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2024-07-15
Which muscle is used for breast reconstruction, the rectus abdominis or the latissimus dorsi?

For breast reconstruction, we usually prefer the muscles of the rectus abdominis. Unless you are very strong and your latissimus dorsi muscles are well developed, you can use them. It also depends on the size of your opposite breast. If your opposite breast is small, you may be able to use the latissimus dorsi muscles. If the opposite breast is larger, then your latissimus dorsi muscles are not enough. Another thing is that there are some defects after the latissimus dorsi muscles are done. For example, after you remove the latissimus dorsi muscle, the side taken out is concave and deficient, so the shape of your back is not as perfect. However, most women have a lot of rectus abdominis muscle, which can be removed to give you a more perfect body shape.

2024-07-13
For stage III breast cancer, should surgery or chemotherapy come first? Will the order of the two treatment methods affect the success rate differently?

For stage III breast cancer, should surgery or chemotherapy come first? The success rates of these two treatments. If it's stage III, most of the patients will receive chemotherapy before surgery. Doing chemotherapy first can shrink your tumor, reduce the tiny tumors in your blood, reduce the chance of recurrence, and help you provide the opportunity to preserve your breasts. It can also know your sensitivity to drugs. If you can't control the tumor after chemotherapy, it means your prognosis is very poor. In this case, it's recommended to do chemotherapy first and then surgery.

2024-07-13
Do I need chemotherapy and radiotherapy after lymph node surgery?

Whether you need chemotherapy and radiotherapy after surgery depends on the state of your lymph nodes after surgery, the size of the tumor and molecular analysis. So it is difficult to tell you whether you need chemotherapy or radiotherapy now. You need to give me all your reports, including the relevant parts I just mentioned, so that I can tell you whether you need chemotherapy or not. Some patients do not need chemotherapy or radiotherapy, but it depends on the patient's condition.

2024-07-11
What are the treatment options for recurrent lymphoma?

Diffuse large B cell lymphoma, the effect of this treatment with CAR-T is very good except that it’s expensive. If the your economic condition is good, you can consider using CAR-T treatment, there is hope that you can be "cured"!

2024-07-11
What treatment is recommended for triple-negative breast cancer metastatic to the liver?

I think it's possible. It can be "cured" with seed implantation, cryotherapy, TCM, and immunotherapy if the spread is not too extensive. But if it spreads widely, we recommend living with the tumor. Patients who survived with tumors for up to 37 years. For patients like this, we don't recommend killing all the tumors if other treatments are not effective. Even if we kill all the tumors, the patient's body will not be able to withstand it, so I suggest he use minimally invasive treatment.

2024-07-05
Professor, what kind of treatment should I do for breast cancer metastasis to the bone and lung?

There are many types of breast cancer, for example, ER, PR and HER2, positive or negative. Different situation will require to take different methods of treatment. There are metastasis to the bone and lung. For lung metastasis, we can treat it with several therapies such as microwave ablation, seeds implantation and cryotherapy. For bone metastases we can also do seed implantation.

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