паллиативное лечение в онкологии

The second purpose of operative treatment of the widespread cancer яичников is removal{distance} or the maximal resection as primariest tumour, and all its{her} metastasises. Removal{distance} of a great bulk of a tumour improves the general{common} condition of patients due to reduction of an intoxication and normalization of function of intestines. Besides циторедукция raises efficiency of the subsequent chemotherapy due to reduction of number of tumoral cells{cages} including resistant to chemotherapy, transition of the most part of the staying cells{cages} from a phase of rest in a phase of division, and removal{distance} it is bad васкуляризованных sites of a tumour in which hit of antineoplastic preparations is complicated. Подробнее...

The sizes of tumoral formations{educations} after циторедуктивной operations essentially influence results of the subsequent therapy and the forecast of the patient. So, average life expectancy of patients with the sizes of residual tumoral units less than 0,5 sm make 40 months, and at the sizes of 18 and 6 months of 0,5-2 and more 2 sm accordingly [2]. For this reason optimum executed циторедуктивной operation considers at what the maximal sizes of the staying tumoral formations{educations} do not exceed 2 see. In some centers under optimum циторедукцией accept the sizes of the staying tumoral formations{educations} less than 1 see. For achievement similar циторедукции the surgeon sometimes should carry out plural resections of a gut, a liver, a spleen, a bladder, a diaphragm, to use ultrasonic аспиратор and laser коагулятор for removal{distance} fine диссеминатов. Clearly, that циторедуктивные operations are considered technically complex{difficult} and demand high qualification of the surgeon specializing in онкогинекологии. Despite of all this, frequency of performance optimum циторедукции in conducting{leading} clinics of the world makes 23-54 %, and only separate authors achieve it at 75-90 % of patients. Подробнее...