The prevention and treatment of mammary glands cancer

Breast cancer's curing the core of method is a surgical operation to cut off.The doctor in charge will elaborate on the surgical operation type of wanting the implementation to the sufferer before Shu and why want to carry out the reason of this kind of surgical operation.Generally speak to choose a surgical operation method according to property and progress degree of breast cancer, under the general condition, the surgical operation of breast cancer doesn't need to be transfused blood.
Various differentiation of surgical operation type lies in and cut off how much breast, whether cutting off the muscle(the chest big muscle and the chest small muscle) of chest and carrying on arriving what extent lymphoid knot to expand is pure, the different combination of above-mentioned various circumstance can form breast cancer of different way to cure for good surgical operation.
Breast cancer of the standard cures for good Shu
Is the basic Shu type that breast cancer cures for good Shu, include a swollen thing callous big scope excision, whole mammary glandseses above and it under of excision and armpit of the chest big and small muscle pours to flatteringly and thoroughly expand pure.In order to cutting off the chest big muscle and the chest small muscle, the Shu empress can clearly touch rib.
Extend breast cancer to cure for good Shu
BE a sow in standard breast cancer to cure for good Shu foundation of again extension of surgical operation, include to annex excision breast seamy side breastbone of lymphoid inside the milk knot, be suitable for the case of the lump very big breast cancer of breast seamy side.This kind of surgical operation also needs to cut off parts of rib cartilages of seamy side in cutting off the foundation of the chest big muscle, the chest small muscle, chest wall more standard breast cancer of the surgical operation future trouble side cures for good Shu after more and Jian side dissymmetry.
Breast cancer of the standard cures for good Shu and breast cancer of the extension to cure for good the Shu sufferer's part to relapse a rate the lowest(the part of surgical operation neighborhood relapses), but to the sufferer's harm more big, past this kind of Shu type has already been tended to decrease.
Uncertain type breast resection
It is a kind of surgical operation method that spreads widely most at present.The small muscle cut off or done not cut off chest according to the annexable condition.All of the breast cuts off and expand pure armpit lymph to knot.In order to reserving the chest big muscle, reduced chest wall abnormal, reduced the sport obstacle of the Shu future trouble arms.
Reserve the surgical operation of breast
Being a kind of to cut off a cancer is swollen and circumferential of parts of breasts or cut off breast, and the Kuo is pure under of the armpit pour a flattering surgical operation method.In consideration of the possibility of survive cancer cell in the breast of surplus, many put to treat in the Shu juniors line.This kind of is generally called the method that parts of breast excisions put to treat after assisting with the Shu"the breast reserves method".The Shu can also not put to treat behind while sometimes confirming to completely have no cancer to remain.Have already started a quilt extensive application in 10 year agos at Euro-American various country this associated treatment method, Japan has already come into force in 2~3 year agos as well, now be just to weak body not the ability be subjected to patient's implementation of the big surgical operation this treatment method.
But the implementation reserves a breast surgical operation patient of the part relapse a rate(surgical operation cut off the part peripheral department cancer relapse) higher, this problem is treated to solution.Consequently there is still in Japan necessity at further explicit what kind of the case is after operation applicable to this kind of, with deliberation implementation originally surgical operation.
Applied anti-cancer medicine and hormone treatment
Need to accept the assistance of different form to cure after the Shu of breast cancer, lend support to a projecting of one of the therapies treatment method after being a Shu, in addition to reserving the patient of breast surgical operation recently already basic don't apply, currently extensively applied of is chemotherapy and hormone treatment.
The chemotherapy medicine of the in common use intravenous injection has:Mildewed, form mildewed vegetable, 5-medicines, such as Fu and wreath Lin Mao An...etc..5-Fu etc. can take orally.Hormone's curing medicine is mainly three oxygen Ans.(actually is a kind of anti- hormone to use a medicine)
Relevant category that uses anti-cancer medicine, number of times that need to be injected, drugs taken orally of time, need to be carried on what way and what degree of the assistance cure etc., need according to the cancer swollen size, have without the lymphoid degree of knot transfer and transfer decide of breast cancer make progress degree and check the cancer of judgment malignant degree and the property, and age...etc. of cancer to come to circumspect to decide according to the microscope.
Can also carry out ovary excision for the female of dysmenorrhea front surgical operation.Generally thinking after operation should carry on more long-term assistance treatment, the anti-cancer medicine wants to use l~2 years, the hormone treatment wants to apply for more than 4 yearses.
Certainly if the surgical operation has already cut off all cancer cells, can also not carry on an assistance treatment in Shu, but want to make sure have already completely had no cancer cell inside the body is very of difficult.After the Shu lends support to the curative effect of treatment already drive generally accepted, but can not also say to can obtain same curative effect to any patients, can to any patient all completely the prevention Shu relapse behind.
The out-patient service cures
After operation the edge of knife heals poor patient, suffer from side arms and shoulder department to exercise stumbling patient, can come to out-patient service to 2~3 times carry on diagnosis and treatment and change a medicine and nurse and treat every week after getting out of the hospital.The hospital discharge juniors goes a patient who lend support to the treatment to come to an out-patient service every 2 weeks and carries on a necessary check and treatment.
After operation don't need a patient who lend support to the treatment, the hospital discharge comes to out-patient service every 2 weeks behind a reexamination, Be after 4 weeks change to coming to out-patient service to reexamine for every 3 months once, needs to carry on a blood's waiting a check for every 3~6 months, as for carry on what kind of check and again check of number of times, should from implementation out-patient service treatment of the specialty doctor decide according to the condition, the different doctor puts forward of the check project probably have some dissimilarities.
The Shu of breast cancer relapses a problem what doctor worrieds most behind, even if didn't relapse to can not completely trust, either after 4~5 years after the Shu, at 10 years in had better every half year arrive an in the last years out-patient service to ask a doctor in charge to reexamine once.
The front and back process of the surgical operation of breast cancer
At the different hospital, surgical operation front and back treatment is incompletely and together, textual better geography describing only for the reader solve the front and back process of surgical operation to provide a necessary reference.
Generally is a 1 and a half hours to go to 5 hospitals that hours have after the Shu goes forward to go a pathology to live check to confirm again surgical operation, the hospitals having carry out breast plastic surgery for patient at the in the meantime returning of the surgical operation.
The surgical operation of breast cancer basically has no great merger disease, the anaesthesia wakes up hereafter want to encourage the patient's deep breathing, a cough row phlegm with the occurrence that prevent°froms pneumonia.Sometimes needed to to stomach put a tube from the nose, such as had no special circumstances Shu behind can as early as possible pull out.The anaesthesia completely wide awake hereafter parts of patients on that day can with the drinking, the general Shu then can enter common food on the 2nd day behind.
The urine that inserts urine bladder takes care of generally after Shu l~can pull out for 2 days, majority of hospitals for keeping the infection of surgical operation wound from wanting carrying on is to a week of antibiotic vein intravenous drop for 2~3 days.In the neighborhood of surgical operation wound, generally place to lead to flow leading of survive blood and lymphoid liquid to flow a tube, many pull out to around a week few days after the Shu.
The anaesthesia is completely awake hereafter if don't be unwell, the evening on that day of surgical operation can stand, on the 2nd day can leave a bed walk.After the Shu as early as possible the activity can make to recover from illness sooner some.
After operation slice not quite ache with cutting open the surgical operation of chest, belly to compare pain and sufferings to have to be small, can also not use strong relieve pain medicine.But the Shu of breast cancer much sees keep on to existently suffer from the surrounding heavy and unwell feeling of the side upper arm, shoulder department and shoulder a little bit for a long time behind.
General remove stitches 10~14 days after the Shu of breast cancer, can prolong to remove stitches time according to the circumstance of edge of knife.If the tension of edgy place skin leads strong, remove stitches time to need to prolong more.The treatment of the surgical operation wound of breast cancer is basically all very smooth, sometimes can appear the skin blood of slicing a people's edge to carry badly, the skin of small scope is bad to die, skin of the color is poor, skin the bottom accumulate a liquid etc. circumstance, being after longish time carry on curing can turn for the better and there is basically no the circumstance of edgy and serious maturation.
Concerning the treatment method that reserves breast
As for the treatment method that reserves breast still there are some different opinions currently, the underneath only current condition takes into to explain.
Already for reserve the treatment of breast into according to different sufferer's implementation different surgical operation, and lend support to the ages of treatment after annexing the Shu according to the condition.But for attaining the safety of reserving the breast treatment method, regardless curing a method or accepting treatment aspects should satisfy a few conditions.
Consider once curing the condition that the aspect should satisfy now:The 1st condition is breast cancer that the patient's surgery doctor in charge confirms that patient to be suitable for the treatment of reserving the breast.The 2nd condition is a pathologic doctor after the microscope observes the mammary glands organization of surgical operation excision, have to have ability judgment the mammary glands organization of the surplus in whether remain cancer cell.If still remain cancer cell, with what way, what extent remain.For namely cutting off noodles to carry on accurate check and judgment to the cross section of specimen that cuts off breast cancer, surgery doctor and pathologic section doctor the cooperation of is count for much and handle the technical expert of specimen also very important.The 3rd projects the problem of treatment behind concerning the Shu.After the Shu project a treatment can attain a what kind of the curative effect of the assurance perfectly right have a close relation with surgical operation, in addition in addition to having something to do with projecting a section the technique of the doctor and technical expert, return and equip the good and bad of the function with emanation and has a very great relation.
At reserve the under medical treatment of breast to project a treatment is an essential to have
Underneath then to consider the condition of sufferer of accepting the treatment.Is a surgical operation to most ideal the cancer of solid appearance to is swollen the cancer completely and thoroughly excision, breast cancer is no exception, size and its positions of lump all have a very great relation with the choice of Shu type.