An experienced specialist will determine a mammologist. Mammalogy

A mammologist is a specialist who deals with the diagnosis and treatment, as well as the prevention of various diseases of the mammary glands. Nowadays, they are very common, especially in Moscow, where women do not have time to pay due attention to themselves in the bustle of work. Even at the end of the last century, women over forty years old were sent to see a mammologist, but now even young girls of 20 years old need to visit this specialist.

What do mammologists do?

The competence of a mammologist includes examination of the mammary glands and the identification of diseases:

tumor (sarcoma, cancer, fibroadenomalipoma, etc.);
dishormonal (mastopathy, gynecomastia);
congenital, anomalies in the development of the mammary glands of young girls;
inflammatory (mastitis).

Identification of inflammation of the mammary gland may necessitate the need to refer the patient from the mammologist directly to the surgeon practicing in the field of purulent surgery.

In what cases should you contact mammologists?

A visit to a mammologist is indicated for women of any age who have found in the mammary gland:

formed nodes;
emerging seals;
changes in the shape of the nipples;
noticeable skin changes;
discharge from the nipples;
any discomfort (pain, feeling of fullness, heaviness, etc.).

difficult childbirth;
abortion;
gynecological cleaning;
mammary gland injuries.

Each mammologist practicing in Moscow begins by listening to the patient's complaints, and then conducting a special clinical examination through manual examination and visual examination of the mammary glands and lymphatic outflow zones. A survey of the patient allows the mammologist to identify the causes of the onset and development of the disease. If it is difficult to make a diagnosis, the specialist can send for an additional examination - ultrasound, biopsy, mammography, and then prescribe a course of treatment. Additional research methods are also used:

ductography;
scintigraphy;
x-ray of bones, ENT organs, etc.

Where in Moscow to get this specialty?

In Moscow today there are a number of mammological departments in research institutes, oncological dispensaries, but mammology has not yet become a specialty, but belongs to subspecialties. Nevertheless, specialists involved in the prevention, diagnosis and treatment of dyshormonal and tumor diseases of the mammary glands are trained not only in advanced training courses, but also in medical universities. Most often in Moscow, surgeons - oncologists, and sometimes - plastic specialists become mammologists. Not all medical universities in the capital have departments of clinical mammology and oncology. In Moscow, the course can be taken at:

MGMSU;
RUDN;
MGMU them. Sechenov;
RMAPO and some other universities.

Training courses for specialists are offered by clinical hospitals and research institutes.

Famous specialists of Moscow

Already in the 19th century, symptoms of the degeneration of the nation were noted, which gave rise to the threat of a decrease in the population of Russia. The demographic health of the nation is the sphere of interests of doctors from all over the world. In Moscow, the protection of the reproductive health of Russian women is also a priority. In the 21st century, the pace of adoption of new technologies has accelerated. Already in 2000, the Mammological Center of Roszdrav was established on the basis of the RRCRR, and in 2001, RAM, the Russian Association of Mammologists, appeared.

Russia has joined the World Breast Cancer Movement. In the Moscow Society of Medical Radiologists, which was created on the basis of the RRCRR, a special section of female radiology appeared. Such prominent specialists as Bozhenko, Vasiliev, Zabolotskaya, Letyagin, Rozhkova, Semiglazov, Fomin, Vesnin, Kharchenko and many others devoted their works to research in the field of modern mammology.

If you need a good mammologist in Moscow, do not rely on chance when choosing. Of course, you can ask your friends, colleagues, fitness club friends the appropriate question, take an interest in the Internet forum. But such advice is sometimes emotional and subjective. So listen, but use factual material as well.

Refer to a specialized site - use the offer of our resource. Here is an opportunity to clarify the specialization of a doctor, to find out what professional experience he has, to get acquainted with his achievements, to read the opinions of patients who have already been seen or have been treated. The desire of patients to entrust serious problems depends not only on the professional competence of a mammologist, but also on his human qualities, contact, and attentiveness. Only then can you make a decision and make an appointment.

Women's fears

Most women who accidentally or during self-examination notice changes in the appearance of the mammary glands or feel pain, first of all, the assumption of cancer visits. These fears are understandable. The number of people with this pathology continues to grow steadily every year. Breast cancer is the third leading cause of death in women.

It should be noted that most of the cysts, tumors, seals of breast tissue - almost 80% - are benign, that is, they do not pose a threat. To make sure that this is really the case, a visit to the mammologist will help you. But even if the neoplasm turns out to be dangerous, with early diagnosis and adequate treatment, the patient will be completely cured in 9 out of 10 cases.

Who is a mammologist

Mammologists are professional doctors who are engaged in the diagnosis, treatment and prevention of pathological conditions, neoplasms of the mammary gland. Specialists of this profile work in outpatient clinics, as well as carry out inpatient treatment with the help of medicines. If necessary, many of them can perform surgical operations. These treatments may be shared or performed by the same physician. Therefore, when looking for a good mammologist in Moscow, keep this in mind, paying attention to the specialization and practical capabilities of the candidates.

Note that in the Russian Federation, as in other CIS countries, mammology is not a separate specialty. Despite the fact that there are many breast departments in the city of Moscow (and other regions), this is a subspecialization for related areas of medical workers. Among mammologists, oncologists represent the largest number, since they are the ones who treat patients with malignant tumors and other similar diagnoses. A slightly smaller number of specialists in diseases of the mammary glands are surgeons, plastic surgeons, gynecologists, obstetricians.

A mammologist in Moscow treats:

Diseases accompanied by tumors of the mammary glands (fibroadenoma, lipoma, sarcoma, oncological pathologies, etc.).
Pathologies of the mammary glands caused by hormonal imbalance (diffuse fibrocystic and nodular mastopathy).
Diseases that have an inflammatory, purulent nature (mastitis).
Congenital malformations of the mammary glands.

How often should a woman visit a mammologist

For the first time, experts recommend that 15-16 year old girls come to a mammologist for an examination. This will allow to identify pathological processes at the beginning of their development and take timely measures. Moreover, it is early diagnosis that ensures the use of conservative, least traumatic methods and a complete cure. Or you can rejoice at the absence of breast diseases. It is possible and necessary to make an appointment for the first time, then undergo an examination by a mammologist, feeling completely healthy. If at least one unusual symptom is noticed (soreness of the tissues of the gland, discharge of fluid from the nipples), an urgent consultation of a specialized specialist is needed.

After the age of 30, women who do not have complaints about the condition of the mammary glands, as well as breast pathologies among relatives, are recommended to visit a mammologist at least once every two years. In the presence of aggravating hereditary factors or symptoms, visits should be more frequent, at least 2 times a year. At this age, self-examination of the mammary glands after the end of menstruation (on the 5-7th day of the cycle) should become regular. But such a monthly palpation of the breast does not guarantee the timely detection of hidden neoplasms, so a visit to a mammologist is mandatory.

After 45, a professional preventive examination of the mammary glands should be carried out every year.

Please note that the results of the examination will be most revealing and reliable if you schedule a visit to the mammologist on certain days. Go to the doctor in the period after the end of the discharge before ovulation, this is the 5-6th day of the menstrual cycle.

Reasons for an unscheduled visit

Some conditions of the mammary glands are a serious reason to urgently find out their true cause. These symptoms include:

Redness (hyperemia) of the mammary glands or their areas.
Breast reduction or enlargement.
The appearance of seals in the tissues of the mammary glands.
Secretion from the nipples, regardless of color. Particular caution should be shown if these secretions contain streaks of blood.
The appearance of pain in the armpits or near them.
Pain in the mammary glands or in one of them.
Changing the shape of the nipples to a more convex or, conversely, retracted.
Changes in the condition of the skin around the nipples (swelling or retraction).
Asymmetry of the right and left mammary glands.

But even in the absence of such signs, having a history of some factors that predispose to the development of dysfunction or structure of the mammary glands, you should visit a mammologist more often. Among these circumstances are the following:

Gynecological diseases that are currently or have been transferred before.
Difficult childbirth.

The presence of even minor discomfort in the area of the mammary gland (chest pain, a feeling of fullness, compaction, discharge from the nipples, swelling of the glands, etc.).
Breast problems during pregnancy and/or lactation.
Old or recent injury to the mammary glands or one of them.
Functional pathologies of the liver.
Prolonged stay in a state of tension of the nervous system, repetitive or single psychotraumatic stressful situations, anxiety.
Hereditary predisposition - if breast cancer or other pathologies were in the closest relatives in the female line.

Such problems are subject to the competence of a specialist. A mammologist in Moscow will receive a patient on an outpatient basis and provide professional assistance.

How is the appointment of a mammologist

At the appointment with a mammologist, the patient states all the existing complaints about the health of the mammary glands. A good specialist will definitely ask a series of questions that will help to find out the reason for the treatment and the appearance of changes in the breast. Then a visual examination of the glands and palpation (palpation) is performed. If the doctor finds grounds for a more detailed diagnosis, he will recommend several or one of the types of examinations:

Mammography (X-ray examination of the mammary glands on a special apparatus - a mammograph).
Ultrasound examination (ultrasound) of the breast.
If necessary, an aspiration biopsy is prescribed - an analysis of breast tissue, which is taken with a thin needle, while monitoring the process on an ultrasound machine. Then the material is sent to the laboratory for cytological examination.
Scintigraphy is a procedure that uses the introduction of a small amount of a radioactive substance, followed by the analysis of tumor formations on a gamma tomograph.
Ductography is a method of X-ray examination of the state of the ducts of the mammary glands.

MRI or CT of the chest.
Taking a sample of material (liquid) secreted from the nipple with a referral for cytology examination (detection of structural changes in the biomaterial).

After receiving and evaluating the results of the research, the oncologist mammologist in Moscow will offer an adequate tactic for treating the disease, prescribe a number of procedures that will help defeat the disease. The best option is for the same doctor to treat the patient and observe her until complete recovery.

Help in choosing a doctor: how to make an appointment

Often on the Internet, women ask: "Advise a good mammologist and guide the price per appointment." Our site contains a large amount of useful information for you. These are questionnaires of experienced doctors who successfully help women with breast problems. You will find information about the education of specialists, work experience. But the most important thing is to get acquainted with the opinions of real patients about mammologists. Only in this way, by sharing experience and leaving honest feedback, patients can help each other. The average cost of a consultation with a mammologist in Moscow is 1,850 rubles.

On the mammologist's appointment every woman should come every year, from the age of 18 to old age. Visiting and conducting a basic examination does not take much time, but it allows you to timely detect diseases such as fibroadenoma, fibroma, and breast cancer.

The latter is one of the most common forms of cancer in women. Oncological tumors of the breast every year cause the death of tens of thousands of women, and it is possible not to become part of this sad statistics if you undergo a preventive examination in a timely manner, which allows you to detect a tumor at an early stage. This guarantees successful treatment in most cases.

When to visit a mammologist

There are a number of signs that indicate the onset of breast disease. Every woman should know them. In order not to miss the onset of the disease, you need to pay attention to the following signs:

Pain in the region of the mammary glands. Unpleasant sensations and pain in the mammary glands can be a sign of many diseases. They are localized in one place or spilled, but both require consultations.
The appearance of formations. If during palpation of the breast you find a seal in it, you must urgently come to an appointment with a mammologist.
Change of size . If the breasts of an adult woman began to change size or shape, this is a sign of the disease, especially if the growth is asymmetrical, i.e., one breast increases.
Nipple change . An alarming factor, if the nipple is deformed, bent, retracted, a platform appears if the nipples are asymmetrical.
Discharge from the nipples . Any discharge from the nipples that is not associated with pregnancy and lactation requires additional diagnosis.
Enlarged lymph nodes . Often, diseases of the mammary glands manifest themselves, including an increase or soreness of the axillary lymph nodes.
Skin change . If an area appears on the breast skin that is too smooth, wrinkled, retracted, covered with an "orange peel" or in any other way different from normal, it is better to consult a doctor.

In addition to the above cases, you should visit a mammologist at least every year for the purpose of prevention, at the stage of preparation for pregnancy, during and after breastfeeding.

What happens at the appointment with a mammologist

The mammologist's appointment may differ depending on the purpose, but it always begins with a survey. The doctor finds out the reasons for the visit, subjective symptoms and complaints, finds out the family and personal history. After that, he proceeds to a visual examination of the mammary glands, paying attention to the color and condition of the skin, size and symmetry.

The most informative part of the reception is the palpation of the gland. The doctor probes her tissues in search of possible formations. If any suspicious areas are found, then an additional examination may be required: conducting and mammography. After receiving their results, the doctor will be able to determine their condition in more detail.

Where to go for an appointment with a mammologist?

Today, mammologists are part of the permanent staff of many private medical institutions, and making an appointment is not difficult. The main thing is to choose a clinic with suitable conditions.

And if you have any difficulties with this, you can solve it using the site "Your Doctor". This service allows you to collect and analyze information about the working conditions provided by various private clinics as simply and quickly as possible, and then make an appointment at any of them.