острые лейкозы диагностика и лечение

One of the basic methods of rehabilitation of this category of patients, especially young age, reconstruction dairy железы is. In the past, surgeons frequently tried to defer reconstruction so that results of reconstruction were compared to a "empty" chest wall after мастэктомии. Many women count it the certificate of insufficient efforts during psychological rehabilitation after removal{distance} dairy железы [5, 6]. In comparative research of 83 women by which reconstructive operation and 50 patients without reconstruction has been executed, 83 % of the first group have noted, that reconstruction was выжным the moment in restoration from a trauma connected to the diagnosis of a cancer dairy железы [7]. In рандомизированном research among 64 women with an operable cancer dairy железы, to which the one-stage or deferred reconstruction has been offered (12 months after мастэктомии), in group with one-stage reconstruction had more positive attitude{relation} to the body in 3 months, than in group with deferred пластикой [8]. Frequently women do not want to carry out deferred to plastic for the reason that do not want to become again patients and anew to experience the emotional trauma associated with the primary diagnosis of a cancer dairy железы. Подробнее...

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...