Investigation of immediate and late results of complex treatment in patients, suffering locally-spread mammary gland cancer, using systemic and endolymphatic neoadjuvant polychemotherapy
Objective. To compare the immediate and late results of treatment in patients, suffering locally-spread mammary gland cancer (LSMGC), using various methods of administration of preparations for polychemotherapy (PCHTH).
Materials and methods. The investigation was conducted, basing on selective analysis of medical cards of 112 stationary patients, suffering LSMGC Stage T4A-DN0-3M0, who obtained complex antitumoral treatment on the base of the Donetsk Regional Antitumoral Centre and the University Clinic of the Odessa National medical University in 2000 - 2017 yrs. Into the comparison group 65 (58%) women-patients were included, suffering inoperable forms of a LSMGC, to whom a systemic polychemotherapy (SPCHTH) was conducted in a neoadjuvant regime. Into the investigation group 47 (42%) women-patients were included with inoperable forms of a LCMGC, to whom, as a neoadjuvant course, endolymphatic PCHTH (EPCHTH), was conducted.
Result. In the aspect of indices of a three- and a five-year survival a statistically significant difference between the groups investigated was absent. Immediate results of the women-patients, to whom a neoadjuvant ELPCHTH was conducted, have shown no statistically significant difference with those, treated, using SPCHTH.
Conclusion. Immediate and late results of complex therapy for a LSMGC in unfavorable prognosis of tumoral growth with conduction of ELPCHTH in a neoadjuvant regime and performance of radical operative intervention are better, comparing with the treatment result in accordance to similar scheme, but with conduction of SPCHTH on a preoperative stage, without statistical significance.
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