консультация онколога дерматолога в москве

One more interesting work on this theme has been issued in 1998 Slavin with colleagues [38]. Except for discussion of technical features of performance мастэктомии with preservation of a leather{skin} and one-stage reconstruction by a rag on the broadest muscle of a back with эндопротезированием, authors also had been lead{had been carried out} research of presence эпителия внедольковых channels in border of a resection of a leather{skin} dairy железы on distance of 5 mm from ареолы. In one case from 144 биопсий at 32 patients not was cells{cages} эпителия channels are found out. The percent{interest} of local relapses has made 2 % with the average period of supervision of 45 months. Подробнее...

In 1997 the works devoted to an oncological estimation of the given approach in reconstructive - plastic surgery dairy железы began to appear. So Carlson in 1997 has published materials of research [34], where compared frequency of development of local relapses and postoperative complications in groups of patients by which have been executed standard radical мастэктомия (188 operations, the average period of supervision 48,2 мес) and мастэктомия to preservation of a leather{skin} (327, the average period of supervision 37,5 мес) with one-stage reconstruction dairy железы with 1989 on 1994. Local relapses инвазивного a cancer in group стандарных мастэктомий have made 9,5 %, and in group мастэктомии with preservation of a leather{skin} - 4,8 %. Interventions were not required from 45 % of patients in the first group on opposite dairy iron while in the second group at 65 % of patients satisfactory symmetry after the first operation has been achieved. Also the percent{interest} некроза skin rags after мастэктомии was compared. In the first group it{he} has made 11,2 %, and in group мастэктомии with preservation of a leather{skin} of 10,7 %, i.e. essentially did not differ. Unfortunately, authors do not explain, to what decrease{reduction} in number of relapses almost twice in group where the theoretical risk of development of relapse should be higher can be connected. Подробнее...