Analysis Result Of Treatment Of Breast Cancer Operation

This text reports our city 1985-1992 year â…  and â…¡situation,breast cancer of 373 of patient that accept for medical treatment to,have analysed three kinds of different breast cancer operation waysand amalgamated comprehensive result of treatment. Implement 53cases of chemotherapy before the skill to 2 issues of breast cancerpatient. The patient's average age is about 46 years old, accounts for81%. The course of disease accounts for 68% within half a year.Treatment method of breast cancer effect a radical cure operation add41 of chemotherapy under skill, milk carcinectomy add after the skill21 cases of chemotherapy are putting mainly, chemotherapy added theoperation and treated 53 before the operation. The appraisal of the treatment result uses survival rate for 5, 10,15years mainly, shifting and recuring rate. Skill result ofchemotherapy depends on mainly swelling lymph gland and lumpdegree that dwindle is it appraise to come after the chemotherapy. It isdivided totally alleviate, alleviate partly, and steady situations, thechemotherapy scheme is CMF. Result indicate, it effects a radical cure with simple tumourexcising skill accelerate between radiotherapy and survival rate andperson who recur of chemotherapy and similar in effecting a radicalcure to improve. The simple tumour excises group of recuring rate(62.5%), higher than simple add complex treatment (8.3%) It provesthat complex treatment after the skill has important meaning toprevent from recuring excise obviously.Negative patient of recurring rate of the positive patient andlymph gland pathology of armpit is similar, this point is again thegeneral theory view. The main reason is armpit patient, lymph glandof masculine gender complex treatment accounts for 91.5% behind theskill, and complex treatment only accounts for 54.3% after thenegative patient's skill of lymph gland of armpit .The handle waysbetween these two method is obviously diffirent. (p<0.01).53 II breast cancer skill which elect CMF scheme short distancedense total efficiency of chemotherapy is 59%, totally alleviating7.3%, the part is 51%, take 40% steadily. Not seeing in thechemotherapy course that obvious, toxicity reacting and a pair offunction is the healing not influencing the operation notch, indicatechemotherapy is safe and feasible before the skill. In addition, observea piece of response to chemotherapy of breast cancer under the mirrorand offer a kind of avillable method for quick test of medicine in thebody of chemotherapy medicine. The person who has I breast cancerrecure in three year account for 45.9% some recurring take breast andarmpit as the core, shift lung organize for main fact, bone andcollar-bone is the second place to shift, II breast cancer skillchemotherapy curative effect related to the following factors at adistance.1. Course of disease: The shorter the course of disease is, thebetter the curative effect is.2. Pathology: The patients of breast cancer of different pathologytypes are too efficient to have obvious difference in chemotherapy.3. Tumour lump form: The effective aluminium of the shapetumour is high, the irregular efficient is low. Histology type of cancer,hardness, tumour of piece, patient or not menopause, estrogen receptor(ER) of tumour situation take curative effect fruit there is not obviousrelation.Whether breast cancer prognosis and armpit lymph gland areshifted or not is closely related with it. 78% of survival rate of 5 yearsof the negative one of lymph gland that documents report the armpit,the positive one is 43%, it is 20-50% that the armpit lymph gland isfalse-negative and false-positive. Namely is it have lymph gland shiftvery difficult to confirm on being right and clinical, so treatment,armpit of lymph gland seem very important. The concrete method is(1) that simple armpit removes the skill. (2) Simple armpitradiotherapy. (3) The low-order armpit removes the skill and adds theradiotherapy.More than 10 years after the operation, patient of breast cancer, itaccounts for 13-5% to shift to happen, and putting chemotherapy afterthe effecting a radical cure is treated with the skill, move into 7.8% ata distance. Therefore, although it is the early breast cancer, there arecancer cell's potential and internal dangers, so it is necessary to adoptwhole body nature chemotherapy to increase the chance of curing,reduce the executed shifting rate.The main reason of failing to ereat breast cancer is that we cannot control the spread of disease. There are a great deal of early cases,though the effecting a radical cure operation dies from the distantplace and shifts finally, it proves that these treatments have alreadydistant place shifted in these cases. Complement and brief thecooperative investigation result of 10 years of chemotherapy beforeoperation in U.S.A.'s breast cancer, melt and can control the inferiorclinical focus actively early after the skill.It can obtain more treatment chance of success, so getting heavyor for armpit case that lymph gland shift to tumour, chemotherapy isreally essential before the skill. In addition skill chemotherapy canobserve change of tumour directly, and offer the test recordings ofmedicine test on bodies and predrct curative effect.In sum, the author thinks, the treatment of a breast cancer can beadopted and improved the skill of effecting a radical cure, the tumourexcises the skill and adds putting or chemotherapy. II issues of breastcancer that have had lymph glands which have shifted already,especially the person who has the lump which the diameter is between2CM-4CM, should carry on chemotherapy before the skill.