Laura Ungar's article "An impressive decline in breast cancer deaths over the past 20 years" in the daily North American edition of USA Today provides amazing statistical calculations on progress in both early diagnosis and approaches to breast cancer treatment. Mortality decreased from 33:100,000 women per year in 1990 to 22:100,000 women per year in 2011. US experts are convinced that this trend will continue over the next 4 years.
This achievement was the result of a complex of reasons.: more effective treatment, increased awareness, and more women who have had mammograms.
According to Susan Komen, head of wellness and social programs, there is a trend towards more targeted and individualized treatment. This is due to the study of the underlying biological aspects of the tumor. Breast cancer treatment is becoming more and more personalized.
The success in treatment is primarily due to the introduction of new classes of cytostatic drugs, such as targeted therapy, which "paralyzes" cancer cells due to unique mechanisms of action on the molecular level, and hormone therapy, directed against the stimulating estrogenic effect.
Targeted therapy is a fairly gentle type of treatment, since it has virtually no adverse effects on healthy organs, and therefore causes fewer side effects.
GEMS experts fully share the optimism of their North American colleagues. The Institute of Oncology performs oncological screening aimed at detecting not only breast cancer, but also cancerous tumors of any other localization. This complex of diagnostic measures is aimed at detecting malignant tumors in people aged 18-39, 40-49 years and over 50 years. In addition, there is a program to identify hereditary predisposition to breast and ovarian cancer, early diagnosis of prostate cancer, and mammological examination for non-cancerous breast diseases.
We never tire of reminding you that regular screening is the only way to detect cancer at an early stage, which means that it can be effectively controlled. So, according to the Mammography Saves Lives service, out of 1,000 women who performed mammography:
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100 women require additional mammography or breast ultrasound
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20 women require biopsy
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5 women are diagnosed with breast cancer.
The EMC Institute of Oncology has all the necessary resources and state-of-the-art medical technologies that provide a personalized approach to breast cancer treatment. The use of targeted therapy along with cytostatic chemotherapy is also possible for lung cancer, ovarian cancer, colorectal cancer, kidney cancer, prostate cancer, malignant lymphomas, thyroid cancer, disseminated melanoma, and tumors of the central nervous system.
Using Western methods of cytostatic treatment, the clinic's specialists can ensure minimal toxicity of the treatment, maintain working capacity during antitumor treatment and achieve the same high results in cancer healing rates as in leading Western clinics.
On March 1, 2015, the EMC launched the social campaign "Second Opinion in Oncology", where patients can receive qualified advice based on the achievements of Western medicine.
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Questions and answers
Рancreatic cancer
My wife of 64 years was diagnosed with pancreatic cancer in the autumn of 2014. Stage 4 was concluded. Surgery is impossible. There is a massive thrombosis. Three biopsies were carried out. A benign tumor was revealed. She lost a lot of weight. An episode of severe pain took place about one month ago. Currently, a
significant problem is the ascites, swollen legs; food is poorly digested, general discomfort. What can you recommend? Is it necessary to remove the fluid and what might be the consequences?
...more The picture you described is consisted with the concept of "metastatic ascites". Laparocentesis is appropriate as a therapeutic and diagnostic approach. Given the negative cytology, it is likely that the patient has a neoplastic disease of the colon, ovaries or stomach. Our experts will hold a consultation on the
same day and perform the procedure to verify the diagnosis and consider the possibilities of palliative treatment.
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Pavel Koposov
07 September 2016
Break iafter the last course of chemotherapy
Why a break is necessary after the last course of chemotherapy?
In cases where chemotherapy is not enough effective, some cells of the tumor does not die as a result of exposure and only slow down their biological processes temporarily, so they do not accumulate diagnostic radiopharmaceutical that can lead to a false negative result. After 2-3 weeks, tumor cells return to their
normal state and can be seen at the PET/CT scan. Thus, the break after the last course of chemotherapy should be done in order to obtain reliable results of the quality of treatment.
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Radiation therapy for prostate cancer
What to expect during radiation therapy for prostate cancer?
The procedure of external radiotherapy is similar to conventional x-ray examination. Radiation is invisible, has no smell and gives no sensations, side effects do not appear until 2nd or 3rd week of treatment.
Radiotherapy for prostate cancer is a local treatment; therefore, you may experience some side effects
only in those parts of the body that are exposed.
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Сhronic nonspecific spondylitis
Can we go to your center in the following case: the patient born in 1955. Diagnosis: chronic nonspecific spondylitis T7-T9. A state after interbody fusion T7-T9 with autologous bone. Brown-Sequard's syndrome. Right thoracotomy with interbody fusion using autotransplantation (resected rib) was done in 2010, no bone
block formed during the postoperative period. Transpedicular fixation T 5-6-10-11 was also done in November 2010. There was a primary healing on the wound as a result of treatment. He was able to sit and stand as well as stay in upright position up to 2-3 hours. At the moment, mobility is restored, able to walk and sit. But pain is still present. Can we expect further surgical treatment and rehabilitation at your center?
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In this case surgical care rendered fully, but it is hard to say more without images. If pain is still present, it is necessary to look for the cause of this, but it may be in the early postoperative period. You can contact us for a consultation to clarify the nature of the disease.
MRI or CT scan
Please tell me what kind of examination is better in case of head injury - an MRI or CT scan. I have hit my head in June this year, and now I feel a discomfort at the site of the injury sometimes (there in no acute pain)?
CT has advantages in the visualization of bone structures. MRI is better for soft structures imaging, including the brain substance. According to the description, the intracranial structures damage is unlikely. Why CT or MRI? An ultrasound of soft tissues in the area of injury is also applicable. The pain in the
scull can also be associated with vessel, for example, cranial arteritis, or lymphadenitis, or muscle/enthesis, and then you might need certain blood tests. And maybe these tests are not required. I would recommend you to see the doctor and let him assess the case; he will take a decision concerning following examination as a result of consultation.
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