10%milk preservation rate, too low!Expert: milk protection and full -cut survival period is equivalent

Author:Yangcheng Evening News Yangche Time:2022.09.24

Text/Yangcheng Evening News all -media reporter Zhang Hua

Photo/Interviewee provided

For young women, can breast cancer be retained after breast cancer? This issue has gradually attracted the attention of doctors and patients. Recently, Tang Jun, deputy director of the Department of Breast Department of Sun Yat-sen University Tumor Prevention Center, said in an interview with a reporter that unlike the incidence of breast cancer abroad, the peak period of breast cancer patients in my country is 40-45 years old. However, after breast cancer breast milk protection surgery, 20%of patients have deformed breasts. Therefore, how to increase the milk preservation rate and at the same time, it is more beautiful. This is a problem facing breasts.

The proportion of milk preservation surgery in my country is not high

The number of young breast cancer patients increase, and milk preservation has become a real problem

At present, breast cancer has replaced lung cancer to become the world's largest tumor. About 420,000 new breast cancer patients are added each year, and the incidence rate has increased by 3%to 4%per year in recent years.

Tang Jun pointed out that, unlike foreign situations, there are two characteristics of breast cancer in my country: 1. The incidence rate has increased significantly, increasing the rate of rapid increase; The age of onset is 63. Therefore, for the tumor specialist, while how to cure tumors, help young patients to keep their breasts and keep beauty.

Have breast cancer, life or milk? This is a question that makes many people tangled. Twenty years ago, almost all patients with breast cancer were removed all the breasts. Everyone had a psychological understanding, that is, the more clean the breasts were cut, and the tumor treatment was thorough.

"I have been medical for 25 years, and breast cancer treatment has been dependent on surgery for a long time, but the treatment of modern breast cancer depends on the combination of comprehensive treatment, surgery, radiotherapy and various systemic treatment methods. This makes the treatment of breast cancer treatment The effect is getting better and better, the local recurrence rate is getting lower and lower, and breast cancer milk -keeping surgery has gradually been accepted. Now breast cancer patients have increased, especially young patients, so milk protection has become a major demand for patients. "Tang Jun said.

Tang Jun, deputy director of the Department of Breast Department of the Cancer Prevention and Treatment Center of Sun Yat -sen University (second from right)

About 10%of the low -guarantee milk rate, worrying that recurrence is an important hindrance factor

With the development of the Department of Internal Medicine, patients with breast cancer no longer rely on the surgeon "a knife" to remove it. Under the control of the whole body, many patients retain their breasts is completely feasible.

But in our country, the process of implementing milk is relatively difficult. Tang Jun said that it is difficult to change the inherent thoughts. Although some patients are now required to retain their breasts, the conventional milk preservation rate is still low. There are not many patients with breast cancer in my country, which is only about 10%of the milk preservation rate. One of the main reasons is that the adaptive indications in line with milk preservation are relatively narrow, such as single tumors, less than 3cm in diameter, more than 3cm from the nipples, eliminating multi -center origin and multi -lesion.

Secondly, the most clinically encountered problem is that the patient is worried that the incompatibility causes the recurrence rate and affects the survival period. Tang Jun said, "First of all, breast -keeping surgery is carried out in the breast specialist. Our doctor usually performs frozen pathological examination during the surgery. The results show that the tumor is cut without cancer. The same conclusion can be reserved to keep the breast and whole breast resection, and the survival is equivalent. "

There are many shortcomings in conventional milk preservation

At present, conventional milk preservation treatment also has shortcomings, such as beauty effects, indications, and local recurrence rates. Tang Jun pointed out that some patients were found in clinical clinical cases of breast protection. After a period of time, 20%of patients appeared local deformation of the breast. He believes that expanding milk preservation certificates, reducing secondary resection rates, improving beauty, and no increased tumor plastic surgery risk is a problem to solve the problem of tumor plastic surgery.

Source | Yangcheng Evening News · Yangcheng School

Editor -in -law | Wang Moyi

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