Volchenko Aleksey

Organosokhranyayushchee Lechenie Bol'nykh Rakom Molochnoy Zhelezy: Vozmozhnosti Organosokhranyayushchego Lecheniya Bol'nym Mestnorasprostranennym Rakom Molochnoy Zhelezy Volchenko Aleksey Russian edition

Rezul'taty issledovaniya pozvolyayut rassmatrivat' organosokhranyayushchie operatsii metodom vybora v plane kombinirovannogo i kompleksnogo lecheniya bol'nykh rakom molochnoy zhelezy T2-3N0-1M0, T0-3N1-2M0 stadiy: obshchaya i bezretsidivnaya 5-letnyaya vyzhivaemost' ne otlichaetsya pri provedenii organosokhranyayushchego lecheniya i radikal'noy mastektomii s sokhraneniem bol'shoy grudnoy i obeikh grudnykh myshts. Organosokhranyayushchie operativnye vmeshatel'stva kharakterizuyutsya ne vysokim protsentom posleoperatsionnykh oslozhneniy - 6,9% pri provedenii radikal'nykh mastektomiy - 9,8%, udovletvoritel'nym i khoroshim kosmeticheskim rezul'tatom. Provedenie neoad'yuvantnoy terapii pri mestnorasprostranennom rake molochnoy zhelezy ne okazyvaet vliyaniya na pokazateli 3-kh i 5-letney obshchey i bezretsidivnoy vyzhivaemosti, no u treti bol'nykh (31,6%) pri razmere opukholi bolee 3 sm i nalichii nepodvizhnogo konglomerata regionarnykh limfaticheskikh uzlov delaet vozmozhnym vypolnenie organosokhranyayushchego lecheniya, sushchestvenno ne izmenyaya chastotu posleoperatsionnykh oslozhneniy.