Moscow oncologists in the battle for quality of life
Life expectancy in Moscow in 2015 was 77 years, which is a very good result compared to the average European indicators (about 80 years). Behind the positive dynamics of statistics, joint victories of doctors and patients are hidden over formidable and once fatal illnesses. One of the flagships of not only Russian, but also world oncology is Moscow City Oncological Hospital No. 62.
The quality of life
When the chief doctor of the hospital, Anatoly Nakhimovich Makhson, came to oncology (1972), the task before the doctors practicing the treatment of bone cancer was to save a person’s life. At that time, there was a mass of radical, highly traumatic operations involving the amputation of limbs and the removal of muscle tissue. After being discharged from the hospital, such patients were relieved and parted with their fears. But a year or two went by, and people began to torment the question: "How do I live?".Is a deep disability rightful to be considered a complete victory over the disease?
Anatoly Nakhimovich, using his own clinical experience, in 1981 defended his thesis on the topic “Preservation operations with endoprosthesis replacement in patients with tumors of the long bones”. Since then, tens of thousands of successful surgeries have been carried out in the hospital, several technical generations of prostheses have changed, and the combination of scientific work and medical practice has become the norm for all leading doctors of MGOB No. 62.
“Quality of life is no less important than life itself,” modern oncology is guided by this modernist principle. Minimally invasive surgical interventions, reconstructive plastics, endoprosthetics, autotransplantation and the development of all conservative types of treatment - all these tools are used to save the patient a fully functional limb or organ.
In the 62nd Moscow Observatory, the 3rd ward is fully practicing restorative oncology. A pleasant surprise was made to the hospital doctors recently: a woman with her three-year-old daughter came to visit them. It turned out that about 4 years ago, the patient had a malignant tumor of the Ilium in the pelvis with the subsequent installation of the hip endoprosthesis.
A few months after the operation, the 38-year-old woman became pregnant and subsequently gave birth to a girl without any complications. Some 10-15 years ago it was impossible to even dream of such a development: at best, the patient would have expected remission amid amputation of the leg and half of the pelvis. Pregnancy and childbirth in such a situation would be simply impossible.
Development of diagnostics and treatment methods
Biochemical, molecular genetic studies, as well as the entire range of diagnostic equipment known today, is a sign of a medical institution of the highest level.
In addition, the availability of specialists who can competently decipher and describe the information obtained is important not less than the technical means themselves.
Physical diagnostic methods used in MGOB No. 62
X-ray, computed tomography (CT), MRI, ultrasound, endoscopy and fluorescence photodynamics are the 6 main areas of development of modern physical diagnostics. Each of them is represented not only within its own department, but also is affiliated directly with the conduct of operational and conservative treatment of patients.
Diagnosis of cancer in Moscow using the full range of methods and means known to modern medicine is carried out on the basis of the 62nd MGOB. Quite often, technical research data are brought here from all over the country for high-quality decoding and description. The richer the clinical experience, the more thoroughly the real qualification of medical diagnosticians. The specialists of the diagnostic departments of the hospital have the highest medical categories and have scientific degrees in their fields. All key personnel are required to undergo foreign practice in European and North American specialized institutions.
Within the hospital, it is widely used to simultaneously conduct multidisciplinary research and minimally invasive manipulations.
Diagnostics help surgeons to “monitor” the process of the operation. In addition, on the basis of their departments, they independently engage in low-traumatic surgery and some types of conservative treatment.
Interestingly, on the basis of three-dimensional 3D imaging, developing on the basis of X-ray tomosynthesis, CT and MRI studies, specific techniques and technologies for performing surgeries have emerged, significantly improving the final quality of treatment.
An extremely wide model-functional range of medical equipment makes the selection of machines and the systematization of their work a creative process, depending on the level of doctors and managers working in a particular clinic.
Biochemistry and molecular genetic studies
The role of research and analysis in oncology is not limited to determining the location, size and types of tumors. Currently, targeted methods of conservative treatment of cancer are actively developing.
At the moment, many specific mutations of the genes responsible for one or another type of development of malignant tumors have been identified. For example, lung tumors result from mutations in the EGFR gene or alteration of the ALK gene. Drugs are narrow-profile - affecting only the cells that are subject to genetic changes of a particular species. Additional segregation of drugs for chemotherapy and other types of conservative treatment should take into account a complete picture of the human biological status - metabolic processes, physiological dynamics, age and many other factors.
The effectiveness of analytics and non-surgical treatment is directly dependent on the level of divisions of molecular genetic studies. Not only the 62nd MGOB, but all of Moscow can be proud of its laboratory, one of the world's top ten bio-diagnostics.
Healthy tv. Surgery: bone cancer