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中西整合醫學雜誌

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篇名 乳癌潰破反覆發熱中西結合治癒病例報告
卷期 16:4
並列篇名 A Recurring Fever Case of Breast Cancer with Ulceration Remission Treated with Integrated Medicine
作者 林怡如林美儀
頁次 025-036
關鍵字 乳癌潰破發熱加味秦艽鱉甲散Breast Cancer with UlcerationFeverModified CHYN JIAU BIE JEA SAN
出刊日期 201412

中文摘要

本病例為一47歲乳癌患者,因使用遠紅外線照射乳房腫塊,拖延多年,導致乳房腫瘤腫大、潰破、流出膿血惡臭分泌物,故住院檢查,病理報告為浸潤癌第三期,預計進行手術前化療,因發燒以致無法化療,血液檢查:白血球增多,貧血,白蛋白過低,經給予輸血腫瘤潰破局部放射線治療止血,及使用抗生素控制感染約3周,發燒反覆持續不退,因而會診中醫共同治療,中醫診斷為陰血虧虛,癌瘤邪毒入侵,導致毒熱蘊結,為發燒反覆不退的主要病理機制,處方以秦艽鱉甲散加味,滋陰養血,清熱解毒,患者開始服用中藥後即未見發燒現象,因此順利完成化療而出院。

英文摘要

The present a 47 years case of left breast cancer with far-infrared ray treated tumor caused breast tumor enlarged, ulceration, and secreting bloody water and foul odor discharge. So she admitted and received examination that pathological report was breast invasive cancer, stage 3 and prepared preoperative chemotherapy. But she suffered from fever and blood routine revealed leukocytosis, anemia and hypo-albuminemia. The patient was administrated blood transfusion, radiation therapy for tumor ulceration to hemostasis, and antibiotic treatment for control infection three months. But the patient fever was persistent and consulted Chinese medicine combined treatment of fever. The diagnosis of Chinese Medicine was yin-blood deficiency and tumor evil invaded which caused toxic hot accumulation. The formulas modified CHYN JIAU BIE JEA SAN with nourishing yin-blood and clearing heat and resolving toxin. The result the patient’s recurring fever was subside to normal and successfully underwent chemotherapy and discharged.

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