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In this aspect interest work Newman [37] devoted to local relapses after operations of similar type also deserves. At 372 patients with a cancer dairy железы T1, T2, for the period with 1986 till 1993, relapses have been marked at 23 sick (6,2 %) with the average period of occurrence 25 мес and in 96 % of cases have been submitted by palpated formations{educations} in a leather{skin} dairy железы. At 14 patients relapse has been subjected surgical иссечению in a combination with system therapy. The resection reconstructed железы has been executed at three patients. The full local control has been achieved at 74 % of patients. At nine (39 %) have developed the remote metastasises. At average term of supervision 26 мес 14 from 23 patients (61 %) are alive without attributes of illness, 7 (30 %) have died. 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...