How much do you know about breast cancer?

Aunt Liu: Doctor, I seem to have a hard touches on the left breast.

Doctor: How long is it?

Aunt Liu: It is about three or four months.

Doctor: Why didn't you go to the hospital early?

Aunt Liu: I do n’t hurt or itching, I can eat or sleep, and I have not paid attention to it. In the past month, I found that the hard stubborn has become bigger and bigger. Doctor, willn't I get cancer, right?

Doctor: Aunt Liu, don't be afraid, first check you carefully to find out whether there are major problems. If it is a tumor, he will be hospitalized as soon as possible.

Aunt Liu, 58 years old, the left breast block, the ultrasound is manifested as: irregular morphology, rough edges, low echo inside, rich blood flow signals. At the same time, the left armpits have abnormal lymph nodes. The ultrasonic diagnosis is: The left breast solid mass, BI-RADS category 5 categories, breast cancer is likely, and it is recommended to hospitalize. Aunt Liu's surgical pathological result was the left breast infiltration duct cancer.

According to the latest global cancer data released by the World Health Organization (WHO) International Cancer Research Agency, breast cancer has become the world's largest cancer, and it is the first to live in female malignant tumors in my country. According to literature, the incidence of breast cancer in my country has gradually increased since the age of 20, and 45-50 years old has reached a high value. So far, the youngest breast cancer patients I have encountered are 27 years old. Breast cancer seriously affects women's physical and mental health. The five -year survival rate of early breast cancer is more than 90%, and the five -year survival rate of advanced breast cancer is about 30%. As a woman, we should improve our health awareness and understand the knowledge of breast cancer. And actively participate in breast cancer screening.

How to screen it?

The general risk group of 45-70 years old is recommended to perform breast ultrasound examination every 1-2 years.

High -risk people over 40 years of age are recommended to perform breast ultrasound combined breast X -ray examinations once a year.

Who belongs to high -risk people in breast cancer?

High -risk group, there is a history of genetic family

乳 The first -level relatives have a history of breast cancer or ovarian cancer;

Before the second -level relatives were 50 years old, more than 2 people suffered from breast cancer;

Before the second -level relatives were 50 years old, more than 2 people suffered from ovarian cancer;

亲 At least 1 first -level relatives carry the pathogenic genetic disease of the known BRCA1/2 genes or carried the BRCA1/2 gene pathogenic mutation.

High -risk people 2 (with any of the following)

The first tide of the menstruation ≤ 12 years old;

5 Menstructed age ≥55 years;

史 There is a history of breast biopsy, a history of breast benign disease surgery, and a history of not typical hyperplasia of the breast proven;

激 Hormone replacement therapy using "estrogen hormone combination" is ≥6 months;

腺 After the age of 45, the breast X -ray examination indicates that the breast substance (or breast density) type is uneven or dense.

High -risk people three (with any two of them)

The history of lactation or lactation time is <4 months;

含 There is no history of living (including never fertility, miscarriage, dead tires) or the age of the first living production ≥ 30 years;

素 Use only estrogen hormone to replace the treatment ≥6 months;

然 Abortion (including natural abortion and artificial abortion) ≥ 2 times.

How to correctly interpret the results of breast ultrasound screening?

For reports of breast cancer screening results, at home and abroad, the breast image report and data system published by the American Radiation Society, namely BI-RADS classification. In 2013, the amendment of the Breast Ultrasonic Report and data system after the American Radiation Society can be divided into seven categories.

Category 0: It is necessary to further evaluate with other imaging, such as breast molybdenum target or magnetic resonance.

One category: There is no abnormal discovery of ultrasound examination, it is recommended to review once a year.

Two categories: It is a benign lesion, which can basically exclude malignant. It is recommended to review it every six months to one year.

Three categories: the possibility of benign lesions, and the risk of malignant is less than 2%. It is recommended to review 3-6 months.

Four categories: It is a suspicious malignant lesion with a risk of malignant 3%-95%.

：4A (low) category: low suspicious malignant, malignant might be> 2%, but ≤10%, requires intervention, but the pathological report with a low degree of malignancy may be malignant or benign.

： 4B (medium) class: moderate suspicious malignant, malignant might is> 10%, but ≤50%, further image examination should be further performed, and biopsy should be performed.

： 4C (high) class: high suspicious malignant, malignant possibilities are> 50%, but <95%, biopsy should be performed.

The solid lump lesions of the benign signs of ultrasound over 40 years old may have no characteristic breast cancer form, but it is a high age and a vicious possibility.

Five categories: It is a highly suspicious and malignant lesion. Appropriate diagnosis and treatment should be taken. The probability of malignancy is greater than 95 %, and hospitalization must be received.

Six categories: It has passed the pathological confirmation as malignant.

Breast lumps are the most common manifestations of breast cancer. The mass is hard, painless, and grows rapidly. Like Aunt Liu: I found my breasts, I feel it is not painful and itchy. It is not uncommon for those who have missed the best treatment time. Very important. As a non -invasive examination method, ultrasonic diagnosis rate is one of the important examination tools for regular examination of breast disease. It can detect the lesions early, improve the detection rate of early breast cancer and pre -cancer lesions, take timely and effective treatment, improve the survival rate , Even cure.

Kind tips

According to the needs of the epidemic prevention and control work, avoiding personnel's piles and ensuring everyone's safety. Please take the initiative to scan the site code, show health code, wear masks, cooperate with medical personnel to test the temperature, report the history of residence, keep one meter -line safety distance distance.Thank you for your cooperation!In a special period, it brings you inconvenience, so stay tuned and understand!Correspondent: Wu Linglin

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