A method of treating patients with fibrocystic breast disease and breast cysts

 

(57) Abstract:

The invention relates to medicine, in particular to cancer, and can be used for the treatment of patients with fibrocystic breast disease and breast cysts. Produce punctures all visible cystic lesions under ultrasound control. Evacuate completely content. Put a pressure bandage on mammary gland elastic bandage for up to 8 hours depending on the size and number of cysts. After spending conservative treatment using drugs to suppress the proliferative process. Drugs are combined from a number of Wobenzym, Functions, vitamins a, D, E. the Method prevents malignancy cysts and disease recurrence. This increases the effectiveness of the treatment. 1 C.p. f-crystals.

The invention relates to medicine, namely to Oncology, and can be used for the treatment of women with benign cystic lesions in the mammary glands.

Fibrocystic breast disease is a very common disease in women and is regarded as a precancerous condition. Depending on the severity of the process, the predominance of fibrosis or cystic component, and the size of the cysts and druginjection treatment. Conservative drug therapy in the absence of suspicion of a possible malignancy process currently preferred.

Common in Oncology practice is an approach to treatment that includes inspection, palpation glands, their ultrasound. When detecting a liquid entities set their size, structure, the thickness of the capsule. Education the dotted line under the ultrasound control, the contents of the cyst removed and subjected to histological examination. The puncture site is treated with alcohol and put alcohol label. This procedure applies not only with treatment, many diagnostic purposes. It allows for further histological conclusion to assess the degree of purity of the process and be selected taking into account other clinical features suitable treatment method (Manual ultrasonic diagnostics, edited by N. In.Zabolotskaya, M., 1999). This procedure is described in embodiment does not preclude recurrence of the cyst, it is also possible and suppuration.

Conservative treatment of patients with fibrocystic breast disease includes hormonal, enzymatic preparations, vitamins a different group who CLASS="ptx2">

One such method is complex medication effects - the method according to the patent of the Russian Federation 215093, 1999 - may be the closest analogue of the present invention. Due to the specific selection and mode of application of modern, advanced drug method leads to good immediate results. However, in the case of already formed prior to the impact nemelka, especially multiple cysts way is not always possible to achieve cure. The presence of residual cavities increases the risk of recurrence of the disease, including the risk of malignancy or sepsis.

The objective of the invention was to increase the effectiveness of conservative therapy and the prevention of malignancy and recurrence of the disease.

This problem was solved by us to develop a comprehensive invasive and conservative way. Our method includes the mandatory stage puncture all identified in the preliminary study of breast cysts. The puncture is performed under ultrasound control, with fully evacuate the contents of the cysts before the termination of their visualization. Immediately produce a tight elastic band of the mammary glands. A pressure bandage is left for several hours the cation depends on the number, the size of the cysts, the thickness of the capsule, the size of the mammary glands. Patients selected for individual plan complex drugs, based on the use of inhibitors of prolactin secretion, enzyme or vitamin preparations. In our practice, we usually choose the complex from a number of such drugs as Wobenzym, Functions, vitamins a, D, E.

The technical result of the method, in our opinion, is to affect not only biochemical but also on the morphological component of the disease. When the puncture and full evacuation of the cyst in the breast, and it is a feature of the cysts of this localization is removed not only the content, but also a significant part of the epithelium, its lining. This epithelium, especially with the ever persistent cyst is, essentially, a "substrate" of proliferative processes and possible malignancy. Therefore, we believe it is necessary to achieve the elimination of all available puncturing cysts.

Important and binding acceptance after the puncture is elastic bandaging gland for a period from two to eight hours depending on the size of the cysts and their number. The adhesion of the existing walls in the breast cysts in their elastic bentulan is well positioned to meet the goal of cure, minimizing the risk of malignancy or recurrence. In the available literature we did not find recommendations included in treatment conservative measures punctures all identified cystic formations. However, it is this component of complex treatment allowed us to achieve 100% recovery from a large group of patients.

Example 1. Patient K., aged 47.

Was examined with ultrasound examination of the mammary glands, which were identified cysts up to 3 cm in both Breasts. After puncture of the cyst and removing the liquid content of them were treated with antiseptic in the form of alcohol solution and bondage breast elastic bandage for 4 hours. Subsequently the patient received conservative treatment "Aevit" 1 tablet 3 times a day, "Functions" to 30 drops 2 times a day for 3 months. Of relapse, other complications were not observed.

Example 2. The patient, Doctor of 35 years.

Ultrasonography of mammary glands were identified cystic masses up to 2.5 see After puncture of cysts, removal of their liquid content processing was carried out of the injection site with the alcohol solution and bondage breast elastic the mission for 2 years.

Example 3. The patient And. 27 years.

Ultrasonography revealed multiple cysts in both Breasts with a diameter up to 2 cm Conducted punctures all visible cysts, the content sent to Cytology. After puncture the injection site processed alcoholic solution, then Breasts bandaged with an elastic bandage for 6 hours. Conducted conservative treatment with vitamins a, E, D in therapeutic dosages. Recovery.

Example 4. Patient P. 51.

Ultrasonography revealed multiple cysts in both Breasts.

Conducted punctures cysts, liquid contents of their cavities sent for cytological examination.

After puncturing processing was carried out alcoholic solution of injection and bondage breast elastic bandage for 8 hours.

Conservative treatment drug "Aevit" 1 tablet 3 times a day and the drug "Wobenzym" 3 tablets 3 times a day for 2 months. The effectiveness of the treatment is complete.

The claimed method treated more than 1,200 patients with fibrocystic breast disease and cysts in the mammary glands.

is tiravanija of injection, provides full compression for reliable adhesion of the walls, which prevents re-accumulation of the contents of the cyst at the initial stage of treatment.

Observations by time of up to 7 years.

1. A method of treating patients with fibrocystic breast disease and breast cysts, complex medical interventions, characterized in that the produce punctures under ultrasound control all visible cystic formations with a complete evacuation of the contents and put a pressure bandage on mammary gland in the form of an elastic bandage for up to 8 hours depending on the size and number of cysts, followed by conservative treatment with the use of drugs, contributing to the suppression of proliferative processes.

2. The method according to p. 1, characterized in that the drugs are combined from a number of Wobenzym, Functions, vitamins a, D, E.

 

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SUBSTANCE: one should introduce gelatin-based colloids: gelatinol or gelofusin and crystalloids at 1:1 ratio at total volume of 40-50 ml/kg patient's body weight daily; additionally, since the 2nd to the 7th d after operation it is necessary to conduct enteral nutrition in the form of hypercaloric mixtures by increasing their volume at higher rate of injection starting from 25 ml/h/kg body weight on the 2nd and 3d d up to 100 ml/h on the 6th-7th d. The present innovation enables to improve nutrition of intestinal endothelium, decrease pathogenic and conditionally pathogenic microflora, prevents appearance of postoperational intestinal paresis and restores its function in more shortened terms.

EFFECT: higher efficiency.

1 ex, 3 tbl

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