Prevention and treatment of breast cancer need to fight a protracted war

With the accelerated pace of modern life, breast hyperplasia, mastitis, breast cancer and other diseases that affect a large number of female breast. It is understood that the newly discovered breast cancer worldwide each year about 1.2 million cases, about 50 million people a year die from breast cancer. At present, the global incidence of breast cancer now ranks among the top women’s cancer, a serious threat to women’s lives and health. On the prevention and treatment of breast cancer, the reporter has an interview with Vanguard Provincial Hospital, W Wei, director of thoracic surgery.

Weizhu Ren said that the incidence of breast cancer there are two peak periods: 35 years -45 years of age, the age of 55 -65 age group, 90% of breast cancer have occurred in these two age groups, but there are also dropping . According to his analysis, improved quality of life, urban professional women to accelerate the pace of work, as well as increased psychological stress caused by increased incidence of breast cancer. Which the medical community recognized the incidence of breast cancer include: genetic factors. Mothers, sisters and other family members had breast cancer patients, their cancer risk 4 times higher than other women; not birth, breast-feeding women, the incidence probability is high; the long-term emotional stress, excessive physical exertion can lead to changes in hormone levels, increasing disease risk ; radiation and environmental pollution, is the pathogenic incentives.

Early detection, early diagnosis and treatment is still the key to get the best prognosis and found that the sooner, the higher survival rate. There data indicate that, if found early, 95% of breast cancer can be cured. Weizhu Ren said that, compared to other malignancies, due to breast cancer in the breast lump is a long shallow Department, it is very easy to detect. Therefore, women over 30 years of age at least once a year to the hospital for examination and must not be omitted. As the oncology development, more and more profound understanding of breast cancer, treatment means of the gradual improvement of the development of effective anti-cancer drugs, surgery, chemotherapy, radiotherapy, endocrine therapy such as the adoption of a comprehensive treatment model, making breast cancer The treatment has improved markedly.

Compared with other cancers, breast cancer is its most prominent feature of the occurrence and development and in vivo levels of estrogen and its metabolism. For the estrogen and progesterone receptor-positive, particularly in response to a high positive patients, endocrine therapy can decrease the recurrence risk is the most effective means. The principle is that by inhibiting or reducing estrogen secretion, and reduce estrogen levels or block the pathways, thus choking off the tumor’s survival, “nutrient” source. Relevant data show that, whether overseas or in China, more than half of patients with breast cancer are hormone receptor-positive patients, so endocrine therapy in clinical application has been more common. Because breast cancer recurrence after 5 years are the peak period, therefore, should insist on five years of hormonal therapy, some patients need to adhere to a longer time.

Weizhu Ren said that, in general, the development of breast cancer experience of 2-3 years, and the more to the late development of faster. Easy to overlook early breast cancer, it should learn to self-examination.

General breast self-examination once a month, there are periods of women’s best clearance time should be 9-11 days after the monthly menstrual cramps checks, because the relatively soft breasts at this time, easy to find disease, menopausal women who have been free to choose a On any day, regular inspections.

Checked before the mirror, mirror on both sides of his hands hang down the body, and then move too far on the two upper limbs slowly to observe the morphological changes of the breast, including the outline of the breast, with or without swollen part, with or without skin or nipple retraction Weiao . Then, hands akimbo, observe whether bilateral breast symmetry.

In the supine position during examination, lie horizontally at the breast side of the subscapularis be checked by putting a pillow or soft materials. And then after the ipsilateral hand on the head, so to make breast tissue more evenly spread over the chest. Be split evenly between the skin on the hand soft reduction to the nipple as the center gradually moving examination. Check began in the outer breast above the right breast in a clockwise direction, left internal mammary to anti-clockwise; from the periphery of the breast, the gradual inward, until the nipple. Finally, in the thumb and index finger squeezing the nipple between the observation of whether the light nipple discharge. If discharge, should be observed to clarify or muddy, is pale yellow, milky or bloody. Once the abnormal, should seek medical care immediately.