References

bioph

Biomedical Photonics

2413-9432

Non-profit partnership for development of domestic photodynamic therapy and photodiagnosis

10.24931/2413-9432-2017-6-1-28-37

bioph-148

Research Article

ОБЗОРЫ ЛИТЕРАТУРЫ

LITERATURE REVIEWS

ФИЗИЧЕСКИЕ МЕТОДЫ РЕАБИЛИТАЦИИ ОНКОЛОГИЧЕСКИХ БОЛЬНЫХ ПОСЛЕ КОМБИНИРОВАННОГО ЛЕЧЕНИЯ РАКА МОЛОЧНОЙ ЖЕЛЕЗЫ

PHYSICAL METHODS OF REHABILITATION IN CANCER PATIENTS AFTER COMBINED MODALITY TREATMENT FOR BREAST CANCER

Тишакова

В. Э.

Tishakova

V. E.

Филоненко

Е. В.

Filonenko

E. V.

Чиссов

В. И.

Chissov

V. I.

Ефименко

Н. А.

Efimenko

N. A.

Урлова

А. Н.

Urlova

A. N.

Первый Московский государственный медицинский университет им. И.М. СеченоваРоссияSechenov First Moscow State Medical UnivesityRussian Federation

Первый Московский государственный медицинский университет им. И.М. Сеченова Национальный медицинский исследовательский радиологический центр Минздрава РоссииРоссияSechenov First Moscow State Medical Univesity National Medical Research Radiological Centre of the Ministry of Health of the Russian FederationRussian Federation

Главный военный клинический госпиталь им. Н.Н. БурденкоРоссияBurdenko Main Military Clinical HospitalRussian Federation

Национальный медицинский исследовательский радиологический центр Минздрава РоссииРоссияNational Medical Research Radiological Centre of the Ministry of Health of the Russian FederationRussian Federation

2017

22062017

612837

2017

Тишакова В.Э., Филоненко Е.В., Чиссов В.И., Ефименко Н.А., Урлова А.Н.

Tishakova V.E., Filonenko E.V., Chissov V.I., Efimenko N.A., Urlova A.N.

Данная работа распространяется под лицензией Creative Commons Attribution 4.0.

This work is licensed under a Creative Commons Attribution 4.0 License.

https://www.pdt-journal.com/jour/article/view/148

Согласно мировой статистике, рак молочной железы является наиболее распространенным злокачественным новообразованием у женщин. Несмотря на успешность существующих методов лечения, постоперационный период у большинства пациенток характеризуется развитием постмастэктомического синдрома, что приводит к затруднению повседневной активности, сложностям социальной адаптации и, как следствие, снижению качества жизни. В данном обзоре детально рассмотрены причины, факторы риска, особенности клинических и патогенетических проявлений постмастэктомического синдрома. Описаны различные подходы к классификации постмастэктомического синдрома, методам его клинической и инструментальной диагностики. На основе более 40 работ отечественных и зарубежных авторов изучен и подробно освещен вопрос выбора рациональной тактики лечения синдрома. Значительная часть обзора посвящена применению физических методов лечения постмастэктомического синдрома. Отмечено, что всё больше клиницистов отдает предпочтение методам консервативного лечения, особое место среди которых занимают лечебная гимнастика, комплексная дренирующая терапия и компрессионная терапия. В то же время отсутствие общепринятых алгоритмов лечения усложняет задачу клиницистов. Таким образом, их разработка с акцентом на персонифицированный подход к каждому больному является актуальной задачей современной реабилитологии в хирургии рака молочной железы.

According to worldwide statistics breast cancer is the most common cancer in women. Despite the success in current methods of treatment post-operative period in major of patients is characterized by post-mastectomy syndrome which leads to impairment in daily activities, difficulties in social adaptation and consequently to dicrease of the quality of life. The specific causes, risk factors, characteristics of clinical and pathogenetic manifestations of post-mastectomy syndrome are described in detail in this review. Different approaches to post-mastectomy syndrome classification, its clinical and instrumental diagnosis are defined. Based on more than 40 publications of Russian and foreign authors, the issue of selection of appropriate treatment tactics for the syndrome is investigated and discussed in detail. A considerable part of the review is focused on the use of physical methods of treating the post-mastectomy syndrome. It is observed that an increasing number of specialists gives preference to methods of conservative treatment special of which are medical gymnastics, complex decongestive therapy and compression therapy. On the other hand, the absence of the unified treatment algorithms is challenging for clinicians. Therefore, its development with the focus on patient-specific approach is a crucial task for modern rehabilitology in breast cancer surgery.

мастэктомияпостмастэктомический синдромлимфедемареабилитация

mastectomypost-mastectomy syndromelymphedemarehabilitation

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The authors declare that there are no conflicts of interest present.