Tips of the doctor

D.M.N., Professor, Deputy Director for Oncology GBUZ Moscow Scientific Clinical Center named after.WITH. Loginova.

D.M.N., Professor, Deputy Director for Oncology GBUZ Moscow Scientific Clinical Center named after.WITH. Loginova.

Breast cancer (RMW) – oncological disease number 1 in women all over the world. In Russia, every year such a diagnosis is made more than 60 thousand. women, about 600 thousand. Overcall is observed after treatment [1] . Most often, in 75% of cases, local recurrences occur in the first 5 years after surgery [2] . Tell how often cancer is returned and what can be done to reduce the risk of refund.

Recurrence of breast cancer – what is it?

Recurney RMG is a refund of the disease that occurs after the treatment of the primary tumor. If from this moment has passed more than six months and during this time metastases were not identified, doctors talk about recurrence. Returned cancer Russian oncologists are divided into relapse (the new tumor was formed in the postoperative scar or the nearest lymph nodes) and metastasis (cancer cells with blood flow or lymph of the breast migrated to other organs). Foreign experts consider recurrence and the more.

The retest of the tumor is important in time to diagnose, for this, a woman after the RMW should strictly observe the frequency of visits to the oncologist.

When and why recurrence arises?

This can happen at any time, but in the first five years after treatment, the risk is maximum [3] . It affects it:

  • The primary tumor stage (the later the oncological disease was revealed, the greater the risk that cancer would return);
  • The age of a woman (recurrence occurs more often in young women);
  • the size of the primary tumor (with a large amount of the risk of re-cancer increases);
  • As far as the tumor is malignant (with aggressive forms, the probability of recurrence above and the timing of its development is less – the first 2 years);
  • whether lymph nodes were affected;
  • In the same way and in what volume adjuvant (preventive) therapy.

If the primary tumor grew slowly, the term of recurrence is over 2 years, if quickly – less than 1 year [4] . Any repeated RMG doctors regard as more aggressive than primary.

What is the probability of recurrence?

Tips of the doctor

This question is always interested in patients. Let us see an example of a study that was carried out in the MNII them. NS.A. Herzen for 15 years. Under the supervision there were 703 women who were conducted by mastectomy. Recurner in the chest and the nearest lymph nodes were identified in 32 patients, it is 4.6% of the total number of patients. 87.5% of recurrences were diagnosed within 5 years after surgery [5] .

What to do after the treatment of the primary tumor?

After the treatment of RMW, a woman is recommended to come to an oncologist at least once a year, in some cases consultations at the attending physician are held more often – it depends on the clinical situation. A specialist conducts an inspection, asks the patient in detail that it worries her. In addition to inspection oncologist, appoints:

  • Mammography and ultrasound (necessarily once a year);
  • scintigraphy of the bones of the skeleton, the chest x-ray, the ultrasound of the abdominal organs and the small pelvis (if necessary).

RMW can give metastases in any organ, but most often in the lungs, liver, bone, brain. If there is a suspicion that cancer cells from the breast with blood flow shoe to other organs, a woman will appoint CT of the whole organism, and if necessary, supplement his PET CT with contrast. The doctor must have a complete picture of foci with metastases.

The likelihood of recurrence depends on the type of malignant neoplasm. Talk to your doctor about your forecast, recurrence symptoms, what changes in the body will be considered the norm, and which should alert.

How Recurd is treated?

Treatment depends on where repeated cancer originated – in the chest or tumor gave metastases. In the case of metastasis, drug therapy (hormone therapy, chemotherapy) is carried out in most cases. It can be complemented by radiation therapy. From recurrence or metastase, the doctor takes a biomaterial to confirm the diagnosis and not only to check the characteristics of the returned tumor (expression of estrogen receptors, progesterone, HER2-status, in some cases – PD-L1 expression and other indicators), but also exclude the development of a new disease. It can significantly affect the tactics of disease treatment.

If the re-tumor was formed only in the chest area, operational treatment is prescribed, supplemented by adjuvant therapy (postoperative chemotherapy, hormone therapy, and t.D.), which improves the results of surgical treatment).

Recurrent prevention

After the treatment of RMW, listen carefully to the recommendations of the attending physician.

  • Regularly pass the preventive inspections from the oncologist.
  • Do not forget about the independent examination of the chest.
  • Spend more outdoor time.
  • Stick up a healthy nutrition. Less fatty food, more fruits, vegetables, cereals.
  • Detach the time of physical load.
  • Watch your weight. This recommendation is very relevant for women after RMW, especially the hormone-dependent. Due to excess fat in the body, estrogens are actively produced, and they stimulate elevated cell reproduction, including tumor.

Do I need to be afraid of relapse?

After the end of the treatment of RMG, the euphoria may change with painful excitement about a possible recurrence. Yes, this happens even after the ideally spent treatment, and no woman is insured against such a development of events.

Any woman who suffered the RMW, is afraid of recurrence. Fear is so great that even a slight ailment is regarded as a returned cancer. Or only one thought about the upcoming examination causes horror and panic. Do not hold these fears in yourself, talk about it with a oncopsychologist and calm down. Recurney RMG – this is no case a sentence.

Love yourself, love life! And remember that you are not alone: ​​there are your friends near, friends, combat girlfriends and we are your doctors!

1. Methodical recommendations for the prevention of breast cancer of the Ministry of Health of the Russian Federation. M., 2018. WITH.4.
2. Popelov E.AND., Meshcheryakov A.A. Drug treatment of breast cancer. Regular issues "RMW" №14 from 14.07.2002. P. 605.
3. Rogue E. A., Pak D. D., Zikilhodzhaev A. D., ABITSova N. V. Recurrements after radical subcutaneous mastectomy. Oncology. Journal IM. NS.A. Herzen. 2014; 3 (2): 21-23.
4. Rogue E. A., Pak D. D., Zikilhodzhaev A. D., ABITSova N. V. Recurrements after radical subcutaneous mastectomy. Oncology. Journal IM. NS.A. Herzen. 2014; 3 (2): 21-23.
5. Rogue E. A., Pak D. D., Zikilhodzhaev A. D., ABITSova N. V. Recurrements after radical subcutaneous mastectomy. Oncology. Journal IM. NS.A. Herzen. 2014; 3 (2): 21-23.

You might also enjoy:

Leave A Comment

Your email address will not be published. Required fields are marked *

*

code