Surgical treatment of Radiology Therapy Drug therapy Endocrine therapy Rekonstruktivno- plastic surgery in the treatment of breast cancer is surgery, but is combined treatment with radiation and drug therapy (chemotherapy and hormonal). The choice of method or methods of treatment depends on : the patient's age; Characteristics of the primary tumor (location, size, presence of metastases underarm lymph nodes); Histology of tumors; Representatives of hormonal receptors in the tumor expression of growth factor receptors It'sa; A related diseases. In stage IA (T1N0M0) usually breast resection or removal of the tumor itself with the partial or total removal of underarm nodes. In the future, a radiation therapy for the rest of the breast and lymph nodes. Patients who are at high risk of local recurrence and metastasis courses of chemotherapy. In stage IIA Radical Mastectomy is usually held on Madden or Mastectomy for Peyti- Daysenu. Sometimes, it's possible organosohranyayuschaya operations with the disposal infection and postoperative radiation therapy for breast gland. In aftercare period a immunoprophylaxis. In stage IIB (T2N0M0) than mastektomii Radical radiation therapy and chemotherapy used on the scheme CMF (6 courses every 3 weeks). Radiation therapy may also post other than pre-exposure. In stage III and IV of a long preoperative radiation therapy for breast iron and zone Regional metastasis, as well as polychemotherapy and hormonotherapy. If the pre-treatment (reduction of tumors by 50% or more) is Radical Mastectomy may save a pectoral muscle. In the absence of a rapid intervention continues radiation therapy and chemotherapy for the special scheme. After Radical mastektomii with stage III-IV required postoperative radiation therapy for breast wall and nadklyuchichnuyu area. Estrogen replacement is a component of a comprehensive treatment, which takes place primarily in the common forms of breast cancer. Indications for use hormonotherapy now is the high content of estrogen and progesterone receptors in neoplastic tissue. To reduce the level of estrogen to stimulate the growth of breast cells, a bilateral ovarioektomiya or radiation castration, or receiving drugs Zoladeks, therapeutic effect which is similar to ovarioektomiey. The use antiestrogenov was displacing other hormonal, because gives good results. For example, Tamoksifen (Nolvadex, zitazonium) used long-term. It blocks estrogen receptors at the tumor. Antiestrogeny can be applied in menopause, or after the suppression of ovarian function. For women with menstrual function shows saved application androgenov and their analogues, glucocorticoids, progestinov, antniestrogenov, Aromatase inhibitors, exposure glands, and the use of agonists rilizing- factor hypothalamus. Aromatase inhibitors such as aminoglyutatimid (orimeten, mammonit) suppress adrenal cortex function and thereby reduce the level of steroid hormones. Usually they combine with eye or hydrocortisone acetate. Breast Reconstruction after mastektomii usually a plastic surgeon or oncologist surgeon in a hospital. It is under the skin, or more often, even among large segments pectoral vshivaetsya special prosthesis, and then make reconstruction and big boy.
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