Lady Lu, aged
43 (pseudonym) not long ago in the bath discovered a small lump on his left breast, feels no pain. Under fear, she went to the hospital for breast x ray examination showed her left breast cancer has a diameter of 3 cm, belonging to the stage II breast cancer, which is what most people call the medium-term for breast cancer requiring surgery. Lady Lu eager female characteristics can dig this, understand different kinds of surgery, she urged doctors to breast-conserving surgery for her, “If you’re not conservative, I’d rather not do surgery.”
many contraindications are breast-conserving surgery for breast cancer patients should be carefully chosen. (Info-graphic, graphic and text-independent)
the first affiliated hospital of Guangzhou Medical College professional section of the breast, breast surgery Director Zheng Wenbo said, breast-conserving surgery occurred last century 70 ‘s, now has become a worldwide especially in surgical treatment of primary breast cancer in Western countries. In our country, people gradually attention on the quality of life, breast-conserving surgery for breast cancer patients by more and more as the first choice treatment. However, in patients with breast-conserving surgery for early and only suitable for the medium-term, along with many contraindications. After all, as early detection of cancer patients . as possible to achieve active status and in the treatment of breast cancer.
regular self-examination breast every adult women should be “compulsory”.
-conserving surgery has become a primary means of breast cancer treatment
in the traditional concept, perhaps only “permissible” to radical operation of standards as a “cut the weeds and dig up the roots” of the radical effect. Zheng Wenbo said, controlled through more than 70,000 cases found in the medical field over the years, in a comprehensive treatment of patients with breast cancer, breast-conserving surgery or non-breast-conserving surgery, postoperative survival rate of 3 years, 5 years, 15 years there is no difference, so the breast-conserving surgery and non-guaranteed with which better questions, arguing does not exist now. “Actually worldwide total surgery now only accounts for 2% of surgical treatment of breast cancer, breast-conserving surgery has become the main means, such as France 70% in breast cancer surgery is breast-conserving surgery. ”
and radical surgery compared to breast-conserving surgery is not merely to retain the benefits of female characteristics, and fewer injuries. “When you make a traditional radical surgery, patients will reach 400 to 500 ml of blood loss, sometimes even to a blood transfusion, after 12 days in order to pull down. Currently the most common types of breast-conserving surgery, just on the surface of breast open two of five or six centimeters long opening blood loss can be controlled at about 200 ml. ”
Zheng Wenbo said, generally will still visible on the surface of breast-conserving surgery scars, in recent years the medical profession has developed a new method–endoscopic breast-conserving surgery – breast cancer resection in patients with axillary cut three one or two to five cm opening guide wire into the tumor in the body part” hook “. About surgical patients with hemorrhage in 50 ml and, in General, 6 days, you can pull down. Comparative hidden scalpel using this approach, taking into account the Lady Lu younger, high demands on shape and quality of life, the doctor recommended that she take endoscopic resection of breast-conserving surgery.
Zheng Wenbo stressed, however, is suitable for patients with breast-conserving surgery, according to the size, location, number of breast cancer, my health status and economic situation of the patient to decide.
“first of all, only in patients with breast cancer early, medium can choose breast conservation surgery, patients with advanced breast cancer and will not function in patients with tumor larger than 5 cm suitable for this method. “Also, tumors in patients with less than two cm from the nipple of the breast-conserving surgery doesn’t suit,” this is because the tumor resection part must be attached when tumor resection together next to 2 cm, much damaged too much breast, less clear cut have not gone far enough. ”
also, and cannot terminate pregnancy is pregnancy, have done radiotherapy, and connective tissue diseases, multiple lesions, has occurred in the breast cancer (except for lymph node metastasis) patients, unfit to undergo breast-conserving surgery.
seven into the tumor in the breast above the outer
breast-conserving surgery is the primary condition of illness must be early and medium stage, so in a sense, the more early detection of breast cancer, the greater the likelihood of successful treatment and keep the breasts. Zheng Wenbo said, rich in breast carcinogenesis of frequent x-ray checks easily formed when, in women of full age under 40 years old by b-mode ultrasound breast checks. “If economic conditions do not allow, advise them to regular inspection. ”
adult women in bathing every day when you can take some time off to inspect the breasts for lumps. “70% of breast tumors occur in the breast above the outside, checks when you can pay more attention to this. Breast cancer the most terrible is that it does not cause pain, so do not cause tumors lightly without pain. ”
in addition to masses, breast cancer may also make the breast skin orange peel-like variable, that is, pores become thicker. “This change in cancer early has produced, but difficult in patients with their own observations. ”