RESUMO
A comparative analysis of several systems of the assessment of the degree of spreading of malignant process is presented in the article. Stage principles of malignant neoplasms, which are used by the National Cancer Register do not respond current requirements as these principles do not single out preinvasive carcinoma and even more patients with I and II stages malignant neoplasms are brought into one group. Last reduction of the International TNM breast cancer classification (2002, TNM-6) reflects further progress in understanding biology of this localization and possibilities of the diagnostics. This classification differs considerably from previous reductions (TNM-4 and TNM-5) and especially Soviet classification dated 1985. The study carried out by the authors showed importance of differential approach to the assessment of regional lymphatic nodes lesion on depending their quantity (in diapason from 1 to 3; 4-9; 10 and more). The authors stated in the article that there is a certain discrepancy of some clinical and pathohistological parameters (N not equal to pN) in the last reduction of TNM classification of breast cancer and interpretation of some categories of the system is over-complex.
Assuntos
Neoplasias da Mama/patologia , Estadiamento de Neoplasias/métodos , Neoplasias da Mama/classificação , Diagnóstico Diferencial , Feminino , Humanos , Metástase LinfáticaRESUMO
The paper deals with drainage-free management of disease and therapy after radical surgery for breast cancer. The data on the immediate results of surgery were assessed in 168 patients. Suture of a skin flap to the thoracic wall closed a gap in axillary area while ultrasound monitoring of the wound and aspiration of fluid made keeping track of postoperative recovery possible. Wound complications were registered in 51 patients (30.4%) serotoma--35 (20.8%).
Assuntos
Neoplasias da Mama/cirurgia , Mastectomia Radical Modificada , Adulto , Idoso , Drenagem , Feminino , Humanos , Mastectomia Radical Modificada/métodos , Pessoa de Meia-Idade , Estudos Retrospectivos , Sucção , Resultado do TratamentoRESUMO
Metastasizing to the surrounding fatty tissue is a rarely encountered feature of colorectal carcinoma. Metastases were identified in 34 of those patients (n = 755) having been operated on (4.5% observations). The above metastases were found to range from 3 to 7 mm, having no associative ties either with the primary tumor or the regional lymphatic nodes along the colonic and rectal arterial vessels. The presence of the colorectal carcinoma metastases to the surrounding fatty tissue tends to strikingly worsen the prognosis as to long-term survival of patients after surgical treatment. A 10-year survival of patients presenting with colorectal carcinoma metastases to the surrounding fatty tissue was estimated to be 15 to 17% which is more than 3 times inferior to the effectiveness of radical operations in patients presenting with the third stage of the process but free from such metastases. The secured data attest to the need for reconsideration of the colorectal carcinoma staging classification that is in force in our country and for bringing it to conformity with international standards.
