Various types of breast cancer clinical performance
Early breast cancer prevention and treatment is very important Xinhuanet Beijing on April 20 -- Medical experts in Beijing for more than 700,000 breast cancer for all women of the census found that wome...
What had signs of breast cancer? Sooner or later under the condition of breast cancer and different types of pathology, clinical performance is not the same. In addition to...
(1) refers to occult breast cancer clinical failed to get mass, after resection of the breast biopsy confirmed the breast. For the regular X-ray screening methods to detect or axillary lymph node metastasis as the first symptoms, and should be differentiated from Breast Cancer. Treatment now generally believed that once the diagnosis of occult breast cancer, in the absence of supraclavicular and distant metastasis, radical mastectomy treatment. Most of the reports of its superior efficacy or similar associated with axillary lymph node metastases in breast cancer.
(2) of male breast cancer and male breast cancer is rare, the incidence rate of breast cancer 1% of male cancer 0.1%. The incidence of breast cancer in women older than an average six to 11 years old.
Symptoms of male breast cancer is under areola painless mass, 20% of patients with nipple retraction, the scab, Pai Zonghuai, lumps often unclear border, often early breast or skin adhesion, axillary lymph node metastasis is higher. Male breast cancer and the pathology of breast cancer in women is similar, the majority of invasive ductal carcinoma, no male breast lobules, which failed on pathology reports lobular carcinoma in situ. Male breast cancer in women with breast cancer treatment, but cases of male breast tissue are small and easy to violations of early breast, underwent a radical operation should be expanded or radical operation.
Right advanced or recurrent cases endocrine therapy application, the effect of breast cancer than women at all. The main treatment is a bilateral orchiectomy, efficiency up to 50% ~ 60%, the reason why so high curative effect rate is nearly 84% of ER-positive tumors. Average sustained period in December. If patients are unwilling to accept the orchiectomy, or removal of both the illness after another, they can still take female hormones, male hormone or TAM been good effect, adding this category endocrine therapy in patients who have shown orchiectomy was performed in the case of invalid will have a good effect, the second-line endocrine therapy significantly efficiency sector in 30 % ~ 50%, and chemotherapy alone in endocrine treatment, including sexual and eliminate added, after failing Fang Yi, and their drug law to the equivalent of female breast cancers.
(3), inflammatory breast cancer is a very rare type of clinical appearing diffuse stiffen big, red skin, swelling, heat, pain and edema obvious. Disease outbreak was very similar to acute inflammation, which is also known as cancer mastitis.
The diagnosis of points :
① Although thermal performance for the pain swelling, but no fever chills systemic inflammatory response.
② body temperature and white blood cell count more in the normal range.
③ early skin was typical violet, Patchy showed edema, state clearly that edge slightly upwards, in size as orange peel-like changes and redness of the breast scope than 1 / 3 above, an anti-inflammatory treatment weeks after swelling not dissipated.
Swelling in the area of breast tissue can sometimes hit hard and tough texture of the mass.
⑤ ipsilateral axillary more could be reached qulaity of the lymph nodes.
⑥ fine needle aspiration cytology and histology examination can provide diagnosis.
Application of inflammatory breast cancer before surgery or radiation treatment of a poor prognosis, the average survival period of four to nine months, so the inflammatory breast cancer do not advocate the use of surgical treatment. Most authors have used inflammatory breast cancer chemotherapy and radiotherapy treatment, which is three to four courses of chemotherapy after radiotherapy and after radiotherapy for chemotherapy.
(4) during pregnancy and lactation of breast cancer in breast cancer during pregnancy or breast-feeding were some cases of breast cancer were 0.75% ~ 31%, pregnancy and lactation because of the body's hormone level changes which may accelerate the growth of the tumor, the degree of malignancy increased. Also during pregnancy and lactation physiology of breast tissue increased, and congestive enable early detection of cancer is not easy and easy to spread.
Breast cancer during pregnancy and the general principles for handling similar breast cancer, but the treatment of choice also decided to tumor stage of the disease and the different stages of pregnancy. Early pregnancy termination of pregnancy should be whether under a different stage of the disease, the earlier stage of the disease can not termination of pregnancy, disease period II, Phase III or estimated needs chemotherapy and postoperative radiotherapy is desirable to the termination of pregnancy can increase the survival rate, the opposite often delayed due to the termination of pregnancy of surgical treatment, but the treatment effect.
Breastfeeding breast cancer treatment should first be suspended nursing, postoperative adjuvant therapy for breast cancer and the general similarity. Preventive Removal of ovaries can increase the survival rate.
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