is blocked after lymph node dissection, like a traffic jam, as shown in the figure. With the passage of time, the establishment of collateral circulation can be improved, but the improvement effect is not obvious. At present, the operation to anastomose the lymphatic dilatation tube with the axillary vein is not very satisfactory. There are other conservative treatments. Sleeping at night can raise the upper limbs.
Moderator: Ms. Zhang, a native of Hunan, got breast cancer two years ago. I received radiotherapy and chemotherapy after operation, and now I am recovering well. Do I still need treatment?
Yu Zihao: The longer the treatment time, the better the effect. The main task after the treatment is to review regularly.
Moderator: What factors are related to the occurrence of breast cancer?
Zhang Baoning: The risk factors of breast cancer are: menarche (/kloc-before 0/3 years old); "Menopause" is late (not yet 54 or 55 years old); Unmarried or late childbirth (childbirth after the age of 30 or 35); Do not breastfeed after giving birth; After amenorrhea, women gain weight and become obese. Family history, maternal or elder sister has breast cancer, so this kind of person is more likely; Other lesions of the breast; When I was young, my chest was repeatedly irradiated; The causes of breast cancer caused by heavy drinking and smoking are still unclear, and breast cancer is closely related to endocrine hormones. Endocrine hormones are related to nutrition. For example, children eat a lot of fat and protein, and their menstruation comes too early, so parents should adjust their children's diet reasonably, adolescent girls should also pay attention to it, besides, they should do exercise, and women after amenorrhea should also control their weight, eat more fruits and vegetables, strengthen exercise and advocate breastfeeding.
Moderator: Mr. Liu from Ningxia My wife got breast cancer and had an operation, but why did the doctor give her radiotherapy? What are the side effects?
Yu Zihao: Comprehensive treatment should be done after operation, and radiotherapy is part of it. Radiation therapy can reduce the chance of recurrence. Not all patients do this. Radiotherapy is needed for breast masses (more than 5 cm) and postoperative lymph node metastasis (more than 4). After radiotherapy, the skin color changes, drying and peeling, but it will recover after a while.
Moderator: Ms. Ji, a native of Zhejiang, has been doing radical mastectomy for 3 and a half years. Now I have been taking tamoxifen. Does this medicine have any side effects?
Zhang Baoning: There are side effects. The biggest possibility is to induce endometrial cancer, but the incidence is very low. It is recommended to go to the hospital regularly to check the endometrial thickness.
Moderator: Ms. Wang from Shenyang, after examination by the hospital, I have developed into stage 4 breast cancer. There are lumps in the right armpit and neck. The hospital said that surgery was not allowed and only chemotherapy was allowed. Is there a better treatment? Can you have another operation after chemotherapy?
Yu Zihao: To do comprehensive treatment, do chemotherapy first. After chemotherapy reached a certain stage, the tumor regression was observed. If you can operate, you still have to remove it. Postoperative radiotherapy and systemic chemotherapy are needed.
Moderator: Ms. Yue from Beijing, I have had breast cancer surgery 1 for many years. Now there are lymph nodes in the groin and left neck. Is there a transfer? What should I do?
Zhang Baoning: It is recommended to do further examination, cytology or puncture examination, and timely treatment after diagnosis.
Moderator: Ms. Jia from Beijing, what is invasive breast cancer? If it is early, can you not need radiotherapy?
Yu Zihao: Invasive breast cancer, commonly known as malignant tumor, will spread around. Early detection and operation should be based on the specific situation to decide whether to do radiotherapy or chemotherapy.
Moderator: Ms. Yang from Tianjin, I found a lump on my breast. In order to diagnose whether it is malignant, I went to many hospitals. Some doctors advised me to have a biopsy, while others thought I should try not to do it. Should I do it?
Zhang Baoning: Biopsy is recommended to avoid misdiagnosis and mistreatment. Needle aspiration biopsy is not so painful. If the hospital does not have the conditions, it is best to operate within 2 weeks after diagnosis. Too long time will affect the postoperative cure.
Moderator: Can Ms. Li, a breast cancer patient in Hebei, have children and breastfeed?
Yu Zihao: According to foreign literature, breast cancer patients were observed for 2 years after being cured. Two years later, nothing happened and they could have children. It is up to the patient to decide, and fertility is generally not advocated.
Moderator: Mr. Zhang, a native of Heilongjiang, my wife 1998 had a second-stage radical mastectomy, and both radiotherapy and chemotherapy were done. He has been taking tamoxifen for 4 years after operation. How many more years does she have to endure?
Zhang Baoning: It is better to eat for five years than for two years. Another international study is the comparison between five years and 10 years. So far, eating for five years is better than eating for two or three years.
Moderator: Ms. Ao, Jiangxi, whose daughter is 20 years old. Last year, she found that one side of her breast was enlarged and examined the thumb-sized lump. The doctor said that she couldn't operate until her breasts changed. Will it delay her illness?
Yu Zihao: It is recommended to go to the hospital for examination, such as mammography and super-birth.