Hello! 80 years old, my grandmother had breast cancer in patients with advanced disease has been to the doctor that has spread to the lymph node, I want to know the proliferation of channels and what are the symptoms?
"Hello! Metastatic spread of breast cancer There are many ways of breast cancer lymph node metastasis: lymph node metastases of breast cancer the most common, there are two main ways to transfer:
① breast cancer patients axillary lymph node metastasis rate is high, the most common, is the earlier onset of metastases, accounting for 60% of treatment to patients, cancer cells along the lateral border of the pectoralis major lymphatic vessels immersed in axillary lymph nodes. Axillary lymph node metastasis and primary tumor size, tumor volume greater the later stage of disease, the higher the axillary lymph node metastasis, transfer a few more. Even if not clinically palpable axillary lymph nodes, surgery is often found to have lymph node metastases.
② parasternal lymph node metastasis rate of about 30% to 50% of cancer cells to the inside of the immersion parasternal lymph nodes, then to the supraclavicular lymph nodes, pleural or thrombosis may also cause reflux spinal metastasis.
2, hematogenous metastasis: cancer cells can directly invade the blood vessels caused by distant metastasis. Deep breast tissue, breast and chest wall of the vein to import the axillary vein into the subclavian vein and innominate vein, lung metastasis is an important way. The incidence of breast cancer metastasis and primary tumor size, lymph node metastasis and pathological grade. The most common metastatic breast cancer of the lung, followed by bone, liver, soft tissue, brain and adrenal.
① lung metastases showed the majority of lung nodules, even for a single nodule. Small number of cases showed lymphangitic cancer, clinically significant cough, shortness of breath and cyanosis.
② bone metastases to the chest, spine and pelvis, followed by ribs, femur, etc.; most of osteolytic changes, and the minority into the bone; long bone metastases can be pathological fracture, spinal metastasis can cause spinal cord compression due paraplegia, a progressive increase in clinical pain.
③ early symptoms of liver metastasis, ultrasound imaging and CT can help early detection.
④ pleural metastasis often secondary to pulmonary metastases, even those who also see a simple pleural metastasis, mainly as pleural effusion, can be bloody, and sometimes cancer cells can be found within the pleural effusion.
⑤ in female patients with brain metastases, breast cancer is a common primary tumor, with the CT examination can help diagnose.
Breast cancer metastasis is not no cure, in the adjuvant setting, many patients chose to extract the essence of traditional Chinese medicine ginseng ginsenoside RH2. Ginsenoside Rh2 effectively regulate the immune system, inhibit tumor cell proliferation, breast cancer, pancreatic cancer, glioma and other cancer preventing recurrence and metastasis have a therapeutic effect for cancer patients and other critically ill patients and elderly frail people taking to improve appetite and sleep were also helpful.
Lymph node metastasis of breast cancer can occur later, ipsilateral axillary lymph nodes, and the growing number of enlarged lymph nodes, adhesion to each other into a group, few patients can occur contralateral axillary lymph node metastasis. Breast cancer can also occur late distant metastasis of breast cancer will be transferred to the lungs, chest pain, pleural effusion, shortness of breath and other symptoms. Transfer can occur lesion spinal pain and even paralysis, etc., can occur liver jaundice, hepatomegaly and so on.