онкология околоушных свищей
Middle age of patients has made 64 years; 84 % had positive рецепторный the status, 34 % - positive axillary лимфоузлы, 21 % of patients received адъювантную chemotherapy earlier. Reception анастрозола associated with reduction of risk рецидивирования on 17 % (1 % in absolute values) in comparison with тамоксифеном (р=0,0129); the combination анастрозола and тамоксифена did not differ on efficiency from monotherapy тамоксифеном. It is necessary to note, that reception анастрозола associated also with essential decrease{reduction} in risk of development контралатерального a cancer dairy железы (р=0,0068). Костно-muscular pains, and also crises of bones much more often were observed in group анастрозола while тромбоэмболические episodes and gynecologic complications, including a cancer эндометрия, much more often met in group тамоксифена. Thus, анастрозол it can be considered{examined} as alternative тамоксифену at patients in менопаузе with positive receptors. Reception анастрозола has considerably lowered frequency of development контралатерального a cancer, and this fact is the basis for studying group ингибиторов ароматазы as means of preventive maintenance of a cancer dairy железы in groups with the raised{increased} risk. Подробнее...
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...
