How is breast cancer treated?

Written by Gong Chun
Oncology
Updated on September 04, 2024
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For the comprehensive treatment of malignant (breast cancer), it needs to be specifically addressed based on case analysis, considering the patient's physical condition, economic factors, and other circumstances. There isn't a one-size-fits-all treatment plan suitable for everyone, as each case requires specific analysis. The treatment options for breast cancer include, firstly, surgery, which can be either a mastectomy or breast-conserving surgery, depending on lymph node metastasis and pathological staging. The second option includes radiation therapy, the third is endocrine therapy, the fourth is chemotherapy, the fifth is targeted therapy, and the sixth and subsequent options may include immunotherapy.

Other Voices

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Written by Cui Fang Bo
Oncology
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Early symptoms of breast cancer

The symptoms of early-stage breast cancer mainly include breast lumps, abnormal nipple discharge, and changes in breast skin. Breast cancer is a common type of malignant tumor among women in China, with adenocarcinoma being the most common pathological type, although other types can also be seen clinically. Patients exhibiting abnormal breast lumps, abnormal nipple discharge, and changes in breast skin should consider the possibility of breast cancer. Patients suspected of having breast cancer should undergo breast imaging tests, including mammography and breast MRI, among others. Patients in whom abnormal breast masses are found during imaging tests can obtain a definitive diagnosis by surgical removal or percutaneous biopsy. Patients diagnosed with breast cancer should undergo surgical treatment as soon as possible.

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Written by Lin Yang
Breast Surgery
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early symptoms of breast cancer

Breast cancer commonly occurs in the upper outer quadrant of the breast, with a hard, stone-like texture, mostly presenting as solitary masses that can be round, oval, or irregular in shape. These tumors have limited mobility and tend to adhere to the skin and surrounding tissues. However, the size of the mass does not change with menstrual cycles or emotional fluctuations, and it can grow rapidly in a short period. It predominantly affects middle-aged and elderly women. Additionally, mammography can reveal tiny calcifications, abnormal vascular patterns, and spiculated changes.

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Written by Zhang Chao Jie
Breast Surgery
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How is breast cancer treated?

The treatment of adenocarcinoma is a systematically planned treatment, involving five major types of treatments in the field of Western medicine. The first is surgical treatment, the second is chemotherapy, the third is endocrine therapy, the fourth is biological targeted therapy, often referred to as targeted therapy, and the fifth is radiation therapy, commonly known as radiotherapy. These are the five major treatments in Western medicine. However, not every patient with breast disease will need all five treatments; it depends on their specific conditions. Additionally, there are treatments from Chinese medicine, which primarily serve as supportive care. Of course, there is also psychological support therapy from a psychological perspective, which is part of this so-called systematic treatment.

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Written by Fan Hong Qiao
Breast Health Department
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Breast Cancer Self-Examination Method

Breast self-examination helps to detect changes in the breasts in a timely manner, and to discover breast diseases promptly. For instance, breast lumps are often found by patients themselves during self-examination. However, finding a breast lump does not necessarily mean it is breast cancer, as many conditions can present as breast lumps, such as the most common one, fibrocystic breast changes. Besides breast self-examination, early detection of breast cancer also relies on regular physical check-ups. It is recommended that women of childbearing age should develop the habit of regular breast self-examinations and routine physical check-ups, and consult a doctor promptly if abnormalities are found.

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Written by Yan Chun
Oncology
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Symptoms of male breast cancer

The clinical symptoms of male breast cancer are generally similar to those of females, mainly presenting as painless, progressive enlargement of breast lumps. These breast lumps usually occur under the areola, and some patients may experience nipple inversion or abnormal nipple discharge. Many breast lumps tend to have unclear boundaries with surrounding tissues and often adhere to the skin or chest muscles. Many patients with male breast cancer experience metastasis to the axillary lymph nodes, causing the metastatic lymph nodes to enlarge and become painful, local lymphatic drainage obstruction, and causing local upper limb swelling and pain. Moreover, some male breast cancer cases have metastasized to the lungs, presenting clinically with symptoms such as coughing and chest pain related to the respiratory system. Some patients with male breast cancer have liver metastasis, clinically presenting with pain in the liver area, decreased appetite, and abnormal coagulation functions.