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About the clinic: P.Herzen Moscow Oncology Research Institute was founded on February 12, 1898. It became the oldest scientific and practical institution in Europe and the first oncology institution in Russia, where the foundations were laid for the Russian science and oncology services. The Institute is a recognized leader in providing high-tech medical care to patients with various types of cancer. The Institute performs a unique surgery, uses modern high-tech methods of diagnostics, comprehensive treatment and rehabilitation of patients.
About the clinic: I.M. Sechenov First Moscow State Medical University (Sechenov University) is the top medical university in Russia. Its history begins in 1758 as the medical faculty at Imperial Moscow University. For over two centuries Sechenov University has been a pioneer in the Russian healthcare system. A lot of outstanding physicians and scientists, who contributed significantly to the progress in medicine, worked at the University. In 2018, Sechenov University celebrates its 260th Anniversary.
About the clinic: Yusupovskaya hospital is a continuity of traditions in the treatment of patients in combination with the latest achievements of modern scientific and evidence-based medicine and advanced expert experience. The Yusupov hospital carries out scientific activities — on the basis of the clinic there are scientific and practical centers aimed at solving patients' problems in a comprehensive manner.
About the clinic: Federal research and clinical center for specialized types of medical care and medical technologies of the FMBA of Russia (FSCC of the FMBA of Russia) is one of the largest multi — specialty medical institutions in Russia for providing specialized medical care, combining a consulting and diagnostic center and more than 40 departments.
About the clinic: Clinical hospital No. 1 (Volynskaya) of The Presidential administration of the Russian Federation is one of the oldest institutions of Kremlin medicine, which itself has more than 400 years of history. In may 1600, by Decree of Tsar Boris Godunov, a pharmacy order was created to "protect the health of the sovereign". The hospital began with a small reception House adapted for a medical institution Near the dacha of I. V. Stalin.
This is a tumor lesion of the colon (colon), often lasting for a long time without symptoms due to the absence of “external” manifestations of the disease.
In recent years, there has been a steady increase in the incidence of diseases in all economically developed countries of the world. In European countries, 130,000 new cases of colon cancer are registered each year.
Treatment tactics are mainly surgical with the inclusion of a combination of additional methods of treatment. When performing a potentially radical surgical intervention, the prognosis of the disease is favorable.
Colon cancer is characterized by a hidden course: up to 70% of cases of diseases are detected in the last stages.
Symptoms of colon cancer in the first stages of the disease can be expressed by painful sensations in the lower abdomen (depending on the location of the neoplasm), General malaise, weight loss, poor appetite, gas formation.
In the later stages of the disease, the following symptoms appear:
– flatulence (bloating due to increased gas formation),
– chronic discomfort in the stomach area,
– presence of blood in the stool,
– constipation or, conversely, frequent painful urges to defecate.
Successful treatment of colon cancer depends on timely diagnosis. The following studies are being conducted:
– Ultrasound of the abdominal organs.
– CT and MRI.
– Blood test for cancer markers.
– Histological examination of intestinal tissues.
– Stool analysis.
In laparoscopic-assisted colectomy, the part of the colon that has a tumor is removed. The volume of the operation is determined by the extent of the tumor spread. Nearby lymph nodes are also subject to removal. The operation is performed through several small incisions, through which a video camera and surgical instruments are inserted into the abdominal cavity.
Chemotherapy for colon cancer. Treatment consists in the introduction of toxic drugs into the body that stop the growth of cancer cells. The drug dose for each injection is calculated by the area of the skin or weight of a particular patient. For administration, a minimum toxic dosage is recommended, which gives the highest possible effect.
Cytoreductive surgery and hyperthermic intraoperative chemotherapy (HIPEC). The essence of the HIPEC technique is that immediately after a cytoreductive (i.e., aimed at removing tumor cells) operation, the patient is perfused for 60-90 minutes – the abdominal cavity is “washed” with a concentrated solution of a chemotherapy drug, heated to 42-43 °C, This leads to the targeted destruction of tumor cells, which will inevitably remain even after the most thorough surgical removal of foci and provoke a relapse, which makes this technique unique.
HIFU-therapy for colon cancer. The method is based on the effect of high-intensity focused ultrasound on the tumor cells, which are welded within a few seconds under the influence of thermal and mechanical energy created at the focus point. This is a method of local influence. The method is completely invasive, i.e. it does not require incisions, punctures, has no risks of bleeding, wound suppuration, or perforation of the hollow organ. HIFU therapy is usually performed in combination with chemotherapy, but can be performed separately.