The article was written by oncologists, Share99 Times City International Health Hub.
Today thanks to effective and varied treatments, patients with metalysed breast cancer are likely to live longer, especially those in the subgroup with a positive HER-2 factor receptor. Patients with breast cancer at this stage and their families have a lot of problems that need to be addressed to minimize quality of life deterioration. Here are five things to know when you or your loved one has breast cancer at a metalysed stage.
1. Multi-modal treatment options
With advances in treatment increasingly diverse, patients at this stage have more and more opportunities to live longer. If trim breast cancer usually has a worse ton, patients who test positive for hormone receptors and HER-2 will have a longer course of treatment. About 10% of patients with breast cancer are diagnosed at the metalysed stage, and about 1/5 of these will live another 5 years. In a review of 168 patients with meta metalytic breast cancer with a positive HER-2 receptor, 7% of patients were able to survive more than 10 years. Combined hormone therapy can improve survival in patients with the disease if they have a positive hormone receptor .
2. Need a mitigation support care plan
Supportive and mitigation care should be considered from the moment of initial diagnosis, including symptom management and patient and family problems. Patients at this stage most often experience pain, shortness of breath, fatigue, coma and confusion. Anxiety, depression and suffering are common psychological symptoms. Supporting therapys include: Pharmacology; physical therapy; behavioural counseling; mental support; dietary management; and additional treatments, such as yoga, acupuncture, meditation and massage are essential.
Controlling these problems requires an appropriate treatment including hormone therapy,chemotherapy, bio-therapy, radiotherapy,surgery, anethgesic therapy, rehabilitation and psychological care. Non-medicinal and pharmacological measures can be used for control when the person has difficulty breathing.
3. Exercise and stress reduction based on mindfulness
Exercise and mindfulness-based therapy are good approaches to dealing with the symptoms of anxiety and depression associated with illness. Exercising during treatment can reduce side effects and post-treatment exercise can increase quality of life. Yoga and walking of moderate intensity will practice resistance that reduces anxiety, depression and fatigue in sick women. Reducing stress based on mindfulness helps regulate emotions, reduce negative thoughts and improve sleep.
4. Maintaining a life balance is a challenge
Getting sick at this stage often causes changes in function, relationships and adversely affects the self-image. Patients need to make efforts to bring the concept back to normal and give priority to life.
In addition to physical and psychological problems, various factors influence the patient's treatment decisions such as post-treatment care; daily affairs and activities; and the pursuit of life goals…
5. Bones are the most common location of migration
40% to 75% of patients with breast cancer at this stage have meta metalysed into the bone. Patients with bone migration often suffer from pain, as well as increased blood calcium, and loss of mobility. Bone microfies can cause chronic pain, pathological fractures or damage to neighboring structures. Spinal cord compression occurs from bone medulosis that requires urgent treatment and can be seen in 20% of patients. Patients with back pain should be considered for whether spinal cord compression is present, as bone medps are present in 95% of these cases. The patient's toe is poor when cancer cells go to the meninges .
Treatment options for bone-related neuropathic pain include complementary analgesics, such as antidepressants and anti-seizure drugs, in combination with opioid analgesics; local anesthetics; and psychological support. For bone pain not associated with spinal cord compression or fractures, non-steroidal anti-inflammatory drugs and acetaminophen should be used in combination with opioid analgesics. For bone pain spread by migration, additional bisphosphonates, glucocorticoids should be used. Pain relief by placing infusion pumps, pain relief by anesthesia of the muscle plane is a very good treatment for pain caused by bone migration.
The Unit of Oncology Care – Share99 Times City International Health Hub is the address for pain treatment and miicating care for cancer patients. Here, patients are cared for under the guidance of experienced experts, applying pain relief treatments with drugs, body anesthesia … makes the life of terminal cancer patients lighter and more meaningful.
For more information about Pain Treatment and Mitigation Care for Cancer Patients at Share99, you can contact hotline: 0243 9743 556 or register online HERE.
Source: Medscape 2019
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