детская онкология и гемомология

Long enough time dominated the opinion based on statement R.Meyer (1910) about trauma as этиологическом the moment of metaplastic changes эпителия шейки of a uterus. G.Ward (1935) counted, what not breaks шейки a uterus in themselves, and the subsequent infection conducting{leading} to a chronic inflammation, is этиологическим the moment in development карцином. Howard (1951) at research of histologic preparations шейки a uterus at the confirmed inflammation found out метаплазию эпителия in 83 % of cases. A.I.Serebrov (1957) wrote: " ... Not smaller value, than a mechanical trauma, in патогенезе a cancer шейки a uterus has a local infection, more truly, a combination of these two conditions ". Modern epidemiological researches have confirmed these assumptions, having allocated as risk factors РШМ the early beginning of a sexual life, early the first роды, often change of sexual partners, venereal diseases (including at sexual partners). Use of modern methods of contraception also is discussed as a possible{probable} risk factor of a gynecologic cancer. It is established, that use of barrier methods of contraception results in authentic decrease{reduction} in desease РШМ [3,5,14,22,23], application внутриматочных contraceptives does not render influence on desease РШМ [6]. Подробнее...

Considering these data, in the beginning of 90th the first publications published by several surgeons which concerned changes of traditional cuts{sections} at modified radical мастэктомии with the purpose of improvement of results of one-stage reconstruction dairy железы have appeared. In particular, the first work on this theme has been published in magazine " Plastic and Reconstructive Surgery " in 1990 Toth et al. in section " Ideas and innovations " [28]. In this work the case of one-stage reconstruction of both dairy желез concerning a mucous cancer right dairy железы at the patient with risk of development of a cancer in another dairy iron has been submitted. In connection with that at the patient dairy железы were sizable in a combination with expressed птозом, it has been executed modified radical мастэктомия with cuts{sections} on type редукционной plastics and preventive мастэктомия at the left with one-stage reconstruction билатеральным completely деэпителизированным cross-section ректо-абдоминальным (TРAM) a rag c good aesthetic result. In one year, the same group of surgeons publishes the report on 17 patients with which one-stage reconstruction c has been executed by application of a similar technique which the author has named " Wise pattern " with use of various techniques of reconstruction. In this work the term " мастэктомия with preservation of a leather{skin} " for the first time has sounded, and also principles of performance of similar operative interventions have been sounded. These principles included: 1) Removal{Distance} of all fabric dairy железы 2) removal{distance} сосково-ареолярного a complex 3) removal{distance} of a leather{skin} in a projection preoperative биопсии 4) an opportunity to execute axillary лимфаденэктомию from the same access. Подробнее...