Teacher Du's hesitation, several students only need to read the patient's medical records to understand the reasons.

"The pathology of her tumor is Luminal. It belongs to the B type." Du Haiwei Nian reads the results of the pathology report written on the medical record.

The family member who accompanied the patient should be the patient's mother, and said: "Yes, yes, the doctor there got the report after the operation and told us that this type is good and the treatment effect will be relatively good. I don't know why the indicators cannot be reduced after taking the medicine."

"One-third of patients will become resistant to these drugs, which is usually said to have no treatment effect that doctors want to achieve after taking them." Du Haiwei said, "Her pathological reports show that the tumors in her body are estrogen-dependent. If these drugs are effective, they can interfere with the estrogen receptor... now it seems that they are ineffective."

The two classmates sitting opposite found that Teacher Du was not unwilling to talk, but he was definitely good at speaking and was very patient with the patient's family.

The family said: "We heard from the breast surgeon's doctor, saying that we need to come to your gynecology department for surgery."

"She is too young and has lymph node metastasis. Has the breast surgeon talked to you about these issues?" Du Haiwei continued to ask in a calm voice.

To determine the condition of a cancer patient, including prognosis outlook, all data are required for comprehensive analysis. It is not enough to just look at pathological typing. It is absolutely necessary to make a judgment based on factors such as staging and patient age.

The so-called better-sized Luminal in this patient is a very subtle situation. The examination results show that the estrogen receptor ER progesterone receptor PR is positive, and the human epidermal growth factor receptor HER2 is negative. These indicators indicate that endocrine therapy may have a targeted effect on the tumor cells of this patient. For breast cancer patients, endocrine therapy can be said to be the most life-saving method. For example, the Sanyin, which is the most terrified clinical doctors and patients, does not use endocrine therapy, so the survival rate of this type of patient is the lowest.

Luminal                       The worst thing about type A is that another indicator, Ki-67, is not good. High Ki-67, means that the tumor cell proliferation is high expression, and the tumor cell proliferation in the body is too active. So in the staging of this patient, it can be seen that the tumor is large in tumor resection, with lymph node metastasis, and 100% poor in stages. The surgery was performed. It is definitely impossible to clean all cancer cells in the patient's body if the surgical procedure is performed. The patient is too young, has fast metabolism, and the possibility of tumor cells recurrence is too high. In summary, based on the doctor's clinical experience, the prognosis prospect of this patient is not ideal.

"I heard from the doctor over there." The family member's head lowered, his voice full of sorrow.

"After the removal, the tumor may continue to recur. If this is the case, are you sure you want to get her killed again?" Du Haiwei asked.

Sometimes the cruelest thing about being a doctor is nothing more than just having to explain these consequences to patients and their families.

The patient's mother wiped the tears from the corners of her eyes and said the heaviest sentence: "Doctor, she is only in her early twenties."
Chapter completed!