BREAST CANCER BASE

Bilateral breast cancer refers to bilateral breast simultaneously or in succession of primary breast cancer, breast cancer incidence rate is about 5 ~ 7%. Bilateral simultaneous breast cancer diagnostic criteria : 1 Bilateral mass similar size, no regional lymph node metastasis; ② bilateral without staff members; ③ bilateral able surgery, the skin without lymphatic invasion. In addition, bilateral lesions were above the outside, as one of the diagnostic criteria. Bilateral simultaneous breast-average interval of five to seven years, but the first to the side after treatment for more than three years. Its diagnostic criteria : 1 adjacent to the first cancer diagnosis sure, and had therapy; ② side after the first of at least two years without recurrence; ③ no other parts of distant metastasis. Bilateral basic types of pathology not the same, as both primary cancer diagnosis, but some clinical characteristics can help identify whether the second side of the original cancer or metastases

Postmenopausal women who have estrogen as a major source of the secretion of adrenal precursors. Removal of bilateral adrenal treatment of advanced breast cancer is aimed at dispelling some hormones. In general, breast cancer patients and qualified ovariectomized can remission after a few months to several years, after which the blood estrogen levels began to rise, which is a small portion of estradiol secretion of adrenal gland, most of the secretion of adrenal androgen precursor androstenedione, the latter in the surrounding tissue of the aromatic under the enzyme into estrogen.
So right ovariectomy effective if the patients at this time Bilateral adrenal surgery and will condition the second time for ease, efficiency up to 40% ~ 50%. In pre-menopausal women do Adrenalectomy must be done before bilateral ovariectomy.