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
Dermoid cyst and pregnancy
An ultrasound revealed a mass in my left ovary during the first pregnancy. I was told that it is a dermoid cyst. Five years have passed since then. I gave birth to a second child. An ultrasound was performed annually. There were differences in size, but not significant. Since I’m going to have the 3rd child, another
ultrasound was done today. The doctor said that the cyst had increased. I am concerned about it. Don't know where to start. What tests are needed? Thank you.
...more Surgical treatment is strictly indicated in your case given the long history of the mass in the ovary and its rapid growth in recent times. In our clinic, we perform such an intervention laparoscopically through 3 small punctures. Patients go home next morning after the surgery and may return to work after 3 days.
This surgery must be as delicate to preserve healthy ovarian tissue (considering your reproductive plans) as radical at the same time to remove the mass together with the capsule. At the preoperative stage an expert level ultrasound with Doppler is required, as well as blood tests for Ca-125 and НЕ-4 tumor markers. The decision concerning the necessity of FEGDS and colonoscopy is taken based on the results of these tests.
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Total knee replacement
My mom suffers from gonarthrosis for the past three years. Despite treatment by injections the pain is still present. MRI revealed a meniscal tear in the posterior horn, the presence of small bony osteophytes on the patella, a small amount of fluid in the joint cavity (signs of exudative synovitis were detected)
joint space is asymmetrically narrowed in the medial segment. The pain is ongoing but the knee remains flexible. Tell me, please, whether the surgery is contraindicated for meniscal tear in case of arthrosis? Is it possible to do an arthroscopic surgery on the meniscus in our case or it should be «major» surgery? And what would you advice concerning knee replacement for the patient in the age of 57? What is the life time of the artificial joint?
...more It is necessary to make an X-ray of the knee in direct projection in standing position. If it turns out that there is no medial cartilage in the medial area, then the knee replacement is the only solution. The age of 57 is normal for the prosthetics. Modern artificial knee joint (when properly placed of course) will
serve for a lifetime. You can make an appointment via phone +7 (495) 933-66-44.
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Kardanov Andrey
07 September 2016
Pain
I am 19 years old, professionally engaged in weightlifting. I did an arthroscopy of both knee joint a year ago, now feel pain in them and it prevents me from training at full capacity. I visited a traumatologist, and «osteoarthritis of 1 degree» was diagnosed. Could you advise me some medicines or anything else to
relief the pain? Thank you very much for the answer!
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First of all you should undergo an MRI and find out what was done at arthroscopy; if it’s really an arthrosis of 1 degree, hyaluronic acid injections are possible and physiotherapy is not required. Anyway, you are always welcome to consultation for thorough examination.
Question to Dr. Yakobashvili
Tell me, please, at which age child's hearing should be checked-up if we were informed at the hospital before discharge that one ear does not hear. At the moment the child’s age is 1.5 months. Thank you.
These tests done in the hospital are often false negative. Hearing can be tested now, it is necessary to make an appointment to the audiologist.
Cought
A child of 11 years old, suffers from cough for more than six months. The cough is dry, sometimes attack-like, mainly begins during the day, and often occurs before sleep. There is no cough at night. CBC is normal, glucose is 4.16, total IgE 111.80, Toxocara, Ascaride are negative, Cytomegalovirus, Mycoplasma are
negative, PPD test is negative as well. A chest x-ray is normal. We have already consulted with a therapist, otolaryngologist, pulmonologist, neurologist, gastroenterologist... the cough is still present. What should we do?
...more First of all, there are no results of whooping cough testing among the results provided above. The disease cannot be ruled out, even if your child was vaccinated. The blood test for antibodies against the whooping cough germ is required (blood test for class M and G antibodies against Bordetella pertussis). Second,
even a slight increase in class E antibodies is a reason to visit an allergist and to perform an evaluation of respiratory function with bronchodilator. This method will detect a latent bronchial spasm in your child. Even if the results of the test will be normal, allergologist mast rule out the allergic nature of the cough even if it's not obstructive syndrome. Third, this cough can be due to gastroesophageal reflux. It is difficult to draw any conclusions having no data of gastroenterologist’s consultation. 24-hour acidity monitoring of the stomach and esophagus is carried out to confirm or exclude the presence of reflux. Fourth, you didn’t mention whether x-ray of nasopharynx and paranasal sinuses was done. Perhaps, after all, the pathology is associated with ENT organs.
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