медицинские учреждения онкология

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...

Thus, today in our disposal there is a lot of effective preparations and modes for treatment of patients by the widespread cancer яичников. As the first line of chemotherapy it is possible to use the combined modes (карбоплатин-паклитаксел, цисплатин-паклитаксел, карбоплатин-доцетаксел or CAP) or monotherapy by preparations of platinum (цисплатин 100 mg / m2 each 3 weeks of 6 rates or 50 mg / m2 weekly within 9 weeks, карбоплатин AUC x 5-7 each 3-4 weeks of 6 rates). The patients who have received at the first stage of treatment modes without inclusion таксанов, should receive necessarily таксаны in the second line of chemotherapy. At purpose{assignment} of the above-stated preparations and combinations in full dozes and recommended intervals it is possible to expect for reception of average time before progressing 15-17 months and average life expectancy of 30-36 months. Подробнее...