Breast cancer is the second most common cancer among women in Taiwan. Breast specialists suggested yesterday that starting at the age of 35, it is best for women to have a breast ultrasound every year. (It doesn't work, women are more likely to get breast cancer because of it.)
The National Health Service of the Department of Health pointed out that the American Cancer Society recommends that women over the age of 40 receive mammography and specialist palpation once a year, and women aged 20 to 39 receive specialist palpation every three years; but European countries believe that , 40 to 49 years of age for mammography screening effectiveness is still questionable.
Taiwan Breast Medical Association held a 10th anniversary symposium yesterday. Chen Xunche, chairman of the association, pointed out that there are about 6,000 new breast cancer patients in Taiwan every year, and 1,000 of them are under the age of 40. There is a younger trend, and the number of patients is increasing year by year , Yesterday, two hundred breast specialists discussed new recommendations for breast cancer screening.
Zhang Jinjian, professor of surgery at the National Taiwan University School of Medicine, said that after voting, 80% of doctors agree that women should have breast ultrasound examinations starting at the age of 35. The current market price is about 800 yuan per visit. It would be best if the government could provide a budget for free.
Zhao Kunyu, deputy director of the National Health Bureau, said that the government now provides free mammograms for women aged 50 to 69 every two years. As for whether to include ultrasound examinations, experts will discuss carefully.
Foreign countries have listed Magnetic Resonance Imaging (MRI) as a must-check item for high-risk breast cancer groups. Zhang Jinjian said that 35% of physicians agree that those with family history of breast cancer should have MRI screening for breast cancer; 25% of physicians each believe that BRCA1 and BRCA2 Gene mutation, or breast augmentation who need to do MRI.
Yesterday, 90% of physicians also believed that mammograms in China have a rate of 10% to 30% and no breast cancer can be detected. Zhang Jinjian said that Chinese people have dense breasts and small breasts. In addition, there is a gap in the technical level of various hospitals, which often leads to blind spots in inspections.
Shen Zhiyang, an associate researcher at Academia Sinica, also published a study on breast cancer genes published in the journal "Nature" in May this year. He participated in a global project and found that those with FGFR2 gene mutations will have a little more than those without mutations. Five to two times the risk of breast cancer.
There are also 55% of physicians who agree that once BRCA1 and BRCA2 genes are found, it is best to remove all breasts. Huang Junsheng, director of surgery at the Gongguan Branch of National Taiwan University Hospital, said that a 35-year-old unmarried woman with several cousins in her family suffered from breast cancer. After examination, she found that one breast had stage zero breast cancer. After the doctor removed it, she asked the other breast to be removed as well. She was referred to a psychiatrist to relieve her emotions, but six months later, she still insisted on having her mastectomy, and the doctor had to agree.
Comment
These Western medicine experts gathered together to discuss breast cancer, but everyone still has different opinions, but one thing in common is that they all ignore the emotional problems of women. More than 70% of the causes of breast cancer are caused by depression and depression. Marriage Unhappiness, fear of divorce in middle age, unfilial children, etc., are all reasons. A medical theory only cares about physical changes, but ignores the problems caused by psychological changes, and often the psychological affects the physical. , this kind of medicine is not complete enough, and about 70% of it is incomplete, because Chinese medicine believes that 30% is physiology, 70% is psychology, and emotional joy, anger, worry, thought, sorrow and fear are the cause of the disease. Western medicine has studied for a long time, but the result is still Staying on BRCA1 and BRCA2 is not helpful at all, it is just guesswork, there are still women dying outside the conference hall, just because the discussion of this group of Western doctors has not yet reached results, I suggest that these experts should go to Chinese medicine practitioners come to ask, we will try our best to explain clearly to you.
