Principles of treatment of women with benign breast diseases

  • V. Y. Safonov National Military Medical Clinical Center «Main Military Clinical Hospital»
  • L. P. Kuzmuk National Military Medical Clinical Center «Main Military Clinical Hospital»
  • K. V. Kravchenko National Military Medical Clinical Center «Main Military Clinical Hospital»
Keywords: benign breast diseases, mastopathy, mastalgia, fibroadenoma, intraductal papilloma, dyshormonal disorders

Abstract

Introduction. Breast diseases occupy a leading place in the structure of pathology of the female reproductive system. According to statistics, fibrocystic mastopathy is diagnosed in 50-60% of women. Pain and other manifestations of mastopathy impair the quality of life of patients and, last but not least, increase the risk of breast cancer.
The purpose of the work is a retrospective analysis of the results of treatment of patients with benign breast diseases in the Thoracic surgery clinic of the National Military Medical Clinical Center «Main Military Clinical Hospital».
Materials and methods. The treatment of 768 patients with benign breast diseases was analysed. The scope of the required examination has been determined. The main groups by the method of treatment are considered: surgical (234 women), medical (379 women), dynamic observation (125 women). A group of patients (30 women), who also had similar complaints but need examination and treatment for other chest diseases has also been identified.
Results and discussion. It was determined that the group with breast neoplasms recovered in all cases. The indications for surgical treatment of benign tumors and cysts, as well as, separately, intraductal papilloma, have been clarified and considered once again. In the second group, most women showed improvement after therapy. Unfortunately, there is no single algorithm for treating patients with dyshormonal manifestations. Therefore, treatment should be comprehensive (including changes in work, rest, sleep, nutrition, underwear), gradual (from simple to complex), objective and should be based on survey data, very balanced, especially when using hormone therapy, which has a large number of side effects and complications.
Conclusions. Breast cancer occupies a leading position among the malignant pathology of the female population, so doctors should be vigilant, and women should be subject of dispensary and preventive examination. Benign diseases of the mammary glands are a complex, multifactorial problem and its solution should be started from establishing the cause and only then – prescribing treatment.

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Published
2020-11-20
How to Cite
Safonov, V. Y., Kuzmuk, L. P., & Kravchenko, K. V. (2020). Principles of treatment of women with benign breast diseases. Current Aspects of Military Medicine, 27(2), 163-171. https://doi.org/10.32751/2310-4910-2020-27-39

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