Technical difficulties in the works

Mammalogy







Specialists

All specialists
Maso
Michael Lvovich

Mammologist, radiologist, ultrasound diagnostician

PhD

Chichkanova
Tatyana Vladimirovna

Oncologist-mammologist, radiologist

Malygin
Sergey Evgenyevich

Oncologist-mammologist, surgeon

Karpova
Maria Andreevna

Multimodal specialist of the mammological center, mammologist

PhD

Benefits

Doctors of science
& PhD

24/7 Diagnostics

On-site
laboratory

Three hospitals

> 58 th patients
per year

40+
directions

About the department

The mammology department of the K+31 clinic allows the patient to receive all the necessary services in one place, in a comfortable environment and to constantly be in touch with his attending physician. The department is equipped with modern equipment for ultrasound, mammography, contrast mammography, tomosynthesis, as well as breast MRI.


Mammography

Mammography is a standardized procedure consisting of 4 images, called projections, two views of each breast: a cranio-caudal or frontal view and a medio-lateral or oblique view. Mammography is performed using specialized x-ray equipment. For the study, a specific technique is used that requires compression of the mammary gland for 5-10 seconds in order to reduce radiation exposure to the mammary gland, as well as to obtain high-quality images.


Tomosynthesis

This examination method is also performed in specialized offices. During the study, standard projections identical to digital mammography are used. The most important difference is the moving X-ray tube, which rotates around the breast and takes several images, which are then reconstructed into slices in 1mm increments. Tomosynthesis can be performed both independently and in combination with standard mammography. In the process of performing a standard mammography, the radiologist decides whether it is necessary to perform an additional study in the tomosynthesis or ultrasound mode. This decision is based on the individual X-ray structure of the breast, the availability of various examination methods, and the characteristics of the changes found during the standard mammography.


Contrast mammography

This is a mammogram using iodinated contrast medium. The contrast agent helps to find new blood vessels that appear with the development of a malignant tumor. Your healthcare provider may order a digital contrast mammography for a variety of situations, including those listed below.

  • If you need breast cancer screening. CESM may be particularly useful in women at increased risk of developing breast cancer and in women with dense breast tissue.
  • If it is necessary to evaluate any nodules found in the mammary glands during a physical examination. Contrast digital mammography helps detect breast cancers that cannot be seen on conventional mammograms, especially in women with dense breast tissue.

Breast ultrasound

It is a mandatory tool in the diagnosis of breast diseases and provides the doctor with additional information to mammography. The addition of ultrasound to mammography improves the radiologist's ability to distinguish benign from suspicious breast cancer, thus reducing unnecessary biopsies, especially when breast radiography is dense. Also, ultrasound is a method of primary diagnosis in pregnant and lactating patients.


Breast MRI

MRI or magnetic resonance imaging of the mammary glands with dynamic contrast enhancement is a highly sensitive method that has shown maximum information content in the following cases:

  1. Preoperative planning of the scope of surgical treatment for breast cancer.
  2. Exclusion of additional foci of breast cancer in the opposite gland.
  3. Difficult diagnostic cases, when there are discrepancies in the results of mammography, ultrasound and clinical examination.
  4. Chemotherapy treatment monitoring.
  5. Assessment of the integrity of implants.
  6. Diagnosis of postoperative changes in the mammary gland.
  7. Annual preventive examination of patients at high risk of developing breast cancer.

Biopsy

If necessary, invasive examination methods are used: fine-needle aspiration biopsy, thick-needle biopsy, vacuum aspiration biopsy, ductography.

Such studies are carried out under the control of ultrasound, X-ray or MRI and are used to determine the morphology of the tumor and the selection of individual therapy for the patient. Additional methods are also used to study blood (oncogenetics) for the carriage of mutated genes BRCA1, BRCA2, CHEK 2, PTEN, p53, CDH-1.


Treatment of breast diseases

Today, almost any breast cancer detected at an early stage is treatable. The patient's treatment tactics are determined by the specialist individually. Clinic K+31 provides comprehensive treatment for breast cancer, including surgery and chemotherapy.


Surgery

The volume of the operation directly depends on the size of the formation, the degree of malignancy and the presence or absence of metastases.


Chemotherapy

Medication therapies are also widely used, which include chemotherapy and hormone therapy.

We carry out chemotherapy treatment according to the recommendations of NCCN, ASCO, ESMO, using "original" drugs. Therefore, patients tolerate treatment comfortably.


Radiation therapy

In organ-preserving surgeries, when only a portion of the breast is removed, radiation therapy is performed after the surgery to kill additional cancer cells in the remaining breast tissue.

Service record

Reviews

All reviews
I would like to express my deep gratitude to the very best doctor Malygin Sergey Evgenievich for his professionalism, attentiveness and truly golden hands. Sergey Evgenievich, thank you for everything! After each visit to you (and this is for almost 12 years), I always feel absolutely calm about my health as a person and I know that with any health problem I can turn to you and I will always receive the correct and necessary help or very necessary advice ... Thanks you! Girls, women, if you have problems with the mammary gland, go straight to Sergei Evgenievich and do not hesitate at all - they will listen to you, they will definitely help you and, most importantly, you will be healthy!
 
Olga
I have been seeing Tatyana Vladimirovna Chichkanova for several years, and I want to write the kindest words. Thank you very much for your professionalism, sensitivity and attention. For the fact that you can calm down and help, get into the situation, and in a difficult situation find and collect all the necessary specialists and extend your working day for several hours. Thank you so much, I was at the reception yesterday - yes, everything was professional, calm, confident, excellent)))
 
Natalia
To become a specialist, you need to graduate from the university, to become a good specialist, you need to continue to expand theoretical knowledge and practice, in order to become a professional, you need to competently combine knowledge, experience and be a sensitive, attentive person. Tatyana Vladimirovna is a real professional in her field. I am very glad that I came to this particular doctor. An attentive and individual approach to the issue of health - this is exactly what happens at Tatiana Vladimirovna's receptions. Thank!
 
Margarita
If you need professional advice, help, you need to go to Tatiana Vladimirovna. For a person who faces health problems, the approach and attitude of the doctor is critical. Tatiana V. is a professional with a capital letter. I am very glad that I found “my” oncologist / mammologist. Thanks you!!!!!
 
Margarita
Irina Ivanovna is the best specialist I have ever encountered. It is very important that the doctor does not intimidate, adequately treats the flow of questions and the patient's fears, and is very attentive. After a heap of examinations, of course, problems were found, but everything was resolved promptly and under control. Thanks to the professionalism of such a mammologist, my fibroadenoma was cured. And this is a huge victory.
 
Anonymously
I treated Irina Ivanovna's mastopathy and now I can only see her. I like her approach, that she does not panic, does not advise to run to give birth, and the like. Everything is always on the case, only the necessary analyzes, will help and listen. An excellent, caring specialist!
 
Anonymously
Best
Irina
I would like to express my gratitude to Mazo Mikhail Lvovich (Mammologist, radiologist, ultrasound diagnostics doctor) for high-quality treatment, high professionalism and kind attitude. The latest technologies developed and applied by him allow people to improve the quality of life and instill hope for a further happy life. When I entered the office, the fear disappeared somewhere, because the doctor is so able to calm the patient down that it becomes absolutely not scary. The procedure was performed under anesthesia and everything went well. Mikhail Lvovich is a professional in his field.
 
Daygibat
I was at the reception of T.V. Chichkanova and A.F. Kartashova, I did an operation in your medical center. All services were rendered at the highest level, all employees of the center are highly qualified specialists, people with golden hands and big human hearts. Thank you very much, good health to all. All medical personnel are friendly and competent in their work, good luck and success to you.
 
Shashkina Yu. I.
T.V. Chichkanova high-class specialist, sensitive person. The impression of the call center and administrators is good, everything is very well organized.
GALINA GENNADIEVNA
Tatyana Vladimirovna is an excellent specialist and a very calm doctor))) For those who are afraid to go to a mammologist even for a consultation, I highly recommend this specialist. Everything is calm and safe! Many thanks!
 
ANASTASIA
Sergey Evgenievich Malygin is an excellent mammologist-oncologist. This is where no woman wants to go, but if you really go to Sergei Evgenievich. A balanced approach without agitation and pressure. His calmness allows him to find his head in a difficult situation. Thank you.
 
Feedback on facebook
I did the operation at Sergei Evgenievich on December 22, everything went fine, no complications or visible scars, an excellent doctor with the right approach to the health of patients. Thank you very much!
Elena
Dr. Sergei Evgenievich Malygin is the coolest oncologist surgeon, and I was lucky that he agreed to operate on me, because he doesn't take everyone. It is a great fortune to be his patient. Personally, I was looking for a doctor for 3 months about different countries, despite the fact that I needed an urgent operation. It sounds rather strange, but I took the risk of delaying the operation because a good result was more important to me than just surviving at any cost. After all, I have one body and one life, and it was important to both survive and preserve a beautiful body. This requires a high-level specialist. Serey Evgenievich is not only golden hands, but also a bright head and humanity, this is such a rare combination in the modern world, where a doctor is obliged to observe the basic rule, the covenant which he promised to follow in his work and it is so difficult to fulfill in practice, this is the “DO NOT HARM” rule. It is almost impossible to make it so that after the operation it would be better than it was before the illness ... This is an art that Dr. Malygin masterfully masters. In addition, Sergei Evgenievich is a man of a new formation, it is so valuable that such doctors have finally appeared in Russia, this is an absolutely disinterested person, this does him honor, and the "Honest Name" is dear in our time. I am very grateful to Doctor Malygin Sergey Evgenievich for his work, for his attitude, for his advice and support, for my recovery, for my new, improved body. If someone is looking for a doctor and I advise you to ask only to him, if he agrees, you are in good hands.
 
Donnelly N.Yu.
Very attentive doctor. This is not the first time I have seen him. The doctor told me everything and answered my questions.
Maria
The doctor is very good, he performed an operation on me, looked at me, said that everything was very good and invited me to the next appointment when it was necessary. The doctor is responsive, very sociable, explains everything clearly. I have been with him since February and have never seen him in a bad mood. I am delighted!
 
Helena
Everything suited me. I was happy with everything, that is, with the reception and the doctor. The doctor answered all the questions that I asked him and, in principle, I still intend to cooperate with him, I am going to visit again. This time the doctor consulted me, he examined me as a mammologist. In my situation, the diagnosis is still in question, since it cannot be delivered in 1 visit, therefore, while I have remained under the supervision of a doctor, I intend to return to him again in 3 months. I believe that Sergei Evgenievich has a very good manner of communication, we communicated with him on equal terms, despite the fact that I do not understand anything in medicine, but he explained everything thoroughly and clearly. The reception took about 40 minutes in total. At the first stage, I believe that he is a professional in his field. To date, I was completely satisfied with everything, and then we'll see.
 
Anonymously
Having visited Maria Andreevna Shershneva's reception, I can't help but write a review. A qualified doctor, attentive approach, neatness and warmth. Thank you so much.
Irina