Release date: 2016-10-26
Chen Jinping, a breast surgeon at Beijing Hejia Hospital, introduced breast cancer related knowledge
Breast cancer is the fifth leading cause of cancer death in women
In recent years, the three words of breast cancer seem to appear more and more frequently in the public eye. Chen Jinping, a breast surgeon at Beijing Hejia Hospital, said that breast cancer has become the fifth leading cause of cancer death in women. For Chinese women, women aged 44-55 and 70-74 have become two of the causes of breast cancer. Peak crowd. Chen Jinping said that due to reproductive and hormonal effects, long menstrual years, never giving birth, delayed primiparity and short breastfeeding time, it is easy to become a dangerous cause of breast cancer. And bad habits are even more potential killers of breast cancer. “Chinese women with BMI (Body Mass Index) ≥25 have a four-fold increased risk of breast cancer compared with those with a BMI <25. Overweight and obesity, physical activity Reduced, unhealthy eating patterns and other bad habits can become a high risk factor for breast cancer."
It is understood that, like many cancers, breast cancer is also a latent killer. Usually, there are no obvious symptoms in the early stage and it is very easy to be ignored. At present, breast cancer is mainly detected by four methods: self-examination, doctor examination, imaging examination and oncogene examination. "Treatment of breast cancer, early detection is very important, the 5-year survival rate of early treatment is greater than 90%, the mid-term is 70%, the middle and late is 50%, and in the advanced stage, the 5-year survival rate of treatment is less than 30%. Chen Jinping suggested that women should go to the hospital for regular checkups. Women under the age of 45 should be checked once a year, and women over the age of 45 should be checked every six months.
Simultaneous surgery has surgery and reconstruction
Once breast cancer is diagnosed, according to traditional therapy, the patient is required to have a full breast and axillary lymph node dissection. But for many women with breast cancer, removing whole milk means losing the female curve, which not only causes physical pain, but also causes mental long-term psychological burden and inferiority complex, and the patient's marriage, family, work and social relations. , causing many negative effects.
Mulan, the chief physician of Peking University People's Hospital, said that in China, with the increasing demand for breast cancer patients for treatment rehabilitation and breast reconstruction, the integration of surgery and reconstruction has gradually become a new direction for breast cancer treatment.
The integration of surgery and reconstruction means that the patient undergoes breast reconstruction after resection of the breast, and some can even be completed by the same operation. The advantages of integration are obvious. First, the patient only needs to be admitted to the hospital once, eliminating the pain of the second operation and avoiding multiple risks. Secondly, the team of surgeons and plastic surgeons communicated and cooperated to agree on the location and size of the incision. At the same time as the tumor was removed, the aesthetic needs of the plastic surgery were fully considered.
If the patient's tumor condition does not allow for immediate reconstruction, the patient's body may be re-established after the body has recovered. Mulan said, "Now that with the technology of breast reconstruction, breast cancer patients can face the problem of surgery, that is, the disease, and don't be afraid. Now there are plans for repairing, so more breasts should be given. Cancer patients know this."
Pyramid-based treatment architecture for breast cancer treatment into the MDT era
At the forum, Beijing and the Yijia Breast Multidisciplinary Clinic were formally established. Ling Xiaofeng, director of general surgery at Beijing Hejia Hospital, said that the treatment framework of the target Beijing and the family breast multidisciplinary clinic is pyramidal. In the initial period, the main church patients found the disease and self-diagnosis; the second phase came to the hospital through the general surgeon. For further diagnosis, the diagnosis can also be confirmed by color Doppler mammography, etc. The third phase is a customized treatment plan for the breast specialist team, such as improved radical mastectomy, breast reconstruction, surgery and reconstruction integration; the fourth phase is MDT multidisciplinary treatment. From the tumor, chemotherapy and radiotherapy, pathology, general surgery, psychological and other teams to provide patients with one-stop medical services.
Since the end of June this year, Beijing Hejia Hospital has provided surgery and reconstruction surgery for three foreign breast cancer patients. As a tumor physician, Gu Yanfei, a doctor at Beijing Hejia Hospital, still remembers that she had communicated with patients more than 20 times before the first surgery and reconstruction surgery. Even a few dozen emails were sent. Plastic surgeons also said that when doctors choose a prosthesis and prepare for breast plastic surgery, they will not only let the patient know, but also invite patients to participate in decision-making.
Professor Zhu Gang, director of the Department of General Surgery, Beijing United Family Hospital, said that a surgery that can remove the lesions and protect breasts and female self-esteem is worthy of breast cancer patients.
Source: Xinhuanet
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