Traditional Culture Encyclopedia - Traditional customs - What treatment method does breast cancer have?
What treatment method does breast cancer have?
1, treatment of breast cancer
1, surgical treatment
It is a good method for early breast cancer, and it is often used as palliative treatment for late breast cancer. Total mastectomy, axillary lymph node dissection and preservation of pectoral muscles are considered as the contemporary standardized treatments for patients with stage I breast cancer and some patients with stage II breast cancer.
2. Radiotherapy
Radiation therapy is a local treatment. Radiotherapy is suitable for: ① sexual radiotherapy; ② preoperative and postoperative adjuvant therapy; ③ Palliative radiotherapy. Radiotherapy is the main method, supplemented by small-scale surgery (such as mass resection), and the initial effect is encouraging.
3. Endocrine therapy
Surgical resection and radiotherapy can achieve the goal, while endocrine therapy can control the growth and regression of breast cancer. About13 of patients with advanced breast cancer can be relieved or partially relieved by ovariectomy, adrenalectomy or pituitary resection.
4. Chemotherapy
Chemotherapy for breast cancer has become an active treatment method for all stages of breast cancer. Early postoperative adjuvant chemotherapy can improve the cure rate; Chemotherapy combined with other treatment methods can also alleviate the condition and prolong the survival time of advanced cases. Breast cancer is sensitive to chemotherapy. It is more suitable for menopausal women with positive lymph node signs.
5, Chinese medicine treatment
Traditional Chinese medicine treatment plays an important role in all stages of breast cancer. Traditional Chinese medicine treatment emphasizes the overall treatment effect, which can effectively improve the symptoms of physical weakness in late patients, enhance the disease resistance by improving patients' autoimmune, inhibit cancer cells more effectively, control symptoms and prevent recurrence and metastasis.
2, breast cancer postoperative exercise methods
1. Lie on your back for 6 hours after operation, put the affected upper limb in the functional position, place the elbow joint freely, support the forearm and hand with a pillow, and the pillow is as high as or higher than the chest wall. After 6 hours, you can take a semi-recumbent position and keep the shoulder joint braked for 3 days.
2, 1-2 days, you can do finger stretching and wrist bending for 3-8 times/time. Upper limb abduction is 30 degrees when lying flat three times a day.
3, 3-4 days to do elbow flexion exercise, forearm up and down, left and right, front and back, practice elbow adduction 10- 15 minutes/time, 3 times a day.
4. On the fifth day, the shoulders can bend forward, stretch back and abduct intermittently.
Hold the ball for 5-6 days, take care of yourself as much as possible, and touch the opposite auricle with your palm.
You can do shoulder exercises in 6, 7-8 days, and the range of activities is extended to 60.
7, 9- 12 days, you can exercise to raise the affected upper limb and climb the wall with your fingers.
8, 13- 14 days, practice the affected palm to the back of the neck, start to bow your head, and gradually achieve the activities of holding your head up and chest out, that is, adduction, abduction, internal sticking, external sticking, premise extension and gradual lifting.
9, 15-30 days, lift the rings, lift them through the upper limbs, straighten the elbow joint, and rotate back and forth around the shoulder joint.
10,2-3 months, at this time, the flap has healed with the underlying soft tissue, and the flexion and extension angle of the shoulder joint can be extended to 90, reaching the basic recovery of the shoulder joint function.
3. Symptoms of breast cancer
1. Breast lump
80% of breast cancer patients are diagnosed as breast masses for the first time. Patients often inadvertently find breast lumps, mostly single, hard, irregular edges and unsmooth surfaces. Breast cancer is mostly painless mass, and only a few of them are accompanied by dull pain or tingling to varying degrees.
2. nipple discharge
During non-pregnancy period, blood, serous fluid, milk and pus flow out from the nipple, or milk still flows out after stopping breastfeeding for more than half a year, which is called nipple discharge. There are many reasons for nipple discharge. Common diseases include intraductal papilloma, mammary hyperplasia, mammary duct dilatation and breast cancer. Unilateral single-hole bloody secretion should be further examined, especially if accompanied by breast mass.
3. Skin changes
There are many signs of skin changes caused by breast cancer. The most common thing is that the tumor invades the Cooper's ligament, which connects the breast skin and the deep fascia of the chest, making it short and inelastic, pulling the skin at the corresponding position, resulting in "dimple sign", that is, a small depression appears in the breast skin, like a small dimple. If cancer cells block lymphatic vessels, there will be "orange peel-like changes", that is, many small spots appear on the breast skin, just like orange peel. In the late stage of breast cancer, cancer cells infiltrate the skin along lymphatic vessels, glandular ducts or fibrous tissues and grow, forming scattered hard nodules in the skin around the main cancer focus, which are called "skin satellite nodules".
4. Abnormal nipple and areola
The tumor is located in or near the nipple, which can cause nipple invagination. When the tumor is far away from the nipple and the large duct in the breast is invaded and shortened, it can also cause the nipple to retract or bulge. Eczematous carcinoma of the nipple, namely paget's disease of the breast, is characterized by itching, erosion, ulcer, scabbing, desquamation and burning pain of the nipple skin, leading to nipple invagination.
5. Axillary lymphadenopathy
More than 1/3 of breast cancer patients admitted to large hospitals have axillary lymph node metastasis. At the initial stage, the axillary lymph nodes on the same side may be enlarged, and the enlarged lymph nodes are hard, scattered and pushable. With the development of the disease, lymph nodes gradually fuse and attach to the skin and surrounding tissues. Metastatic lymph nodes can be felt in advanced clavicle and contralateral armpit.
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