If life is like chess, he has no regrets, is obsessed with the cause of breast tumor medicine, and will play the "dead chess" of many patients; if life is like a swim, he uses benevolence and benevolence to ferry the disease "drowning" to the other shore. He is He Jianjun, the head of the breast surgery department of the First Affiliated Hospital of Xi'an Jiaotong University.
The original intention has not changed: professional practice and exploration
In the 1960s, He Jianjun was born in the countryside, he admitted that it was very difficult to see a doctor at that time, when the family was sick, they used a rack car to pull the patient to the small hospital in the town to see a doctor, if they were seriously ill, they needed to go to the city or provincial city hospital for treatment, which was simply difficult. In the heart of He Jianjun later, this deeply sowed the seeds of determination to practice medicine.
In 1981, when he applied for the university volunteer examination, he filled in the medical school for five volunteer options, and later had the honor of being admitted to the Medical College of Xi'an Jiaotong University (formerly Xi'an Medical College). Time flies, thirty-five years of "medical" road time, He Jianjun has always used the strictest requirements to spur himself, with the heart of a child who can relieve people's pain, coupled with the twilight of diligent study and hard work, he has formed his praised breast surgery techniques and concepts.
He Jianjun is operating on breast cancer patients (Photo courtesy of the interviewee sent by the Central Broadcasting Network)
Cardiotonic cancer: protect women's breast health
"Oncology surgery, as the name suggests, is the department that operates on oncology patients." Director He explained in layman's terms that there were more tumors in the previous department for surgery, including lung cancer, esophageal cancer, gastrointestinal tumors, breast cancer, thyroid cancer, etc., and later gradually found that there were many tumor surgeries in the department, which was not only not conducive to the development of the discipline, but also not conducive to the precise treatment of individual patients. Later, under the planning and arrangement of Chen Wuke, director of the former cancer center of the hospital, the department was divided into different sub-professional groups, so that each doctor had a professional specialty and applied skills for patients. In 2005, He Jianjun was appointed as the director of breast diseases in the First Affiliated Hospital, and in 2015, the breast disease professional group integrated the strength of the whole hospital to establish the current breast surgery department.
According to Director He, breast disease is like a disease of wealth and wealth, which has a lot to do with people's lifestyles. According to relevant statistics in 2020, the global incidence of breast cancer is much higher than that of lung cancer. The most common clinical symptom of breast cancer is a painless lump in the breast, which many people find in the shower or inadvertently touching it, and there is basically no discomfort. "Therefore, we have always advocated that women of childbearing age should actively carry out breast cancer self-examination and screening, many early breast cancers are found during screening, when the color ultrasound or mammography (commonly known as mammography) examination finds breast nodules, it is necessary to let the breast specialist doctor judge its benign and malicious, most breast nodules are benign, and everyone does not need to be too nervous." Director He said.
Excellence: Serve life with sincerity
The importance of breasts for women is self-evident, it blooms with the growth of life, and will nourish new life, not only an important embodiment of female beauty but also directly related to intergenerational continuation. Therefore, whether breast protection can be successfully preserved in the treatment of breast cancer is the focus of many patients.
Since its establishment in 2015, breast surgery has carried out a series of diagnostic and therapeutic activities with the characteristics of breast specialties. These include vacuum-assisted minimally invasive rotary resection technology, which is often used for minimally invasive resection of benign tumors, with small incisions and good cosmetic effects, and can also be used as a minimally invasive biopsy system, which is precisely positioned and can accurately remove lesions, providing convenient conditions for obtaining sufficient breast histology specimens.
Breast laparoscopic surgery technology, with its unique therapeutic effect and cosmetic advantages, is gradually changing the traditional treatment concept and treatment methods of breast surgeons, which takes into account the physical, psychological and mental health of patients in the process of treating diseases, which is more in line with the concept of "minimally invasive surgery".
It is reported that endoscopic technology can be used for all surgical methods of breast disease treatment, including endoscopic glandular resection combined with local fat aspiration to treat gynecomastia, endoscopic breast preservation surgery, endoscopic axillary lymph node dissection, endoscopic subcutaneous glandular (partial) resection of breast, latissimus dorsi muscle flap transfer (tissue fascial flap transfer, decellularized dermis wrapping), prosthesis (dilators, large omentum) implantation and other breast reconstruction; in addition, breast cancer breast preservation and post-breast preservation deformity correction technology, The survival rate of this technique is not significantly different from that of traditional radical breast cancer surgery, and it also enables early-stage breast cancer patients to avoid the pain of losing their breasts.
It is understood that in order to vigorously implement the purpose of "one-stop" service of the breast disease diagnosis and treatment center, since the establishment of the department, Director He has been calling on the relevant departments of breast diseases in the hospital to unite to open multidisciplinary diagnosis and treatment of breast diseases (Multi-disciplinaryTeam referred to as MDT). Under the continuous efforts of recent years, the hospital has gathered relevant experts such as breast surgery, breast oncology, breast imaging, pathology, tumor radiotherapy, ultrasound, etc., to comb and interpret the patient's clinical data face-to-face in the hospital cancer center, and make a scientific, reasonable, standardized and most appropriate individualized treatment plan for the patient. This greatly saves the patient's time for treatment, and relieves the patient's worries about different specialists who may fight separately, repeat examinations, increase the economic burden and even delay treatment, and provide convenience for patients' diagnosis and treatment.
Multidisciplinary discussion on difficult breast cancer cases (Courtesy of the interviewee)
Breast cancer "whole process management": personalized diagnosis and treatment is more heartwarming
It is understood that the "whole process management" of breast cancer, that is, on the basis of paying attention to the multidisciplinary standardized diagnosis and treatment of tumors, emphasizes the all-round health management of the chronic disease period, and at the same time moves the prevention and control front of tumors forward, pays attention to healthy people and high-risk groups, and improves the cure rate of tumors through screening and early detection and early diagnosis.
Through the prevention of cancer to reduce the incidence of tumors, only in this way is it possible to greatly improve the diagnosis and treatment effect of tumors and reduce the harm to human health through all-round improvement and full-cycle promotion. Director He said that in addition to paying attention to the treatment effect of the patient's tumor itself, it is also necessary to pay attention to the new problems faced by breast cancer patients - the side effects of the disease treatment stage, including dyslipidemia, bone safety incidents, psychological problems, nutritional problems, and the fertility needs of young patients, etc., only in this way can we improve the quality of life of tumor patients in an all-round way.
Moving the front line of tumor prevention and control forward, in addition to early screening, early detection, and early treatment, the daily prevention of breast tumors is also particularly important. Common breast cancer-related risk factors in Chinese women mainly include: age, body mass index, family history of breast cancer in first-degree relatives, surgical history of benign breast diseases, age of menarche, menopause, psychological status, oral contraceptive history, and various risk factors are not independent, but intertwined to jointly affect the incidence of breast cancer.
General Department of General Education Rounds (Courtesy of the interviewee issued by the Central Broadcasting Network)
According to foreign studies, multiple miscarriages, no children, no breastfeeding, perimenopausal hormone replacement therapy, smoking, alcohol consumption, night shifts, etc., can also increase the risk of breast cancer. Therefore, Director He said that for women who have entered menopause, it is crucial to understand the above-mentioned breast cancer-related risk factors, and if they can properly deal with various menopausal-related symptoms and maintain a good psychological state, it will be very helpful for breast health. It is precisely because of this intention that Director He has also given patients more confidence and courage in addition to treatment, and has become the most special "flower protection messenger".
Forge ahead: exert the enthusiasm of "medicine" Road
With more than 30 years of clinical experience, Director He has a novelty in the discipline and profession. This novelty is the "new" after several years of nirvana, the new greenery on the vicissitudes of Wei'an, and also a force leading the medical staff of the whole department to work hard.
Talking about the future development of the department, Director He said that in recent years, there are more and more non-lactation mastitis in benign diseases, and the department should make great efforts in this disease field, step up research efforts, and solve the patient's disease pain. In terms of malignant diseases, breast cancer seriously plagues women's physical and mental health, preventing the occurrence of breast cancer, and actively cooperating with the "early diagnosis and early treatment" of the national health plan is also one of the important tasks in the future.
As a clinician, in the treatment of breast cancer, we must keep up with the pace of discipline research progress, carefully grasp new medical treatment and new methods, constantly learn new knowledge, and actively apply it to the clinic. At the same time, as one of the first eight national medical centers for counseling, the hospital is both an honor and a responsibility, and the department should further strengthen the basic and clinical research of breast cancer, cooperate with the construction of the national medical center, and make outstanding contributions to the diagnosis and treatment of breast cancer. In the future, it is hoped to integrate the relevant departments of the hospital and establish the Breast Disease Diagnosis and Treatment Center of the First Affiliated Hospital of Jiaotong University to benefit more patients with breast diseases, especially difficult and critically ill patients.
Patient-centered at all times, the strength of the group team collaborates under tolerance and innovates in the inheritance. Director He hopes to be a consistent companion, not only to have superb technology as the bottom, but also to be accompanied by benevolence at any time, escort more patients with professionalism, and accompany them through every journey of fighting against the disease. (Source: The First Affiliated Hospital of Xi'an Jiaotong University Correspondent Xiong Hui)