Recurrent breast cancer treatment

How breast cancer follow-up?
Follow-up interval : after two years : 3 to 6 months;

After three to five years : six months;

After more than five years : once a year.

Follow-up doctors

Follow-up : timely detection of recurrence and metastasis and timely treatment; Check contralateral breast; Adjuvant therapy; New drugs, new program evaluation.

What is the recurrence of breast cancer?

The spread of cancer cells, causing local recurrence and (or) distant metastasis;

1 / 3 of patients with breast cancer relapse will happen.

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How breast cancer patients treated with radiotherapy

Cancer and radiation therapy are inextricably linked, breast cancer is no exception. Preoperative radiotherapy treatment, destruction and the surgical margin outside the brink of subclinical lesions, can reduce the size of tumor, and is conducive to surgery, but will also prevent surgical operation inadvertently caused local cultivation, can reduce the incidence of distant metastasis rate. Postoperative radiation therapy can significantly reduce the local recurrence rate of local recurrence or delay the time for the brain, bone metastases of palliative radiotherapy can significantly reduce symptoms and prolong survival.
Breast cancer is moderately sensitive to radiation cancer. The general scope of their exposure to three points five portal for. Bilateral chest wall that is tangent portal, Superclavical and axillary portal, within the mammary portal. The total dose of 4000 to the general 6000CGY, irradiation time to five times a week, a total of four to six weeks, each dose of irradiation 200CGY.
Irradiation is a doctor based on the scope and tumor biologic behavior and well-designed illuminated area, and ink used in surface markings on the skin, exposure to accurately obtain the best effect, while side effects to a minimum. Therefore, patients must be carefully maintained irradiation clear, bathing or more sweating in summer when it should provide good protection. The best way is to find a doctor regularly re-painted clear, but not to their depiction. To bathe, they should call a doctor depiction concentration after washing, as a depiction Xiankuancao later. If irradiated skin ink marks all fallen out. Find doctors painting very troublesome, even repositioning there are certain difficulties, it is very easy for errors, waste treatment time and costs. 


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Breast cancer after radiotherapy complications which may arise, how to control

Breast cancer radiotherapy treatment process there might be some risk of complications, the most common complication of radiation dermatitis, radiological pneumonia.
Human skin is receiving radiation therapy to go through channels. Therefore radiation skin damage is inevitable, the general radiation dose, the higher the rate of their occurrence; Armpit chest radiotherapy is more prone zone lesions; More color white, with delicate skin color than the deep, rough skin of the patients more susceptible; The hot weather and cool than when high incidence; Poor nutrition , the merger more susceptible to diabetes. Speaking stem dermatitis (skin local congestion and litter crumbs like peeling, local pigmentation, local dry, itching, etc.), Dermatitis (in extreme congestive appeared on the skin blisters and lesions after effusion, formed after the scab, feeling pain), skin ulcer ( ulceration of the skin that is not easily healed, or secondary infection, severe pain). In the course of radiation therapy, how to protect irradiation of the skin is especially important. Dry dermatitis, radiation field are often dry skin also born, the skin is very fragile, and that will stimulate some skin ulceration and should avoid friction and Qu and wear the clothes to be soft, relaxed; To avoid any physical or chemical stimulation, such as to avoid exposure to direct sunlight, avoid friction, avoid heat bath with a towel to avoid the red and avoid using cosmetics, skin care products and soap. Local topical ointment zinc oxide ointment or cod liver oil, antipruritic, and smooth skin custody. There Dermatitis that there ulcerated local exudation, maintaining local ventilation, drying, to prevent infection is most important. Also available with systemic antibiotics, vitamin B12 local agent can be used wet dressing, can promote skin and vascular endothelial cells restored. For radioactive skin ulcer should be sensitive to the use of antibiotics in the same time maintaining local wound clean and medicine "Shengji Yuhong Plaster" has long Shengji meat function, the scope of ulcers smaller fit. "Yolk oil" for the beginning of ulcer significant effect. Preparation : three eggs cooked to five, stripping out yolk She points out a little sesame oil or vegetable oil, egg yolks Add moistened slow fried until the yolk oil, into a deep yellow, to egg yolk and oil paint on to the surface of the skin, antipruritic, analgesics, Shengji effectiveness. Medication should be wet packing, rendering adhesion and wound dressings. Ulcer a long time to heal, can be held as appropriate surgical treatment.
Radioactive including acute pneumonia and chronic pneumonia radioactive radiation-induced lung fibrosis. Its occurrence and irradiation dose, exposure, exposure area related to several factors, time of occurrence in the first 10 days after radiotherapy, can occur in up to 2 years after radiotherapy, the majority occurred after radiotherapy in three to six months. Acute radiation pneumonitis occurred in the early radiotherapy, Zheng Jian irritating cough, sputum or less without sputum, fever, severe shortness of breath, lung infection complicated by fever; Chronic pulmonary fibrosis also occur in radiation therapy after three to six months, the performance of dry cough without phlegm, lightheadedness shortness of breath. Chest X-ray examination can help diagnose. Chinese medicine in preventing and treating radioactive pneumonia prominent effect, not only can reduce the occurrence of radioactive pneumonia, but also relieves the symptoms and shorten its duration. Therefore radiotherapy process should Clothing Chinese medicine treatment. While eating to light, do not eat spicy fat, for instance, onions, ginger, garlic, hot pepper, crab, shrimp, etc., can eat pears, such as Lily Yangyin Yifei food. 


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What is systemic chemotherapy and local chemotherapy

The so-called systemic chemotherapy, and chemotherapy is limited ways and means of delivery and after administration of different drugs in vivo tumor and the distribution of different division. General systemic chemotherapy and muscle including oral, intravenous chemotherapy for its main characteristics of drug absorbed by the gastrointestinal tract or by intravenous routes into the body, the drug can reach the tissues and organs, tumor tissue concentrations of chemotherapy drugs with other organizations, no significant differences, the right kinds of systemic tumor disease and distant metastasis of advanced tumors often use such chemotherapy.
Local chemotherapy including local tumor injection, arterial perfusion, cavity injection. Breast cancer liver, lung, brain metastases deals arterial infusion chemotherapy; There chest, and peritoneal metastasis transfer associated with pericardial effusion, pericardial effusion and ascites deals intravesical chemotherapy.
Systemic chemotherapy is the most common and basic methods of chemotherapy, and chemotherapy can improve local tumor concentrations of the drug and give full play to the efficacy of chemotherapy drugs and reduce the toxicity of chemotherapy drugs, and its recent efficacy obvious, but the long-term effect of poor, the two could play each other with their respective advantages, mentioning high therapeutic value. 


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