онкология больницы центры

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...

Unresolved there is a question on optimum duration of chemotherapy of the first line. Today it is possible to recommend an individual approach in each concrete case. At a stage of chemotherapy of the first line it is necessary to aspire to achievement of full regress with disappearance of all displays of illness including normalization of level СА-125, and then to fix the achieved effect carrying out of 2-3 more additional rates. At achievement of partial regress it is necessary to continue chemotherapy till the moment when during two last rates stabilization of illness is marked, estimating on the sizes of residual tumoral weights and concentration of tumoral markers. By own experience I can tell, that in these cases at the majority of patients the number of courses of treatment will make from 6 up to 12, but not less than 6. In case of stabilization of illness it is necessary to limit volume of treatment by 6 rates after which end therapy can be stopped up to attributes of progressing or it is continued with use of modes of the second line depending on the general{common} condition of the patient and its{her} attitude{relation} to the further carrying out chemotherapy. At progressing illness it is necessary to pass to modes of the second line of chemotherapy. Подробнее...