Early breast cancer can be cured with standardized treatment!

I'm going to explain this in two parts: how do doctors evaluate the cure of malignant tumors and how do you go about curing early stage breast cancer?

I. What is the cure for malignant tumors?

① Mechanisms of healing:

Through various systematic treatments, the lesions disappear and no cancer cells are detected in the body. And it does not recur for a long time until the patient passes away due to other reasons. This is the cure of malignant tumors!

(ii) How is it evaluated, in other words, how does the doctor know that the patient is "cured"?

Within 5 years after the systematic treatment, the disease has not recurred and progressed, and all auxiliary examinations, such as: ultrasound, CT, MRI, PETCT, etc., the indexes are in the normal range. This is, clinically, the standard for cure.

Second, how to go about curing early breast cancer?

This is a common concern and joint effort between patients and doctors. Let me tell you about a real patient's case, her road to healing:

A 40-year-old woman presented with an unintentional peanut-sized mass in her left breast without pain or nipple discharge.

Examination: a mass palpable 6 cm from the nipple in the direction of the 2 o'clock of the left breast, hard, with poor mobility and dimple syndrome.

Breast cancer was highly suspected and an ultrasound and mammogram were done along with it. The results are as follows:

After communicating with the patient, surgical treatment was performed, and the pathology report was: non-specific invasive carcinoma of the left breast, and breast-conserving surgery was performed in conjunction with the patient's wishes.

Eight cycles of chemotherapy and one course of radiotherapy were administered after the operation. Currently recovering well.

Every time a patient comes in, he or she is glowing and in good spirits, which tells us one thing: good recovery and healing are the result of a joint effort between the patient and the doctor.

Therefore, the cure for breast cancer lies in early detection and early treatment. Click "Follow" in the upper right corner to read more of my breast health articles!

It is entirely possible, and the possibility is quite large, of course, you have to force a 100% guarantee, that really can not be 100% guaranteed to cure, only to say that the probability of size, you live and work every day, but also can not be 100% guaranteed safety is it.

Breast cancer can be said to be one of the representatives of cancer that is "fortunate in misfortune" in every aspect. Breast cancer is an organ on the surface of the body, breast cancer is relatively easy to be detected at an early stage, and there are effective early screening methods for breast cancer. As long as enough attention is paid to it, it is not difficult to detect breast cancer at an early stage, unlike some cancers such as pancreatic cancer which are difficult to be detected at an early stage even if you want to pay attention to it. As long as early detection is possible, it's a good idea. Most early cancers have a high probability of being cured, and breast cancer is even more so. So, you ask, can breast cancer be cured in its early stages? Of course it is possible. 43 years old, this is not too young, nor is it too old, and generally speaking, the prognosis for breast cancer in older women is a little better. In fact, in addition to the stage, the prognosis of breast cancer depends on other aspects, and one important aspect is the biological characteristics, for example, ER/PR positive breast cancer has a better prognosis than triple negative breast cancer or HER-2 positive breast cancer.

If it is advanced, is there no cure? Nor is it, breast cancer lucky two is that even if the late stage, it has a lot of drugs available, and anti-tumor drugs are more sensitive, through comprehensive treatment, some advanced breast cancer can survive seven or eight years, more than 10 years is not surprising, which can be said to be a chronic disease, so, advanced breast cancer should pay attention to the arrangement of treatment strategies and management.

A positive energy share for you:I was diagnosed with advanced breast cancer 24 years ago.

Five years is a hurdle in the field of cancer treatment, and a cancer patient who has survived for more than five years means that he or she is close to being clinically cured. As a matter of fact, with the continuous development and advancement of medical technology, there are many patients who have passed this hurdle, and it is not uncommon for them to live beyond 20 years; however, for a patient with advanced cancer, living for another 20 years is something that one would not even dare to think about. Luckily, such a miracle happened to me.

Unwelcome Guests in Life - Breast Cancer

Twenty-four years ago, I was 38 years old. Not too young, not too old. At that time, the pace of life is not so fast now, social pressure is not so big now. The days of firewood, rice, oil and salt, husband and child rearing, although not rich, but also live a stable and comfortable, until the fall of 1993 ......

In September of that year, I decided to go to the hospital for a checkup after suffering from breast pain for several months. At that time, breast ultrasound was not as popular as it is now, and the "first and foremost" test was a breast infrared scan.

The doctor scrutinized the infrared image for half a day and told me there was nothing wrong. I wasn't relieved, but rather, I didn't feel very convinced. First of all, I could feel the pain deep inside my breast, and the infrared image seemed to be limited to the surface; secondly, the skin around the nipple of my left breast had become less flat and wrinkled like an orange peel, which seemed to have been seen somewhere before, and such a change is not usually a minor problem.

I did not continue in-depth discussion with the doctor, and accompanied by my husband, I went straight to the nearest tertiary hospital, Peking University Hospital. At the Department of Surgical Oncology, after palpation, dry plate photography, needle aspiration and other means of examination, I was initially diagnosed with breast cancer.

I'll never forget that day. I sat paralyzed in the doctor's office, my mind blank. Although I had prepared myself mentally, it was a discounted mental preparation, mixed with luck, and now all my hopes and illusions were dashed, and I felt as if my heart had been ripped out of my chest. I consider myself an optimistic and strong person, but in that moment I felt a panic and helplessness that I had never felt in the previous 38 years.

If the moment of diagnosis was more of a haze than a feeling of emptiness, the next few days were a time when I really realized what it was like to "learn from the pain". The first night I was admitted to the hospital, I thought a lot about the fact that I didn't know when or if I would be able to come back from leaving home. I was like settling in for the aftermath. I even envisioned how my husband and children would live with each other after I was gone. The emotions that had been stored up for a few days exploded, and I cried on my husband's shoulder.

A few days later, I was admitted to the hospital and underwent a left breast revision and axillary lymphatic clearance, with pathology findings of invasive ductal carcinoma stage 3 with 4/8 lymph node metastasis.

The treatment that follows is excruciatingly painful. The pain of chemotherapy is common knowledge, but those who have not really experienced it will never know what kind of pain it is. My vomiting was unusually violent, in addition to vomiting what I normally eat, there were also reddish-brown watery objects, which the doctor said was a sign of tearing of the gastric mucosa.

I insisted on it again and again, and interrupted it again and again because I could not tolerate it. In the end, I had no choice but to stop chemotherapy and switch to Chinese medicine, while insisting on practicing qigong. I insisted on practicing qigong for 10 months.

What you fear is what you get - clavicular lymph node metastasis

Cancer is a devil, but its most ferocious quality is not that it takes your life, but that it makes you live the rest of your life with the shackles of constant trepidation and fear. You never know if and when it will make a comeback after it has been driven away.

In January 1996, I was in the shower when I inadvertently touched a few small bumps on my neck, and my heart thumped. All these years of seeing patients had made me a half-doctor, and I realized that this was not a good omen. Sure enough, the ultrasound gave a less than favorable description.

I went back to my previous primary care doctor, who initially diagnosed clavicular lymph node metastasis. As beds were tight and the Chinese New Year was approaching, the doctor prescribed me megestrol and told me to wait until after the Chinese New Year to be hospitalized. I deliberately pretended that nothing had happened in front of my family, and I was shopping for New Year's goods with my husband and children; however, in my heart, I felt so helpless and desperate. I could see that they were trying very hard to create a relaxing atmosphere in order to ease my mind, but their hearts were full of sadness. We are so wearing a mask to deceive each other, as long as the nerve of this deliberate play a little relaxed, the air will immediately be silent, stagnant, let a person unusually depressing.

And so, I had one of the hardest spring seasons of my life. After the festival, I was admitted to Peking University Hospital for the second time, and to be honest, this time I felt very different from the last time. If last time I was nervous and scared, this time I was more open and helpless. I don't seem to be so afraid of death anymore. What's coming will always come, and there's no escaping it, so fear is useless. There is no standard for the length of life, so what if I'm 40, so what if I'm 80? For me, there is no fatal difference. But as long as I think of my family and my son, my heart aches so much that I can't breathe.

The only thing I could do was to fully cooperate with the doctors and actively treat the disease. One of the very difficult problems I faced at that time was inoperable, because the presence of clavicle metastasis meant that it was already at an advanced stage and was inoperable. But fortunately, my doctor took my situation into consideration and was willing to try a more aggressive treatment for me. She made it a point to have an in-depth conversation with us as a couple, and after introducing the risks and benefits of the surgery, she told me openly that this kind of surgery hadn't been tried before, and that there was a possibility that it could be opened up and found that it couldn't be removed at all, but nonetheless she was willing to give it a try for the sake of that silver lining, as she always thought I was still very young (I was 40 years old at the time), and it would be a shame not to put up a fight. We talked about it and decided to undergo the surgery. Thus, I was honored to be the first patient to undergo clavicular lymph node dissection at Peking University Hospital. Luckily, the surgery was very successful, and the four masses of different sizes that were peeled out were diagnosed as recurrent metastatic cancer.

Perhaps because of my own inner peace, it's strange to say that this chemo was even more aggressive than the last one with the drugs, and I stuck with it. Although I did vomit, it was nothing compared to the previous bout of flopping. And so, I stuck with the radiation and chemo for a year. A large area of skin on my left side near my collarbone still has a bluish-purple florid change, a permanent mark from the radiation.

Regaining a new life - over 20 years of living cancer free

Sometimes when I think about it, I think I should really be thankful for cancer, which prompted and spurred me on to a more active and healthy lifestyle.

After being discharged from the hospital, I had thought very hard about my experience. During the two hospitalizations, I had witnessed the departure of many patients, and it was God's favor that I, as a patient with advanced breast cancer, had been able to overcome one difficulty after another and move step by step towards recovery. I have no reason not to cherish what I have now. Since then, I started to re-plan my life, going to bed early, waking up early, eating on time, having regular checkups, exercising, and more importantly, joining the Beijing Anti-Cancer Paradise, a private anti-cancer organization organized by patients in major parks in Beijing, where I made many new friends with similar experiences as mine. We talked to each other, communicated with each other, helped each other, and walked together on the long road of fighting cancer.

In the 20+ years since the end of my treatment, I have always lived this way. Life was full and happy. It's been 24 years since I was diagnosed with breast cancer and looking back it often feels like a dream. I have to say, I've been very lucky, but isn't there some inevitable factor behind that luck as well?

First, get regular treatment and have full trust in the doctor who works with you. Many patients make the mistake of seeking medical advice in a hurry. Looking for A doctor to see three days, looking for B doctor to see two days; with this therapy, try that drug, and even believe in what prescription, local methods. The urgent mood is understandable, but the practice is not desirable and may delay the condition. To recover from the panic of cancer diagnosis, the first thing to do is to go to a regular hospital and a professional doctor. I have always been very grateful to my primary care doctor, whose courage, courage and professional judgment enabled her to make the right choice of treatment; and all I needed to do as a patient was to maximize my trust and cooperation. Without her advice, persistence and persuasion, I would not be here today. Therefore, you must find a regular hospital, a professional doctor, and you must fully trust the attending doctor who cooperates with you.

Secondly, have a strong willpower. Persistence is one of the most, well, hard things to do in this world. Whether it's taking medication or exercising, it's a great test of will. There is a world of difference between a one day or two day experience and persistence over the years. Sometimes I get lazy, and when it's too cold, I stay warm inside and don't want to go out and workout. But every time that happens, I say to myself, "How can I talk about beating cancer if I can't even get over this little hump?" When I thought of this, I would get dressed and go out to exercise. I also often told my fellow patients around me, "Cancer is a bully. If we are weak-willed and slacken off in all aspects, we are giving the cancer cells a chance to rekindle; while if we are strong-willed and arm ourselves with strength in all aspects, the cancer will have no chance to take advantage of it."

In the end, mindset is really important. I grew up as a lively and optimistic person. I love to sing and dance, even though I don't sing beautifully or dance gracefully, but what does it matter? I always find joy in the experience of singing and dancing. After joining Beijing Cancer Paradise, the leadership asked me to assist in the cultural work, which I gladly accepted. We choreographed our own dances, arranged our own chorus, and expressed the joy of rebirth in our own way. We all understand that 5 years, 10 years, or 24 years can only show that the chance of tumor recurrence is reduced, but it does not mean that the tumor will never recur. Instead of worrying all day long, it is better to enjoy every day. Of course, regular checkups are necessary, and they are also about the mindset. Some patients are very nervous when it's time for review, and even hesitate to go to the hospital; some patients gradually relax their vigilance after a long time, procrastinate, and even give up the review. This is not right, on-time review in order to timely detection of the problem, taboo and careless can only delay the condition. Therefore, a positive mindset is very important.

Sometimes, when patients ask about my age, I will proudly answer that I have two ages - 62 is my true biological age, and 24 is the age of my rebirth!

After 24 years, cancer has given me far more than it has taken from me. For me, cancer is just another landscape, another experience in life.

Welcome to MCCC

The mortality rate of breast cancer in China is low compared with other malignant tumors, ranking sixth among the causes of cancer deaths, and breast cancer belongs to one of the malignant tumors with better treatment effects, such as early diagnosis and early treatment in a timely manner, the cure rate can be up to 90%, so there is no need to be too panicky.

Breast cancer is cured in 70% of cases, and there are 5 main modalities of clinically applied treatment. Generally speaking, the complete cure rate of breast cancer can be at least 70%, and the other 30% of patients may have recurrence, contralateral recurrence or other unnatural deaths brought about by psychological factors. Of course, for patients, survival within 5 years after treatment does not mean complete cure, and there are clinical cases of recurrence after 5, 10 or even 20 years. Therefore, cured patients should also be vigilant and follow up regularly.

There are currently five mainstream clinical treatments, including surgical treatment, chemotherapy, radiotherapy, endocrine therapy and targeted therapy.

1、Surgery Surgery is the most traditional treatment and the most basic treatment for early breast cancer.

2. Radiotherapy is aimed at the vast majority of patients who undergo breast preserving surgery, as well as partially mastectomized and partially recurrent metastatic advanced patients.

3. Chemotherapy is given to some patients who are at high risk of recurrence or who already have distant metastases.

4. Endocrine therapy is aimed at estrogen receptor-positive individuals in all stages of the disease. The treatment cycle is generally longer, and postoperative patients need to be treated continuously for at least five years.

5, Targeted therapy is aimed at Her2 gene-positive patients of all stages.

I hope the above answer can help you

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

For women, one of the more prevalent cancers these days is thyroid cancer. But the cancer that almost all women are most worried about, is thelymphomaIn addition, there areOvarian cancer, cervical cancer。

Of these types of cancer, it is these last three that are unique to women.

Breast nodules, hyperplasia, lumps, and pain during or after menstruation ...... make many women very frightened about breast cancer, fearing that these breast disease conditions will not be well controlled and will deteriorate into cancer.

However, it is important to be clear about the fact that the cure rate for breast cancer is very high, and there are many people who survive for five, ten, or decades after cancer. There are cancer patients who develop the disease in their 50s and end up living into their 80s. The quality of post-cancer survival from breast cancer is often not substantially affected, although it may also be a recurrence at a later stage.

The fact that you have breast cancer at the age of 43 and it is early is very favorable information, but it also depends on the type of cancer. Because there is no 100% in the diagnosis of cancer. So it is not possible to talk about concluding whether it can be cured or not based on a few words.

The high incidence of breast cancer is among unmarried and older (over 40 years old) women who have not had children, women with family genetic factors (women with elders or peers in the family who have breast disease or cancer), irregular life, unhealthy diet and so on are also unfavorable factors. In addition, taking exogenous estrogen and using hormone-containing cosmetics are also bad.

When we talk about curing cancer, it is more important to focus on prevention. Because we are not doing enough to keep away the factors that cause cancer.

More reminders and popular science at Liaoshen Famous Doctors!

Although there are many subtypes of breast cancer with different prognoses, the chances of cure are very high with early detection and treatment, regardless of the subtype.

Breast cancer can be categorized into Luminal A, Luminal B, Her-2 overexpression and triple-negative breast cancer. In Chinese women, Luminal A is the most common type of breast cancer, which is the type with the best prognosis.

There is no mention of a specific typology in the title.

If it is LuminalA type, that is, hormone receptor-dependent type, the vast majority of them can be clinically cured with regular oral endocrine therapy for 5-10 years after surgery and regular review.

In the case of LuninalB type (Her-2 type) and Her-2 overexpression type, postoperative application of targeted anti-Her-2 therapy for 1 year minimizes the risk of recurrence and metastasis.

The prognosis of triple-negative breast cancer is slightly worse in relative terms because of the lack of effective follow-up treatment, so standardized postoperative chemotherapy is very important, but because of early staging, the risk of recurrence is also smaller.

In conclusion, regardless of the type of cancer, staging is the most crucial factor in prognosis, and early detection and early treatment is the most important factor in cancer treatment. As for breast cancer, even with subsequent recurrence and metastasis, most breast cancers still have a lot of good treatment methods and means, and there are many patients with long-term control and tumor survival.

Therefore, the subject does not need to worry too much, as long as the postoperative standardized treatment, pay attention to regular review can be.

Data from 2018 show that the incidence of female breast cancer in China rises year by year with age after the age of 20, and peaks at around 55-60 years old, and the mortality rate also rises gradually with age.

Early age at menarche, late age at menopause, infertility, and age at first full-term delivery are all associated with breast cancer.

Breasts, which bring women beauty and self-confidence, will seriously affect women's physical and mental health once cancer occurs. Technology changes life, along with the deeper understanding of the disease, the treatment mode of breast cancer has changed from pure surgical treatment to multidisciplinary comprehensive treatment based on surgery.

Sometimes it is a cure, and the goal of breast cancer treatment has shifted from simply curing the disease to improving the prognosis while maximizing the patient's quality of life and maintaining form and function. For patients with early stage breast cancer, surgical treatment is the first choice.

The staging of breast cancer mostly adopts the T (primary tumor), N (regional lymph node) and M (distant metastasis) staging method recommended by the International Society Against Cancer.

With the continuous development and advancement of breast cancer diagnosis and treatment technology, that is, the continuous improvement of early detection, early diagnosis and postoperative comprehensive treatment, more and more patients have realized clinical cure.

Early-stage breast cancer, staged as Stage I or II, is curable in 80% of patients, that is, no recurrence at the five-year review.

But patients with advanced breast cancer, such as Stage III and IV breast cancer, have a lower chance of cure than those with earlier stages. How to improve the cure rate? In addition to the necessary surgical treatment, the subsequent radiotherapy and chemotherapy, as well as endocrine therapy and targeted therapy needed by some patients are equally important. Patients need an individualized breast cancer treatment plan that suits them.

([Dr. Fu Hong] is a signed author of Wukong Q&A, this article is an original Q&A, first appeared in today's headlines No. Wukong Q&A, pictures from the network, not for commercial use! Disclaimer: The content of this article is for reference only, not for diagnosis, medication and the use of the basis, can not replace the diagnosis, treatment and recommendations of doctors and other medical personnel, if you are not feeling well, please consult a doctor in a timely manner.)

I am Dr. Little Shadow, every imaging physician. In my daily practice, at least 5 cases are reviewed after having a mastectomy for early stage breast cancer. Some are reviewed 1, 2 or 5 years after surgery and most show no signs of recurrence. All recovered very well.Early stage breast cancer at age 43 is curable and must be dealt with aggressively.

Early breast cancer treatment is very effective, there are three different types of breast cancer, depending on the type of case to take different treatments, after five years is considered clinically cured. There are countless cases of early breast cancer being cured in this way.

Although cancer is scary, it is not scary when it is found early. Be glad that you found it early. Don't have too much psychological burden, as long as the regular consultation, according to the regular treatment plan to treat, do breast-conserving or radical mastectomy, plus postoperative radiotherapy, most people can be completely cured. However, we should insist on follow-up examination, so that we can adjust the treatment program in time if we find any problems.

Early-stage breast cancer is highly treatable, but many early-stage breast cancers have no obvious symptoms, so that by the time they are detected they are already past their optimal treatment period.

Most people find breast cancer by palpating a lump in the breast, here is a correction, palpating a lump in the breast, you must use four fingers to knead, clockwise kneading, so that the palpated lump is considered a lump. Don't use two fingers to pinch, the pinching technique is not correct.

Whatever the reason, if you feel a nodule or lump in the breast for the first time, it is recommended to go for a breast ultrasound first, if the conclusion is grade 4 or above, 4A,4B,4C are all counted, the higher the grade, the more likely it is to be cancer. Some of them should also have a mammogram. In some cases where the nature of the lump cannot be diagnosed, there is also the possibility of an MRI.

All three tests, as long as the report is on grade 4, are recommended to be taken seriously and a puncture biopsy should be done. If the puncture comes out to be cancerous, it is also important to see if there is any metastasis in the surrounding lymph nodes, especially the axillary lymph nodes. See if there is any metastasis elsewhere. Genetic testing should also be done. According to different results, choose different treatment programs.

Regardless of the type of breast cancer, in general, early stage breast cancer has a high cure rate, good results and most can be cured. Relax and take an active part in your treatment.

I am.Dr. ShadowPlease follow me if you want to learn more about medicine.

Look at the post-surgical pathological analysis and staging, my family's example, 07 years of surgery, staging T2 distal proximal are no metastasis, postoperative chemotherapy four times, there is no radiotherapy, anti-estrogen treatment for 2 years, drinking Chinese medicine for 2 years, the treatment effect is very ideal, has been 10 years after surgery, yearly physical examination, everything is normal, in addition to resistance is slightly poor, other aspects and normal people. I wish you an early recovery of health!

[What's going on with breast cancer?]

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[Which type of breast cancer is cured better?]

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Speaker: Li Jinfeng--Deputy Director of Breast Center, Peking University Cancer Hospital, Chief Physician, M.D., Professor; Member of Breast Cancer Committee, Chinese Anti-Cancer Association; Member of National Natural Science Foundation Review Committee; Expert of Beijing Science and Technology Commission; Member of Beijing Medical Accident Appraisal Committee; Editorial Board Member of Chinese Journal of Clinicians; Editorial Board Member of Chinese Journal of Surgery. Editorial Board Member of Chinese Journal of Clinical Physicians; Editorial Board Member of Chinese Journal of Surgery.

If the answer is helpful to you, give the expert a point of praise, there are other questions can be in the comments section to reply Oh, we will try to answer, good health.