The patient is stage ⅳ breast cancer (lymph node metastasis, lung and chest nodules should also be considered for metastasis). If the constitution is suitable, chemotherapy should be given, because the concept of systemic treatment should be adopted for metastatic breast cancer. No matter the dose, radiotherapy is only a local treatment, not only the micrometastasis of the whole body can not be controlled, but also the multiple nodules in the lungs and chest can not be solved by radiotherapy alone. Therefore, systematic treatment should be carried out, including chemotherapy, endocrine therapy, targeted therapy, biological immunity and traditional Chinese medicine treatment. How to choose depends first on the patient's physical endurance. Chemotherapeutic drugs include cyclophosphamide, pirarubicin, paclitaxel and oxaliplatin. There are many drugs to choose from, such as capecitabine, vinorelbine, gemcitabine, ixabepilone, fluorouracil and docetaxel. Anthracycline drugs can also be used, and the scheme can be single or combined, depending on individual choice. In addition, if radiotherapy is continued, it is suggested that it is best to combine monotherapy. If you can't tolerate chemotherapy, you can give endocrine therapy. Tamoxifen and letrozole have been used, and the selection range is small. Progesterone can be used. As for the high targeting cost, the possibility of high expression of HER-2(+) and FISH is small, and Herceptin is not suitable. If the economic conditions are better, you can try Avastin and Endor. Stage Ⅳ breast cancer (lymph node metastasis, lung and chest nodules should also be considered metastasis), if the constitution is suitable, chemotherapy is needed, because metastatic breast cancer should have the concept of systemic treatment, and radiotherapy is only local treatment regardless of the dose, not only the micrometastasis of the whole body can not be controlled, but also the multiple nodules of lung and chest can not be solved by radiotherapy alone. Therefore, systematic treatment should be carried out, including chemotherapy, endocrine therapy, targeted therapy, biological immunity and traditional Chinese medicine treatment. How to choose depends first on the patient's physical endurance. Chemotherapeutic drugs include cyclophosphamide, pirarubicin, paclitaxel and oxaliplatin. There are many drugs to choose from, such as capecitabine, vinorelbine, gemcitabine, ixabepilone, fluorouracil and docetaxel. Anthracycline drugs can also be used, and the scheme can be single or combined, depending on individual choice. In addition, if radiotherapy is continued, it is suggested that it is best to combine monotherapy. If you can't tolerate chemotherapy, you can give endocrine therapy. Tamoxifen and letrozole have been used, and the selection range is small. Progesterone can be used. As for the high targeting cost, the possibility of high expression of HER-2(+) and FISH is small, and Herceptin is not suitable. If the economic conditions are better, you can try Avastin and Endor.

To what extent do white blood cells decrease during radiotherapy? If the bone marrow condition is not good, you should also pay attention during chemotherapy. In addition, the cough is very heavy. Is it caused by lung metastasis or radiation pneumonia? Need symptomatic treatment. It is suggested to use Chinese medicine for nursing, especially for the side effects of radiotherapy and chemotherapy.

(Dr. Zhu Jingyan solemnly reminds me that because I can't see the patient face to face, I can't fully understand the condition. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )

Weifang Traditional Chinese Medicine Hospital Zhu Jingyan/