Research On The Relationship Between The Differentiation Of TCM And The Image Of The Color Doppler Ulrasound Of Presurgical Breast Cancer

Objective: To analyze the clinic characteristics of the differentiation of TCM before the surgery of breast cancer, discuss the relativity between the differentiation of TCM and the image of Color Doppler Ultrasound, to provide an objective basis of the iconography and the homodynamics for the identification of TCM of breast cancer. Methods: 160 patients of breast cancer were divided into three groups: the group of stagnation of the liver-qi and phlegm,the group of disharmony between chong and ren and the group of vital qi deficiency and evil excess respectively. To examine the patients with Color Doppler Ultrasond, analyze the relativity of the general datum, symptoms and signs and the pattern of syndrome with the Logistic regression, analyze and discuss the relativity of identification of TCM, the characteristics of the image of the Color Doppler and the index of homodynamics. Results:1. Distribution of the differentiation of TCM: 85 cases of the stagnation of the liver-qi and phlegm,39 cases of the group with disharmony between chong and ren, and 36 cases of the group of vital qi deficiency and evil excess respectively. 2. The relationship between the TNM stage and the differentiation of TCM: Most of the cases of TNMI and II stages were belonged to the groups of stagnation of the liver-qi and phlegm and disharmony between chong and ren. Most of the cases of TNMIII and IV stages belonged to the group of vital qi deficiency and evil excess respectively. 3. The relationship between clinical symptom and the differentiation of TCM: the stagnation of the liver-qi and phlegm mostly appeared mainly in the patients of 20 to 40 years old and red color of menstrual flow; the disharmony between chong and ren mainly appeared in the patients with disordered and light menstrual flow ; the stagnation of vital qi deficiency and evil excess mostly appeared in the patients older than 60years old and with the derma of the lump appeared to orange-peel sign or ulceration, the lump twinges or tortua, and with the dark red or purple black color of menstrual flow. 4. The relationship between the image of Color Doppler Ultrasond and the differentiation of TCM:The tumor diameter, Vmax and RI of the bood flow were minimum in the the stagnation of the liver-qi and phlegm, maximum in the the stagnation of the disharmony between chong and ren, medium in the stagnation of vital qi deficiency and evil excess.Conclusion: 1. The age, the stage of TNM, condition of menstrual flow, ache of the lump and the condition of the commune integumentum of the lump could be used as the important standard for the differentiation of TCM of breast cancer. 2. The tumor diameter, Vmax and RI increased in the three groups of breast cancer, so they could be used as objective index for for the differentiation of TCM of breast cancer.The research has provided a convenient and ovject for differentiation of TCM of breast cancer.