夏玉清补脾益肾法治疗乳腺癌一则
暂无标题
扫 描 看 全 文
郝璐, 夏玉清. 夏玉清补脾益肾法治疗乳腺癌一则[DB/OL].(2023-10-31)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=43394563&Fpath=home&index=0
病史摘要,2,患者王某,女性,39岁,主因“乳腺癌术后半年”就诊。2010年10月无意中发现右侧乳腺肿物,至积水潭医院就诊,查B超提示:BI-RADS 4类。2011年1月北京协和医院B超提示:右乳内下象限结构紊乱伴多发钙化,Ca不除外;右腋窝淋巴结可见。随后同月在该院行右乳肿物切除活检术,术后病理提示:(右)乳腺高级别导管内癌;免疫组化:ER(-)、Her-2(+)、PR(-)。2011年2月行右乳单纯切除术加前哨淋巴结活检,术后病理提示:(右)乳腺高级别导管内癌。(前哨)淋巴结未见癌。患者术后拒绝辅助性化疗,2011年7月复查乳腺B超:右乳切除术后;左乳腺增生;左乳腺多发实性结节,倾向良性,建议复查;左乳囊性结节。中医诊断 乳岩(脾肾两虚证)西医诊断 右乳腺高级别导管内癌、左乳腺增生、左乳腺多发实性结节、左乳囊性结节干预措施 中药以补脾益肾为法,佐以化痰解毒,予四君子汤合肾气丸加减组方内服,配合电热针联合毫针外治扶正补虚,祛邪解毒以增强免疫力,降低肿瘤复发和转移率。疗效转归 该患者未选择辅助性化疗,术后一直中医针药调理治疗4年病情稳定,生活质量较高。
Summary of case history, The patient, female, 39 years old, went to the hospital because of "Right lung cancer more than 6 months after surgery ".In October, 2010, she accidentally found a right breast tumor, and went to Jishuitan Hospital for treatment. B-ultrasound showed: In January, 2011, B-mode ultrasound of Peking Union Medical College Hospital indicated: BI-RADS4. Structural disorder in the lower right breast quadrant with multiple calcification, except Ca; The right axillary lymph node was visible, and then the right breast tumor was resected and biopsied in this hospital in the same month. The postoperative pathology showed: (right) high-grade ductal carcinoma of breast; Immunohistochemistry: ER(-),Her-2(+),PR(-). In February, 2011, the right breast was simply resected and sentinel lymph node biopsy was performed. Postoperative pathology showed: (right) high-grade ductal carcinoma of breast. No cancer was found in lymph nodes (sentinel). The patient did not choose prophylactic chemotherapy. In July, 2011, B-ultrasound of breast was reexamined: after right mastectomy; Left mammary gland hyperplasia; There are multiple solid nodules in the left breast, which tend to be benign. It is recommended to reexamine them. Left breast cystic nodule.,TCM diagnosis, Breast cancer (deficiency of spleen and kidney),Western medicine diagnosis, High-grade intraductal carcinoma of right breast,Therapeutic methods, The traditional Chinese medicine was based on the method of tonifying spleen and tonifying kidney, supplemented with the methods of resolving phlegm and detoxicating. It was orally administered with Sijunzi Decoction and modified Shenqi Pill, and combined with the external treatment of electrical-thermal acupuncture and filiform needle to strengthen the body resistance and replenish deficiency, eliminate pathogenic factors and detoxify to enhance the immunity and reduce the recurrence and metastasis rate of tumor.,Clinical outcomes, The patient refused to adjuvant chemotherapy and had been receiving acupuncture and medication conditioning treatment in traditional Chinese medicine for four years after surgery. His condition was stable and his quality of life was high.
电热针乳腺癌术后【适合阅读专业】 肿瘤
Xia YuqingLung cancerPostoperative breast cancerelectrical-thermal acupuncture【Suitable majors】 Oncology
张雪,董晓平,管雅喆,任萌,郭冬利,贺宇彤.女性乳腺癌流行病学趋势及危险因素研究进展[J].肿瘤防治研究,2021,48(1):87-92.
张彦收,刘运江.乳腺癌手术治疗回顾和进展[J].现代肿瘤医学,2015,23(5):719-723.
邵志敏,江泽飞,李俊杰,陈盛,王海.中国乳腺癌新辅助治疗专家共识(2019年版)[J].中国癌症杂志,2019,29(5):390-400.
邵志博,杨犇龙,吴炅.2022年中国乳腺癌重要临床试验成果及最新进展[J].中国癌症杂志,2023,33(2):103-109.
张厚云,赵凌云.乳腺癌内分泌治疗研究进展[J].中国普通外科杂志,2014,23(5):680-684.
刘力,刘国文,谭米多.乳腺癌的综合治疗现状[J].中国肿瘤外科杂志,2013,5(1):60-63.
卢璐,李薇晗,郭小川,符文彬.雷火灸治疗乳腺癌化疗患者气虚型癌因性疲乏的临床研究[J].针刺研究,2018,43(2):110-113.
刘伟,解东兴,马娜,马琳,秦蕊,贾春红.健脾扶正法中西医结合干预在老年乳腺癌术后化疗副反应中的应用价值[J].中国老年学杂志,2023,43(3):538-541.
李孟,梁则徐,李冠男,韩凤娟,李建民.中医中药治疗乳腺癌的研究进展[J].现中医药学报,2023,53(2):103-108.
李亚坤,黄敏娜,贾英杰.乳腺癌相关抑郁状态中西医诊疗研究进展[J].中医肿瘤学杂志,2023,5(1):59-64.
孙俊俊,李云芬,朱勉生.乳腺癌术后辅助化疗不良反应以及中医药治疗综述[J].世界中医药,2020,15(20):3147-3150.
夏玉卿.中国电热针疗法[J].World Journal of Acupuncture-Moxibustion,2007(3):31-38.
中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2021年版)[J].中国癌症志,2021,31(10):954-1040.
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构