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Experience of professor Li Peiwen in treating cardiotoxicity related to breast cancer treatment |
ZHOU Jialin1 WANG Zhaodongfang1 ZHANG Jing1 WAN Donggui2 |
1.China-Japan Friendship Clinical Medical College, Beijing University of Chinese Medicine, Beijing 100029, China;
2.Oncology Department of Integrated Traditional Chinese and Western Medicine, China-Japan Friendship Hospital, Beijing 100029, China |
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Abstract Anthracycline chemotherapy drugs and targeted drugs such as Trastuzumab are commonly used anti-tumor drugs in the treatment of breast cancer, and cardiotoxicity is the common reason to limit their use, which seriously affects the anti-cancer treatment and prognosis of breast cancer patients. With the gradual development of breast conserving surgery, left chest wall radiotherapy induced cardiac injury is also one of the influencing factors of breast cancer patients with cardiac dysfunction in the future. Professor Li Peiwen has rich clinical experience in the diagnosis and treatment of cardiotoxicity related to breast cancer treatment. He thinks that the treatment of cardiotoxicity caused by anthracycline drugs, Trastuzumab and radiotherapy are different. Cardiotoxicity caused by Trastuzumab is mainly deficiency of heart qi, cardiotoxicity caused by anthracyclines is mainly blood stasis, and cardiotoxicity caused by left chest wall radiotherapy is mainly yin deficiency. In the treatment, the methods of benefiting heart qi, promoting blood circulation and removing blood stasis, eliminating heat by nourishing yin have achieved satisfactory clinical results.
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