хороший лор онколог москва
The question of preservation of a leather{skin} dairy железы with the purpose of improvement of results of reconstruction remains unresolved from the beginning of XX century. Variants of operations at which removal{distance} of a fabric dairy железы with preservation of a leather{skin} and сосково-ареолярного a complex was carried out with the purpose of the prevention{warning} of development of a cancer in opposite iron and one-stage reconstruction, have started to be developed since 1917 when Bartlett has executed the first hypodermic мастэктомию with one-stage replacement of the removed fabric dairy железы a free fatty fabric [12.] Rice and Strickler in 1951 publish the data on results hypodermic мастэктомии concerning good-quality diseases [13]. Also in this problem actively are engaged Freeman [14, 15] which uses эндопротезы for reconstruction dairy железы, Pennisi and Capozzi [16-18] and Woods [19]. All these surgeons carry out the same operation at which rather thick skin rags will be mobilized, and also the disk of a fabric dairy железы under сосково-ареолярным a complex for improvement of his{its} blood supply is left. The general{common} name of this operation - hypodermic мастэктомия. Подробнее...
Онкогенный the potential папилломавирусов essentially varies; on ability to initiate диспластические (precancer) changes and a cancer папилломавирусы are conditionally divided{shared} into groups of "high" and "low" risk of occurrence of tumoral transformation infected эпителия. Types ВПЧ 6,11, 42, 43, 44 have been classified as types of low risk of development of a cancer, types 16, 18, 48, 56 - high risk. So, ВПЧ types 6 and 11 are the reason peaked кондилом, are frequently identified at дисплазиях easy and average degrees of weight and are seldom connected to tumours шейки a uterus. ВПЧ types 16 and 18 prevail of other types папилломавирусов at РШМ, ВПЧ type 16 comes to light in 50-70 % of cases, in 10-20 % comes to light ВПЧ type 18, other types ВПЧ of high risk come to light much less often [13,14,21]. Most frequently meeting 16 type of a virus is determined, it{he} is revealed in 21 % of cases CIN-I, in 57 % of cases CIN-II-III. With an infection types of a virus 16 and 18 associate 67-93 % of cases РШМ, the virus of type 18 is found out approximately in 2 times less often than a virus of type 16 [11,13.15,18]. The virus of a papilloma of type 18 is associated with development аденокарцином, has higher онкогенный potential, with it{him} connect fast rate of a tumoral progression, a low level of a differentiation infected эпителия, the adverse forecast others онкогенными types [12,14]. Подробнее...
