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Reducing breast cancer mortality

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:
  • 100 women require additional mammography or breast ultrasound
  • 20 women require biopsy
  • 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

Nonbacterial Prostatitis
For over a year now I have suffered with nonbacterial prostatitis. I am 65 years old and my prostate is 50 cubic cm. I have treated this every way possible to no avail. As I understand it, there are only 2 possibilities: 1) Daily painkillers and sleeping pills which leave me in a drug-induced stupor. 2) Radical
prostatectomy, although I don't have cancer and my PSA is around 1. I don't live in Russia and it isn't possible to have a radical prostatectomy here. Can I have this operation in your center? Because of the severe inflammation, I can only sit and walk for limited amounts of time. I am near insane from the constant pain and sleeplessness.
...more
As with all civilized urologists in the civilized world, we COMPLETELY remove the prostate ONLY in cases of prostate cancer. At the same time, if you would like to be seen by us for assistance, at your convenience we can examine you and treat your problem.
Both knees
I would like to get MRT and diagnosis for my knees. Left has old trauma and right is hurting now permanently. An English or German speaking doctor would be an advantage. KR Florian
Dear Florian. Be sure you'll get all the answers for your questions. We have MRI and English-speaking staff including knee surgery specialists. Our assistants will contact for further instructions. Kind regards.
Laser surgery for removal of varicose veins
Does you clinic offer laser surgery for removal (or correction) of varicose veins on the legs? I would like to learn about both the aesthetic and medical side of the issue.
Our clinic performs the most common and advanced methods of varicose veins’ treatment. This includes classic phlebectomy, injection sclerotherapy, and foam sclerotherapy (the most common method of treatment in Europe). The method of treatment depends on certain medical conditions. If the disease manifests itself as
small spider veins, the laser correction could be performed by a surgeon-phlebologist or a dermatologist. But each case is always individual. You need to make an appointment for a consultation to discuss all the issues in more detail.
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Cancer of the thoracic spine
I have cancer of the thoracic spine. According to the MRI, I have wedge-shaped vertebrae, and small fractures in some places, with the absence of normal bone. Is it possible to undergo a vertebroplasty if the lumbar region is also affected? Will the lumbar vertebrae be able to support the thoracic vertebrae after
this procedure?
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It is necessary to analyze the MRI scans in this case. Metastatic vertebral bodies are treated with radiation and chemotherapy according to our principles. Vertebroplasty is possible, but it is difficult to say anything specific without seeing the scans.
Hernia-related pain
Hello, I had hernia-related pain about one month ago. With abrupt leg and foot movements, I experience pain in the cervical segment of the spine, radiating into my arm. MRI test result: degenerative-dystrophic changes of the cervical segment, spondylosis, osteophytosis of C5-C6 segment, posterior hernia of C4-C5
segment with a tendency to sequestration. Could the hernia growth be stopped? What do I do?
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If the MRI data shows a disk protrusion (small hernia) which does not cause dural sac compression and you have no clinical manifestations of the disease, you need to undergo physical therapy and therapeutic physical training aimed at strengthening the muscles of the cervical segment of the spine. In order to make the
decision, you must make an appointment and show the MRI results to a neurologist or neurosurgeon, who will give you recommendations for further action. You can get all necessary assistance at our center.
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Thanks to Dr. Oxana Levkina and her teams. Excellent as always.

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I recently had a cardioverter defibrillator implanted by EMC surgeon-arrythmologist Dr Oleg Evgenievich Sukhorukov. I spent five days in the hospital and I cannot praise this wonderful Doctor enough for the skill, care and attention he provided. I can confidently recommend him and
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Thanks very much to Dr. Oxana Levkina. As always professional and human.

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Many thanks to the doctors Moskalets E. R. and Penkova O. V., who described my pictures on the day of the study, as well as to the staff of the PET CT department Nikolay, nurse Ekaterina, laboratory assistants Eduard and Nikolay, who were with me from the beginning and until the
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I would like to express my deep gratitude to Alexey Vasilyevich Kovalenko for his high professionalism, high efficiency and sensitive attitude to patients. The doctor performed the most difficult operation for me, and at all stages of preoperative preparation During my
postoperative rehabilitation, I felt his professional and emotional support.I very much hope that the EMC management appreciates such highly professional specialists as A. V. Kovalenko, and my highly positive feedback on his work will be taken into account when determining his KPIs.
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I express my gratitude for the treatment!
He came back with severe pain in the neck. The diagnosis revealed an intervertebral hernia. The very next day, the operation was carried out, everything was very fast. After the operation, he was surrounded by nurses. I would especially like to express my gratitude to:
Krivoshapkin Alexey Leonidovich, Yulia Markina, Vladimir Klimov, Orkhan Abdullayev, Gleb Sergeevich Sergeev, and Alexander Loginov.
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Her colleagues and her teams. As always, perfect.

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She is the most reliable ambulance for our family, which has helped out in critical situations more than once. At the same time, Nadezhda Ildarovna is distinguished by her great friendliness and ability to calm the patient and not get depressed.

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We thank Alexey Leonidovich Krivoshapkin, Alexey Sergeevich Gaitan, Orkhan Abdullayev and all the clinic staff for saving our lives.

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Everyone was very kind and helpful, thanks.

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Endless thanks to my dear Dr. Pavel Koposov.

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Alexey Kovalenko is a sensitive, attentive doctor, a surgeon from God. He gave me an operation to remove the affected prostate, all very carefully. I am grateful to him!!!

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Huge thank you to Dr. Marina & team to help us deliver our first born!
Dr. Marina Sharova = A+++++! Highlights => super knowledgeable! Confident! Professional! Mother-type! Truly terrific bedside manner! Spends endless time with moms! A wonderful choice for all, especially first time moms and foreigners who only speak English! Special thank you to
midwife Svetlana Kirsanova and anesthesiologist Vladislav Stanivlavovich! Great team! Great work!
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