A Case Report on Integrative Therapy with Acupuncture and Herbal Medicine for Malignant Wounds in Patients with Advanced Breast Cancer
陈婉钰1黄义钧1,*
1中山医学大学附设医院中西整合医疗科，台中，台湾
【摘要】
研究对象为一名66岁女性患者，因脑血管疾病住院期间意外发现左侧胸部大片溃疡性伤口（约11 cm x 13 cm），并确诊为末期乳癌，伴多处淋巴结及骨骼转移（cT4cN3cM1），并同时患有右侧内颈动脉M1段阻塞，伴随大面积脑梗塞，接受静脉血栓溶解疗法（rt-PA）及减压性颅骨切除术後，意识不清（E3V1M1），四肢瘫痪，仅能以微弱眨眼进行沟通。於病发三个月後开始会诊中医治疗，治疗方式包括水煎药和针灸疗法。患者的左侧胸部伤口分布於乳头上下及内侧，初始表现为紫红色，边缘伴暗色结痂，中心鲜红且容易渗血。在接受中西医结合治疗後，伤口渗血逐渐止住，结痂部位开始脱落，整体伤口呈现愈合的迹象。此外，患者并未出现明显的并发症，整体状况较治疗前有所稳定。
【关键词】乳癌；伤口溃疡照护；愈合不良；癌症辅助治疗；中医
【Summary】
This case involves a 66-year-old female patient who was hospitalized due to a cerebrovascular disease. During her hospitalization, a large ulcerative wound (approximately 11 cm × 13 cm) was incidentally discovered on her left chest. She was subsequently diagnosed with advanced-stage breast cancer, accompanied by multiple lymph node and bone metastases (cT4cN3cM1). Additionally, the patient suffered from an M1 segment occlusion of the right internal carotid artery with extensive cerebral infarction. After receiving intravenous thrombolytic therapy (rt-PA) and decompressive craniectomy, she presented with impaired consciousness (E3V1M1) and quadriplegia, with communication limited to weak blinking. Three months after the onset of her condition, she began Traditional Chinese Medicine (TCM) treatments, which included herbal decoctions and acupuncture therapy. The wound on her left chest, located around the upper and lower regions of the nipple and extending medially, initially appeared purple-red with dark crusted edges and a bright red, easily bleeding center. Following a combination of TCM and Western medicine treatments, the wound gradually stopped bleeding, and the crusted areas began to slough off, showing signs of healing. Moreover, the patient did not experience significant complications, and her overall condition showed stabilization compared to her pretreatment state.
【Keywords】
breast cancer ； wound ulcer care ； delayed wound healing ； cancer adjunctive therapy ； Traditional Chinese Medicine
291-9 针药并用辅助治疗晚期乳癌恶性伤口病例报告
