Of early breast cancer treatment does not necessarily removal of the breasts

This year is the Pink Ribbon Campaign against breast cancer created the first 16 years. In celebration of October 8, the reporter from the “National Eleventh Five-Year” person in charge of breast cancer related issues, China’s Institute of Medical Science Hospital breast cancer specialist Professor Zhang Baoning Department learned: Although the incidence of breast cancer increased year by year, but the mortality rate has been declining trend, mainly due to breast cancer screening and comprehensive treatment of conduct.

Early stage will increase the proportion of patients

We all know that breast cancer is a common malignancy worldwide, has become a serious harm to physical and mental health of the major killer of women. China is not a high incidence of breast cancer in the country, but is not optimistic that the incidence of breast cancer in recent years, the growth rate of China’s even higher than countries with a high 1 to 2 percentage points. Over the years many countries including my own, spending a great deal of manpower and financial resources devoted to basic and clinical research of breast cancer.

It is understood that the Ministry of Health launched the national breast cancer screening program this year, the central government allocated special funds to 19.38 million yuan, involving the country’s 30 provinces (municipalities) 53 counties (districts) 530,000 35 -69 year-old woman, to provide Free breast cancer screening. Professor Zhang Baoning introduced national “Eleventh Five-Year” technology supported project on “Community-based breast cancer screening programs compare and evaluate” the same at the start of this year, plans three years to complete, the results will be large-scale breast cancer screening in China optimization program reference, “as these work to carry out with the depth, the proportion of China’s early stage breast cancer will be significantly improved.”

Breast-conserving and cutting milk is no difference in survival rates

“Select-conserving surgery or mastectomy surgery” is the medical profession this year the focus of attention is also the national “Eleventh Five-Year” a focus of the research. According to Professor Zhang Baoning introduced in the country’s 10 hospitals to complete the top three country “15″ science and technology research project on “comprehensive treatment of early breast conserving prospective multi-center study”, as from November 2001 -2004 year in November a total of the completion of nearly 9726 cases of breast cancer surgery, which meet the security conditions are 4461 cases of breast, but agreed that breast-conserving surgery, only 872 cases, accounting for only meet the terms of the number of breast conservation by 20%.

Initial follow-up results showed that: breast-conserving surgery and mastectomy surgery two recurrence, metastasis and mortality was no significant difference;-conserving surgery for breast cancer, accounting for the conditions consistent with breast-conserving 19% of cases, accounting for the same period of all nine cases of operable breast cancer %, far lower than the European and American countries. European and American countries, breast-conserving surgery accounted for 50% of breast cancer surgery.

Based on an analysis found that its main reason is the question of understanding. Professor Zhang Baoning frankly, given our knowledge of breast cancer, the popularization of science is not enough, many people lack of proper breast-conserving therapy to understand, in particular, is that the patient himself, that the treatment of breast cancer must be removed breast, breast-conserving therapy would not thorough, easy to relapse Therefore, there is no demand for breast-conserving.

In fact, the international influential Cancer Center, as well as in Europe, North America, many of the medical center, comparing breast-conserving surgery and mastectomy surgery survival rates, the result was no statistical difference between the two groups. As early as in the last century 80’s, the world’s major cancer centers on the consensus on breast-conserving surgery and radiotherapy for breast surgery can be achieved with the same effect, breast-conserving treatment of early breast cancer treatment can be used as one of the means.

Not suitable for line-conserving surgery patients need removal of the breasts, in order to improve the quality of life, repair the psychological trauma, to restore self-esteem, self-confidence, can take advantage of current breast reconstruction plastic surgery techniques.

Worrying over-treatment

In addition to conserving and cutting milk issue of over-treatment of breast cancer treatment is also cause for concern. Professor Zhang Baoning, this is a global common problems in breast cancer treatment, some patients with cancer after the treatment has not been effectively controlled, clinically known as over-treatment. For example, the doctor according to the pathology developed a chemotherapy regimen for patients, the patient was prescribed medication are, but different people have different effects emerged, and some patients with medication during the transfer, that is currently a lack of treatment can effectively predict the sensitivity of indicators, pre-treatment and some doctors do not know which patients to chemotherapy works and what patients chemotherapy is invalid, there is a certain blindness.

In addition, the Chinese Center for Disease Control and Prevention Health Education Tao Mao Xuan, director of the view that breast cancer advocacy can not be confined to big cities, “My breast cancer are still insufficient public awareness, screening fewer people covering issues such as more small and medium cities publicity to the weak link, hoping through this initiative will establish a small urban population of breast health awareness. “To strengthen the awareness of breast cancer, a correct understanding of, Estee Lauder and the Chinese Center for Disease Control health education relevant to the topic of breast cancer co-shot public service films, will be broadcast in the domestic medium and small cities, covering an area covering more than 500 cities nationwide.