Breast cancer and the diseases easily confused
Posted on April 28, 2008
Filed Under Breast Cancer |
Breast cancer and the diseases easily confused
(A) hidden on the conflict with breast cancer less than that of breast lumps removed after the pathological examination confirmed that the breast cancer. For the regular methods such as X-ray examination found or axillary lymph node as the first symptom, and should be differentiated from the treatment of breast cancer, is now generally believed that once the diagnosis of occult breast cancer in the absence of clavicle and distant metastasis, radical For the treatment. Most reports of its efficacy is better than or similar with axillary lymph node metastasis of breast cancer
(B) of male breast cancer are rare male breast cancer and breast cancer incidence rate of 1 percent to 0.1 percent of male cancer. Age of onset of breast cancer than women on average higher than the 6 to 11-year-oldThe main symptoms of male breast cancer is painless mass areola under 20 per cent of the patients have nipple invagination, Jiejia, Pai Huai mass often unclear border, often with early breast or skin adhesive, a higher rate of axillary lymph node Male breast cancer in women with breast cancer pathology similar performance, the overwhelming majority of the invasive ductal cancer, male breast lobular non-pathological organizations which have not lobular carcinoma in situ on the reports. Male breast cancer in women with breast cancer treatment, but cases of male breast tissue and less easy to violations of early breast, surgical methods should be expanded to radical surgery or radical surgery oriented.
The application of advanced or recurrent cases of endocrine treatment of breast cancer than women for good. Is the main treatment for testicular bilateral resection, efficiency is about 50 percent to 60 percent efficacy rate was so high is because nearly 84 percent of ER-positive tumors. Average sustained period in December. If a patient unwilling to accept or both testes removed after the removal of another condition, can still take female hormones, or male hormone TAM and access to good effect to add this type of endocrine therapy in patients has shown that testicular invalid resection of the circumstances will have a good effect , The second-line endocrine therapy significantly the efficiency of the sector in the 30 percent to 50 percent between chemotherapy alone in the endocrine therapy including Quchu and add, after the failure of Fang Yi, its treatment and to the equivalent of female breast cancer
(C) of inflammatory breast cancer is an extremely rare type of diffuse harden Changcheng larger, skin red, swollen heat, pain and edema obvious. The incidence was very similar to the outbreak of acute inflammation, which is also known as cancer mastitis. The diagnosis of the disease as: ① Although the performance of local heat for the pain but no swelling of the cold fever, and other systemic inflammatory response. ② body temperature and white blood cell count more than in the normal range. ③ skin was typical of the early Ziluolanse plaque was patchy edema, state clearly that edge slightly uplift such as orange peel-like pores large changes and redness of the breast larger than 1 / 3 of the above, anti-inflammatory treatment one week after the swelling but not dissipated ④ In the swelling of breast tissue can sometimes touch on the tough texture hard mass. ⑤ ipsilateral axillary more texture hard to reach the lymph nodes. ⑥ cytology and fine needle aspiration biopsy can provide pathological diagnosis
Application of inflammatory breast cancer before surgery or radiotherapy for the poor prognosis for the average survival time of four to nine months, and therefore do not advocate use of inflammatory breast cancer surgery. Most of the author of inflammatory breast cancer using both chemotherapy and radiotherapy treatment is to use three to four courses of chemotherapy after radiotherapy and chemotherapy radiotherapy later.
(D) during pregnancy and lactation of breast cancer during pregnancy or breast cancer in breast-feeding, breast cancer cases accounted for about 0.75 percent to 31 percent during pregnancy and lactation period due to the change in hormone levels, may make tumor growth Accelerate, increasing the degree of malignancy at the same time during pregnancy and lactation period of physiological breast tissue increases, congestion, so that early detection of cancer at the same time not easily disseminated.
Breast cancer treatment during pregnancy with the general principle similar to breast cancer treatment but also decided on the choice of the tumor stage of pregnancy and the different periods. Early pregnancy termination of pregnancy if the disease should be based on different view, the earlier stage of disease can be no termination of pregnancy period Ⅱ, Ⅲ period or after the estimated need for chemotherapy and radiotherapy while the Yixian termination of pregnancy can increase the survival rate, the opposite often Since the termination of pregnancy delayed the impact of treatment instead of treatment.
Lactating breast cancer treatment should first stop supporting breast-feeding after breast cancer treatment and the general similarity. Preventive removal of ovarian and can not increase the survival rate.
