онкология позвоночника
The cancer dairy железы now is most frequently meeting malignant новообразованием among women, with annually increasing parameters of desease [1]. Despite of the big popularity органосохраняющего treatments, his{its} application is limited to early stages of a cancer dairy железы with a tumour no more than 3 sm, absence clinically positive axillary лимфоузлов, the size dairy железы, localization of a tumour and a number{line} of other reasons [2]. The increase in number of local relapses and quite often unsatisfactory aesthetic results [3] also takes place. Also frequency of application органосохраняющего treatments depends on quality of diagnostics of early stages of disease in concrete medical institution. Therefore the basic type of radical intervention at a cancer dairy железы still is modified radical мастэктомия in updatings Маддена and a plenty of the patients who have transferred this operative мешательство, experience the significant psychological difficulties connected to loss dairy железы [4]. 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...