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The decision on a choice of preparations for chemotherapy of the second line should be based, first of all, on definition of sensitivity of a tumour to derivatives of platinum after chemotherapy of the first line. The interval between the termination{ending} of therapy of the first line and progressing of disease more than 6 months testifies to high sensitivity of a tumour derivatives of platinum. Such patient for treatment of relapses should be appointed a combination of derivatives of platinum and new preparations from among that are used for carrying out of the second line of chemotherapy. At separate patients with duration of remission more than 12 months probably carrying out of chemotherapy of the second line by the same combination which was used at a stage of an induction. Frequency of objective effect at use of a combination of derivatives of platinum (is $more often карбоплатина in view of his{its} smaller toxicity) and new preparations makes 30-50 % at average life expectancy of sick 12-14 months. Подробнее...

Evolution of surgical approaches from radical мастэктомии Холстеда up to органосохраняющих operations, has allowed to look more widely at a problem of surgical treatment and to pay attention to operative interventions which were applied, basically, at good-quality diseases dairy железы or as preventive procedure. Thus the basic purpose, certainly, was improvement of quality of a life of patients by a cancer dairy железы by optimization of results of reconstructive - plastic interventions. Подробнее...