Please tell me about breast cancer, thank you

What is the patient's constitution like?

Whether the patient is mentally or not, whether it is early, middle, or late.

If it is advanced, it is recommended that Chinese medicine be conservative**.

In the early and middle stages, if the patient is in good health and energetic, then appropriate chemotherapy can be given instead of high-dose chemotherapy.

Details: [Medical Treatment].

Common breast diseases are mainly breast proliferative diseases, such as cystic hyperplasia of the breast, hyperplastic nodules of the breast, and fibroadenoma.

Seeing your doubts, I understand that they are the most common doubts in my medical practice.

I can tell you that the general principles and directions of the doctor's treatment of your mother are not wrong in the light of the information you have presented. The reason why you are confused is purely because of the sloppy attitude of the doctor in answering your questions, the current situation of medical care in China is like this, doctors are busy with **, but neglect to communicate. In fact, communication is very important to the doctor-patient relationship, for example, in the case of your mother, why do you do breast protection?

What is the current status of breast-conserving surgery, its advantages and significance, and the impact on patient survival from total resection? What are the routine postoperative procedures**? In fact, these must be explained clearly before the operation.

However, I hope you can understand that the doctor's reluctance to communicate is also related to the busy work, in fact, a clinician is now doing the work of 2-3 people, and if you want to complete the work required by law, you need to save time on your lips. The workload is large, and the quality is naturally not high. At present, the state has not adjusted its medical resources, and it is not known when it will be adjusted.

Are you a little out of breath now?

Your mother's condition is recommended to go to the NCCN breast cancer Chinese version of the **guideline**, the NCCN guideline has a special **. Your mother's pathological stage should come out now, and what are the postoperative aids for breast conservation in such a staging**?

If you still don't understand something, you can still ask me, and I'll answer it for you, okay?

The main reason is that I also have limited time, and I want to explain it to you clearly, so you can see it for yourself first, and I will answer it to you when I get off work in the evening.

1.If you do not continue to work with the company, the company shall pay you 4 months' salary according to the amount of your service that is less than 4 years old. If you are not notified 30 days in writing, the company should pay you an additional month's salary.

2.It is illegal to continue working with the acquiescence of the employer after the expiration of the labor contract and the employer fails to renew the labor contract within one month after the expiration of the contract, and the employer shall pay you double the salary for the period from the day after the expiration of one month after the expiration of the original labor contract to the day before the supplementary labor contract.

3.You can apply for labor arbitration free of charge from the labor dispute arbitration committee of the local county. You will need the original employment contract and relevant evidence to prove that you will continue to work after the expiration of the contract.

Need to do chemotherapy, although the immunohistochemistry results have not yet come out (one of the prognostic factors), but your mother is a stage I breast cancer, you can do 4 to 6 cycles of chemotherapy, the chemotherapy regimen is not powerful and the number of cycles has nothing to do with the number of cycles, the key is the amount of each time, your mother is breast-conserving surgery, needs radiotherapy, and so on after the immunohistochemistry comes out, see if you need to do endocrine**or targeting**.

If there is no axillary lymph node metastasis, it is not recommended to undergo radiation**, as for chemotherapy, 4-6 courses are generally performed, and there are also eight courses of treatment, which is currently more commonly used, and you can ask if you don't understand.

It depends on the results of immunohistochemistry. You can take the case and results and go to another authoritative hospital**, you don't have to go in person. The Doctor Control Protocol can be very helpful for you.

1. The tumor is invasive, which means that your mother's pathology is not very early, but the size of the mass and the surrounding conditions can be regarded as early. There are less than 4 lymph nodes with metastases. According to the data, the 5-year survival rate is about 98% for local mass, 85% for axillary metastasis, and about 30% for distant metastases (NCI statistics).

Your mom probably falls into the second category.

2 Immunohistochemistry indexes, ER, PR are both positive, HER-2 negative, KI6715%. The typing is okay.

3 **: Surgery has been done, neoadjuvant chemotherapy is not considered.

1) Postoperative adjuvant chemotherapy: age 44 years old, the body should be able to choose, it is recommended to choose a drug regimen containing purple shirt drugs and anthracyclines. Time: 3 weeks program, 6 cycles. If the body is poor, you can change to the AC sequential T scheme, or you can do it.

2) Endocrine**: 44 years old, considering the possibility of menopause. After chemotherapy ends, oral endocrine drugs are started**. Tamoxifen is sufficient for 5 years. After 5 years, change the medication or continue to take it.

3) Radiotherapy**: According to the guidelines of NCCN, local radiotherapy can be considered if there are more than 4 lymph node metastases. Your mom is 2, and radiotherapy can be done or not. Talk to your doctor.

4) Immune enhancement**: Consider using drugs such as thymus peptides. Choose proprietary Chinese medicines carefully.

5) Regular review.

That's pretty much for that. It is recommended that you go to a large hospital or a hospital with a breast specialist.

Good luck to your mom and get back to health.

"Lymph nodes can see cancer metastasis (2 13)", indicating that the patient's metastasis is good, and the diameter of the primary cancer is small, which belongs to breast cancer stage 2, that is, middle and early stage;

HER-2 negative, i.e., C-ERBB-2 negative;

ER PR is strongly positive, and it is recommended to adhere to endocrine for a long time after the completion of chemotherapy**;

The patient's condition is good, actively cooperates, and the clinical rate is very high.

Personally, I think: first of all, his lump is not big, and the positive PR should have more options than the negative ** drug, she should belong to the early stage of breast cancer Thirteen two Many patients are about 20 and half!

Breast cancer has been completely resected, but there has been regional lymph node cancer metastasis. Surgery should be followed by further chemotherapy . Available.

I don't know how big your mother's removed lesions are, but this is at least the middle stage, not the early stage. The situation is okay, chemotherapy is required after surgery, and some traditional Chinese medicine can be used after chemotherapy. Hope to adopt, thank you...

The immunohistochemistry results were good, and the stage was IIA.

Not a problem.

The tumor is smaller, but the lymph nodes have metastasized, and the postoperative chemotherapy is combined with endocrine **, the chemotherapy regimen can choose 6 cycles of CAF or 8 cycles of AC sequential T regimen, I personally feel that 8 cycles are better, the course of treatment is longer, but the 3 chemotherapy drugs are separated to hit the patient and the pain will be less, and tamoxifen can be taken for 5 years after chemotherapy and secretion**.

Did you have surgery? Did you do chemotherapy?

If you have surgery, you can give some nutritional products to promote wound recovery, such as Chu Yuan (but I don't think it's really that thing), and protein powder.

Before chemotherapy, it is best to give her some Xun Peng Nian vitamins, during chemotherapy various vitamins are seriously deficient, but pay attention to vitamin E breast cancer patients can not eat, royal jelly can not be eaten, both of these are containing substances that promote the secretion of sex hormones, during chemotherapy if the body allows you to take some ginseng, ginseng can fight against leukopenia symptoms during chemotherapy, the clinical effect is better, fruits and blood tonic have longan, red dates.

Sea cucumbers are also good, but they are more expensive.

Propolis is anti-cancer and can also be eaten.

Bird's nest is a more controversial nutritional product, some people say that it should be eaten after chemotherapy, some people say that it can be eaten during chemotherapy and good times, and if there is controversy, don't buy it.

Hope can be trapped to help you.

This is the middle and early stage, and I have to do about 6 chemotherapy treatments, and then take some Chinese medicine to improve the swelling problem.

At the moment, it is not serious.

What we need to do is not to wait at home, but to actively learn new anti-cancer knowledge, because the patient's cancer gene is hereditary.