BREAST CANCER BASE

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Doctors note that not all breast cancer patients are suitable for breast-conserving surgery.

Europe and the United States-conserving surgery for breast cancer surgery accounts for about half of the domestically-conserving surgery for breast cancer patients was small, it is doubtful whether the main eradicate the fear that the local recurrence.

Beijing University People's Hospital Breast Surgery 11 doctors in the "breast-conserving surgery for the treatment of 148 cases analyzed," noted that the traditional breast cancer treatment has been using the radical mastectomies for, but with the in-depth study of breast cancer, medical science has recognized that it is a systemic disease, surgical resection alone do not get the best results. Since the 20th century, 60-70 years, the radiation therapy technological progress under the condition that the medical profession has gradually built up a breast-conserving surgery for the treatment program. This treatment method has been developed in Europe and the United States accounted for almost half of breast cancer surgery, but in Taiwan-conserving surgery patients was small, mainly because patients suspected this method can completely cure, and about the will of local recurrence of tumor.

The use of standardized resection and postoperative radiotherapy for breast and systemic treatment, the ideal breast cancer receive treatment

In fact, large-scale clinical trials and studies have shown that breast-conserving surgery and surgery survival rates not significantly different. The People's Hospital study, the local recurrence rate was 2.7% (4 / 148), lower than the reported literature. Hospital doctors believe that the integrated use of a standardized resection and postoperative radiotherapy for breast and systemic treatment, the treatment can ideal results.

　　规范化的切除是针对不同患者的情况采取不同的切除方式，在人民医院统计的148例患者中，有34例进行了象限切除加腋窝淋巴结清扫，有109例是肿物局部广泛切除加腋窝淋巴结清扫，其余的5例仅进行了肿物局部广泛切除。 Before surgery, surgery patients have conducted a series of stringent testing, method selection.

Summing up the people in hospital patients in cases of local recurrence rate of the reasons for the low, and that doctors after conventional radiotherapy whole milk and increase the volume of irradiation and postoperative systemic adjuvant therapy also plays an important role. Because breast cancer is a systemic disease, not for systemic adjuvant therapy, after high risk of local recurrence or distant metastasis.

- Conserving surgery in patients with chest most good shape, but not all breast cancer patients are suitable for breast-conserving surgery

Through 148 cases of the analysis, doctors believed that patients with less severe diseases, such as early-stage breast cancer patients and some patients with locally advanced, for-conserving surgery results were quite good. The experts also pointed out that the breast-conserving surgery for the treatment of patients and hospitals are required to meet certain conditions, such as tumor diameter should not exceed 3 cm, tumor size and the proportion of breast modest, the patients have the desire to retain the breast, hospitals radiotherapy equipment and technology.

Breast-conserving therapy after one year, according to the medical evaluation criteria, People's Hospital on 108 patients with breast contour evaluation, the majority of patients with breast good shape, with excellent shape for 32.4%, good for 49.1%, the difference of 18.5%. .

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