Diagnosis of breast cancer cases, breast cancer pathology report for interpretation

If you don't know the status of lymph node metastasis, you can see if you need local radiotherapy.

Can be endocrine**, oral for 3 to 5 years.

HER-2(+) can be further tested by Fisher for strong positives, and if so, Herceptin can be used.

Diet does not require special attention.

It is enough to pay attention to some of the issues that should be paid attention to in daily life.

It is necessary to conduct a formal review.

Eat less raw and cold, try to get less angry, Chinese medicine aftermath, no big problem, exercise according to your ability, pay attention not to catch a cold.

I have undergone surgery and six rounds of chemotherapy, which is not simple, and I hope to maintain a good mood, increase my confidence, and use some Chinese medicine to recuperate. In terms of exercise, it can be done gradually, and it is recommended to do a simple Tai Chi, one is to exercise and the other is to distract from it. In terms of diet, eat more mushrooms, broccoli, etc., which can be found on the Internet, and it is said that it is not suitable to eat chicken and eggs, but don't care too much, a happy life is the most important thing.

If it is breast-conserving surgery, radiotherapy must be done, and if it is **surgery, it depends on the size of the tumor and the condition of the axillary lymph nodes to determine the next step**.

There is metastasis of cancer cells in the axillary lymph.

ER++, which can be endocrine**.

HER-2 (++) should be repeated in principle to confirm the presence of amplification, and if the risk of metastasis is increased if the amplification** is higher than that of the same disease, the addition of Herceptin is recommended.

The antibody "+" of e-CAD+ does not have a major effect on the post-administration and is mainly used to identify the pathological type of breast cancer.

The higher the positive rate of Ki-67 about 20%+, the faster the cancer cells multiply, so the lower the value, the better.

The patient's current condition is that the cancer cells have not metastasized significantly.

Zhi, lymph nodes have no obvious dao metastasis, which belongs to the early return stage of breast cancer, and should undergo surgery as soon as possible, and the surgery should strive to completely remove the cancer cells, and then if the doctor recommends consolidation through chemotherapy, you still need to follow the doctor's instructions. During the patient's ** period or in the patient's postoperative period, in order to improve the efficacy and reduce the ** rate, the patient can take Shenbaiyi, which contains the traditional Chinese medicine ingredient RG3 has an inhibitory effect on tumor cells, and its own nutritional value is high, and the patient can use it after surgery and during radiotherapy and chemotherapy, which can improve the patient's immunity.

Hello, I'm a breast surgeon.

1,3 cm large invasive ductal carcinoma grade 2 with 2 28 metastases in axillary lymph nodes, postoperative synthesis is required for active synthesis**.

2. Immunohistochemistry of puncture pathology Er 3+, C-2 -, Ki67 60%, postoperative immunohistochemistry Er 3+, C-2 2+, Ki67 80%, although there may be human subjective error, there will be a certain drift in immunohistochemistry before and after neoadjuvant. According to the current large-sample statistical analysis, the drift rate of ER, PR is about 20%, and the drift rate of C-2 is about 5%.As far as your mother's condition is concerned, the postoperative comprehensive ** plan should be based on the postoperative ER3+, C-2 2+, and Ki67 80%.

3, C-2 2+, you need to do a FISH examination to determine the amplification of the HER-2 gene, if it is amplified, in order to avoid ** and metastasis as much as possible, in principle, you need to target ** with Herceptin, but the drug is very expensive (even if there is a buy 6 get 8 free activity of the Chinese Cancer Association, it probably takes about 150,000).But even if you can't afford it, testing for HER-2 status is necessary, and chemotherapy can be used to at least give it a little more weight when amplifying.

4, ki67 is an indicator that responds to the proliferation coefficient of tumor cell nuclei, simply put, the higher it is, the faster the tumor grows, your mother's situation is that it is increased, which is not directly related to the effect of chemotherapy itself, but it can guide us to follow-up**, **The intensity may be increased.

5. You said that your mother had some heart problems after chemotherapy, how serious is this problem? What is the current ejection fraction? If the heart is heavier and the tumor shrinks not very significantly during the second treatment, you can consider discussing with your doctor to change the chemotherapy regimen and change it to a purple-shirt-based regimen, which reduces the burden on the heart compared to anthracyclines, and also targets the situation that lymph nodes have metastasis and KI67 hyperproliferation.

6, 2 times of immunohistochemistry are 3+, endocrine ** should be very sensitive and effective for your mother's breast cancer type, and oral endocrine ** drugs are required for 5 years after chemotherapy.

If you don't understand anything, you can continue to ask.

KI67 is a measure of cancer cell activity, and the higher it is, the higher the degree of malignancy.

After looking at your immunohistochemistry, I suggest that you do a FISH test, because you have two plus signs for her-2, and two plus signs do not mean that it is positive, and you also need to do a FISH test to determine whether there is dilation.

In the spring of 2009, my sister was diagnosed with breast cancer in pathological examination, and 4 months after surgery, she was diagnosed with extensive metastasis of the tumor, extreme emaciation, weakness of limbs, and loss of appetite. There are lumps of varying sizes on both armpits and neck. When taking 30 pairs of medicine, various lumps began to become smaller, and when taking 200 pairs of medicine, the swelling disappeared completely, and it has not been ** for more than two years now.

The prescription is as follows, I hope it will be helpful to other breast cancer patients.

Bupleurum 15 grams, Astragalus membranaceus 15 grams, Suzi 30 grams, Codonopsis 30 grams, Prunella vulgaris 30 grams, oysters 30 grams, melon 30 grams, gypsum 30 grams, tangerine peel 30 grams, white peony 30 grams, Wang Buliuxing 90 grams, Sichuan pepper 5 grams, licorice 10 grams, jujube 10 pieces, decoction one dose a day, divided into morning and evening twice, each time to take 3 grams of toad skin powder, 3 grams of beef root powder, 3 grams of Panax notoginseng powder.

It is recommended to combine traditional Chinese medicine for internal and external application**, for more information, QQ consultation.

ER estrogen receptor, PR progesterone receptor, C-ERBB-2 is human epidermal growth factor receptor 2, hormone receptor positive indicates hormone-dependent breast cancer, endocrine **, HER2+ can be considered trastuzumab**, but immunohistochemistry 2 plus is not very certain, trastuzumab is very expensive, it is best to use FISH detection to determine the status of HER2 in determining ** regimen.

er+ ；PR partial cells + endocrine ** effective C-erbb-2++ easy lymphatic metastasis The prognosis is relatively poor.

In the case of early-to-mid-stage triple-negative breast cancer, the biopsy results may not be completely accurate, which has a lot to do with sampling. Pathology should be preferably biopsied with a rough needle, and the nature should be determined before symptomatic examination**. Although surgery is the first choice of normal medicine, it still has its own problems.

Why are there metastases and ** after surgery? This is because the incision is a blind spot of the body's immunity, and cancer cells can often succeed if they hide here; The inevitable accumulation of tiny platelets during surgery protects the drifting process of cancer cells in the blood, escaping the hunt of strong human immunity, and many metastases or ** are only a matter of time. Chemotherapy and radiotherapy inhibit cancer cells and damage the body's immunity, weaken the body's physique, and reduce the recognition and striking power of immunity, creating conditions for metastasis.

Cases that resolve naturally tell people that more will not be **, which is the principle of hope. The enhancement of immunity is the fundamental direction of cancer, and the technology developed is worth paying attention to, activating the body's immunity to recognize cancer cells and then killing them is a good way, and the attention is.

It belongs to the middle stage, this condition has a high degree of malignancy, is not sensitive to radiotherapy and chemotherapy, and endocrine ** is also ineffective, and it is recommended to combine it with others**.

According to the pathological description, the current primary lesion is relatively small, and the effect of invasive ductal carcinoma is good, and most patients can be cured after active treatment.

Combination chemotherapy is recommended to use biological**, and the specific course of treatment should be determined according to the specific situation of the patient.

Postoperative radiotherapy is not required, and the chemotherapy regimen is ECF for 6 cycles.