breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
We found 0 clinics specialized in Oncology in Switzerland
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
No questions asked
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Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
As diagnostics of oncology abroad is performed:
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [28]=> object(app\models\DiseaseBranch)#4336 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(79) ["disease_id"]=> int(53) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(79) ["disease_id"]=> int(53) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [29]=> object(app\models\DiseaseBranch)#4337 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(80) ["disease_id"]=> int(54) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(80) ["disease_id"]=> int(54) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [30]=> object(app\models\DiseaseBranch)#4338 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(81) ["disease_id"]=> int(55) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(81) ["disease_id"]=> int(55) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [31]=> object(app\models\DiseaseBranch)#4339 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(82) ["disease_id"]=> int(56) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(82) ["disease_id"]=> int(56) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [32]=> object(app\models\DiseaseBranch)#4340 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(83) ["disease_id"]=> int(58) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(83) ["disease_id"]=> int(58) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [33]=> object(app\models\DiseaseBranch)#4341 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(84) ["disease_id"]=> int(59) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(84) ["disease_id"]=> int(59) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [34]=> object(app\models\DiseaseBranch)#4342 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(85) ["disease_id"]=> int(60) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(85) ["disease_id"]=> int(60) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [35]=> object(app\models\DiseaseBranch)#4343 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(86) ["disease_id"]=> int(62) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(86) ["disease_id"]=> int(62) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [36]=> object(app\models\DiseaseBranch)#4344 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(700) ["disease_id"]=> int(699) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(700) ["disease_id"]=> int(699) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [37]=> object(app\models\DiseaseBranch)#4345 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(188) ["disease_id"]=> int(211) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(188) ["disease_id"]=> int(211) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [38]=> object(app\models\DiseaseBranch)#4346 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(359) ["disease_id"]=> int(394) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(359) ["disease_id"]=> int(394) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [39]=> object(app\models\DiseaseBranch)#4347 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(370) ["disease_id"]=> int(405) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(370) ["disease_id"]=> int(405) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [40]=> object(app\models\DiseaseBranch)#4348 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(727) ["disease_id"]=> int(720) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(727) ["disease_id"]=> int(720) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [41]=> object(app\models\DiseaseBranch)#4349 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(728) ["disease_id"]=> int(721) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(728) ["disease_id"]=> int(721) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [42]=> object(app\models\DiseaseBranch)#4350 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(386) ["disease_id"]=> int(416) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(386) ["disease_id"]=> int(416) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [43]=> object(app\models\DiseaseBranch)#4351 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(396) ["disease_id"]=> int(426) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(396) ["disease_id"]=> int(426) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [44]=> object(app\models\DiseaseBranch)#4352 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(403) ["disease_id"]=> int(433) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(403) ["disease_id"]=> int(433) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [45]=> object(app\models\DiseaseBranch)#4353 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(404) ["disease_id"]=> int(434) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(404) ["disease_id"]=> int(434) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [46]=> object(app\models\DiseaseBranch)#4354 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(406) ["disease_id"]=> int(436) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(406) ["disease_id"]=> int(436) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [47]=> object(app\models\DiseaseBranch)#4355 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(407) ["disease_id"]=> int(437) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(407) ["disease_id"]=> int(437) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [48]=> object(app\models\DiseaseBranch)#4356 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(408) ["disease_id"]=> int(438) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(408) ["disease_id"]=> int(438) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [49]=> object(app\models\DiseaseBranch)#4357 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(416) ["disease_id"]=> int(452) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(416) ["disease_id"]=> int(452) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [50]=> object(app\models\DiseaseBranch)#4358 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(429) ["disease_id"]=> int(465) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(429) ["disease_id"]=> int(465) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [51]=> object(app\models\DiseaseBranch)#4359 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(434) ["disease_id"]=> int(470) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(434) ["disease_id"]=> int(470) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [53]=> object(app\models\DiseaseBranch)#4361 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(453) ["disease_id"]=> int(489) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(453) ["disease_id"]=> int(489) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [54]=> object(app\models\DiseaseBranch)#4362 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(454) ["disease_id"]=> int(490) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(454) ["disease_id"]=> int(490) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [55]=> object(app\models\DiseaseBranch)#4363 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(455) ["disease_id"]=> int(491) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(455) ["disease_id"]=> int(491) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [56]=> object(app\models\DiseaseBranch)#4364 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(456) ["disease_id"]=> int(492) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(456) ["disease_id"]=> int(492) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [57]=> object(app\models\DiseaseBranch)#4365 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(457) ["disease_id"]=> int(493) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(457) ["disease_id"]=> int(493) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [58]=> object(app\models\DiseaseBranch)#4366 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(458) ["disease_id"]=> int(494) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(458) ["disease_id"]=> int(494) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [59]=> object(app\models\DiseaseBranch)#4367 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(459) ["disease_id"]=> int(495) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(459) ["disease_id"]=> int(495) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [60]=> object(app\models\DiseaseBranch)#4368 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(460) ["disease_id"]=> int(496) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(460) ["disease_id"]=> int(496) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [61]=> object(app\models\DiseaseBranch)#4369 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(461) ["disease_id"]=> int(497) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(461) ["disease_id"]=> int(497) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [63]=> object(app\models\DiseaseBranch)#4371 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(463) ["disease_id"]=> int(499) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(463) ["disease_id"]=> int(499) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [64]=> object(app\models\DiseaseBranch)#4372 (10) { 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int(465) ["disease_id"]=> int(501) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [66]=> object(app\models\DiseaseBranch)#4374 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(466) ["disease_id"]=> int(507) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(466) ["disease_id"]=> int(507) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [68]=> object(app\models\DiseaseBranch)#4376 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(468) ["disease_id"]=> int(504) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(468) ["disease_id"]=> int(504) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [69]=> object(app\models\DiseaseBranch)#4377 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(469) ["disease_id"]=> int(505) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(469) ["disease_id"]=> int(505) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [70]=> object(app\models\DiseaseBranch)#4378 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(470) ["disease_id"]=> int(506) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(470) ["disease_id"]=> int(506) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [71]=> object(app\models\DiseaseBranch)#4379 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(478) ["disease_id"]=> int(515) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(478) ["disease_id"]=> int(515) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [72]=> object(app\models\DiseaseBranch)#4380 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(479) ["disease_id"]=> int(516) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(479) ["disease_id"]=> int(516) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [73]=> object(app\models\DiseaseBranch)#4381 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(480) ["disease_id"]=> int(517) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(480) ["disease_id"]=> int(517) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [74]=> object(app\models\DiseaseBranch)#4382 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(481) ["disease_id"]=> int(518) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(481) ["disease_id"]=> int(518) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [75]=> object(app\models\DiseaseBranch)#4383 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(482) ["disease_id"]=> int(519) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(482) ["disease_id"]=> int(519) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [76]=> object(app\models\DiseaseBranch)#4384 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(483) ["disease_id"]=> int(520) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(483) ["disease_id"]=> int(520) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [78]=> object(app\models\DiseaseBranch)#4386 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(704) ["disease_id"]=> int(703) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(704) ["disease_id"]=> int(703) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [79]=> object(app\models\DiseaseBranch)#4387 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(614) ["disease_id"]=> int(642) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(614) ["disease_id"]=> int(642) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [80]=> object(app\models\DiseaseBranch)#4388 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(691) ["disease_id"]=> int(457) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(691) ["disease_id"]=> int(457) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [81]=> object(app\models\DiseaseBranch)#4389 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(699) ["disease_id"]=> int(698) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(699) ["disease_id"]=> int(698) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [83]=> object(app\models\DiseaseBranch)#4391 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(732) ["disease_id"]=> int(724) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(732) ["disease_id"]=> int(724) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [84]=> object(app\models\DiseaseBranch)#4392 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(734) ["disease_id"]=> int(725) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(734) ["disease_id"]=> int(725) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [85]=> object(app\models\DiseaseBranch)#4393 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(747) ["disease_id"]=> int(735) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(747) ["disease_id"]=> int(735) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [86]=> object(app\models\DiseaseBranch)#4394 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(748) ["disease_id"]=> int(736) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(748) ["disease_id"]=> int(736) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [87]=> object(app\models\DiseaseBranch)#4395 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(749) ["disease_id"]=> int(737) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(749) ["disease_id"]=> int(737) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [88]=> object(app\models\DiseaseBranch)#4396 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(750) ["disease_id"]=> int(738) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(750) ["disease_id"]=> int(738) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [89]=> object(app\models\DiseaseBranch)#4397 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(753) ["disease_id"]=> int(739) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(753) ["disease_id"]=> int(739) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [90]=> object(app\models\DiseaseBranch)#4398 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(754) ["disease_id"]=> int(740) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(754) ["disease_id"]=> int(740) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [91]=> object(app\models\DiseaseBranch)#4399 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(756) ["disease_id"]=> int(742) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(756) ["disease_id"]=> int(742) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [92]=> object(app\models\DiseaseBranch)#4400 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(757) ["disease_id"]=> int(743) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(757) ["disease_id"]=> int(743) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [93]=> object(app\models\DiseaseBranch)#4401 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(758) ["disease_id"]=> int(744) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(758) ["disease_id"]=> int(744) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [94]=> object(app\models\DiseaseBranch)#4402 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(759) ["disease_id"]=> int(745) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(759) ["disease_id"]=> int(745) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [95]=> object(app\models\DiseaseBranch)#4403 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(761) ["disease_id"]=> int(747) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(761) ["disease_id"]=> int(747) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [96]=> object(app\models\DiseaseBranch)#4404 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(766) ["disease_id"]=> int(752) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(766) ["disease_id"]=> int(752) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [97]=> object(app\models\DiseaseBranch)#4405 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(767) ["disease_id"]=> int(753) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(767) ["disease_id"]=> int(753) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [98]=> object(app\models\DiseaseBranch)#4406 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(768) ["disease_id"]=> int(754) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(768) ["disease_id"]=> int(754) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [99]=> object(app\models\DiseaseBranch)#4407 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(769) ["disease_id"]=> int(755) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(769) ["disease_id"]=> int(755) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [100]=> object(app\models\DiseaseBranch)#4408 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(770) ["disease_id"]=> int(756) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(770) ["disease_id"]=> int(756) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [101]=> object(app\models\DiseaseBranch)#4409 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(772) ["disease_id"]=> int(757) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(772) ["disease_id"]=> int(757) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [102]=> object(app\models\DiseaseBranch)#4410 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(773) ["disease_id"]=> int(758) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(773) ["disease_id"]=> int(758) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [103]=> object(app\models\DiseaseBranch)#4411 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(774) ["disease_id"]=> int(759) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(774) ["disease_id"]=> int(759) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [104]=> object(app\models\DiseaseBranch)#4412 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(776) ["disease_id"]=> int(761) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(776) ["disease_id"]=> int(761) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [105]=> object(app\models\DiseaseBranch)#4413 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(777) ["disease_id"]=> int(762) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(777) ["disease_id"]=> int(762) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [106]=> object(app\models\DiseaseBranch)#4414 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(779) ["disease_id"]=> int(763) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(779) ["disease_id"]=> int(763) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [107]=> object(app\models\DiseaseBranch)#4415 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(781) ["disease_id"]=> int(764) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(781) ["disease_id"]=> int(764) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [108]=> object(app\models\DiseaseBranch)#4416 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(786) ["disease_id"]=> int(768) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(786) ["disease_id"]=> int(768) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [109]=> object(app\models\DiseaseBranch)#4417 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(787) ["disease_id"]=> int(769) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(787) ["disease_id"]=> int(769) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [110]=> object(app\models\DiseaseBranch)#4418 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(788) ["disease_id"]=> int(770) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(788) ["disease_id"]=> int(770) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [111]=> object(app\models\DiseaseBranch)#4419 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(790) ["disease_id"]=> int(772) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(790) ["disease_id"]=> int(772) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [112]=> object(app\models\DiseaseBranch)#4420 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(793) ["disease_id"]=> int(775) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(793) ["disease_id"]=> int(775) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [113]=> object(app\models\DiseaseBranch)#4421 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(796) ["disease_id"]=> int(778) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(796) ["disease_id"]=> int(778) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [114]=> object(app\models\DiseaseBranch)#4422 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(797) ["disease_id"]=> int(779) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(797) ["disease_id"]=> int(779) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [115]=> object(app\models\DiseaseBranch)#4423 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(798) ["disease_id"]=> int(780) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(798) ["disease_id"]=> int(780) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [116]=> object(app\models\DiseaseBranch)#4424 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(799) ["disease_id"]=> int(781) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(799) ["disease_id"]=> int(781) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [117]=> object(app\models\DiseaseBranch)#4425 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(801) ["disease_id"]=> int(783) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(801) ["disease_id"]=> int(783) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [118]=> object(app\models\DiseaseBranch)#4426 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(803) ["disease_id"]=> int(785) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(803) ["disease_id"]=> int(785) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [119]=> object(app\models\DiseaseBranch)#4427 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(807) ["disease_id"]=> int(789) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(807) ["disease_id"]=> int(789) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [120]=> object(app\models\DiseaseBranch)#4428 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(808) ["disease_id"]=> int(790) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(808) ["disease_id"]=> int(790) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [121]=> object(app\models\DiseaseBranch)#4429 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(810) ["disease_id"]=> int(792) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(810) ["disease_id"]=> int(792) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [122]=> object(app\models\DiseaseBranch)#4430 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(812) ["disease_id"]=> int(794) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(812) ["disease_id"]=> int(794) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [123]=> object(app\models\DiseaseBranch)#4431 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(813) ["disease_id"]=> int(795) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(813) ["disease_id"]=> int(795) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [124]=> object(app\models\DiseaseBranch)#4432 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(814) ["disease_id"]=> int(796) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(814) ["disease_id"]=> int(796) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [125]=> object(app\models\DiseaseBranch)#4433 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(815) ["disease_id"]=> int(797) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(815) ["disease_id"]=> int(797) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [126]=> object(app\models\DiseaseBranch)#4434 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(816) ["disease_id"]=> int(798) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(816) ["disease_id"]=> int(798) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [127]=> object(app\models\DiseaseBranch)#4435 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(817) ["disease_id"]=> int(799) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(817) ["disease_id"]=> int(799) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [128]=> object(app\models\DiseaseBranch)#4436 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(818) ["disease_id"]=> int(800) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(818) ["disease_id"]=> int(800) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [129]=> object(app\models\DiseaseBranch)#4437 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(819) ["disease_id"]=> int(801) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(819) ["disease_id"]=> int(801) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [130]=> object(app\models\DiseaseBranch)#4438 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(821) ["disease_id"]=> int(803) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(821) ["disease_id"]=> int(803) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [131]=> object(app\models\DiseaseBranch)#4439 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(822) ["disease_id"]=> int(804) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(822) ["disease_id"]=> int(804) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [132]=> object(app\models\DiseaseBranch)#4440 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(823) ["disease_id"]=> int(805) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(823) ["disease_id"]=> int(805) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [133]=> object(app\models\DiseaseBranch)#4441 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(824) ["disease_id"]=> int(806) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(824) ["disease_id"]=> int(806) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [134]=> object(app\models\DiseaseBranch)#4442 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(826) ["disease_id"]=> int(808) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(826) ["disease_id"]=> int(808) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [135]=> object(app\models\DiseaseBranch)#4443 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(827) ["disease_id"]=> int(809) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(827) ["disease_id"]=> int(809) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [136]=> object(app\models\DiseaseBranch)#4444 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(828) ["disease_id"]=> int(810) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(828) ["disease_id"]=> int(810) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [137]=> object(app\models\DiseaseBranch)#4445 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(829) ["disease_id"]=> int(811) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(829) ["disease_id"]=> int(811) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [138]=> object(app\models\DiseaseBranch)#4446 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(831) ["disease_id"]=> int(813) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(831) ["disease_id"]=> int(813) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [139]=> object(app\models\DiseaseBranch)#4447 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(835) ["disease_id"]=> int(817) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(835) ["disease_id"]=> int(817) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [140]=> object(app\models\DiseaseBranch)#4448 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(836) ["disease_id"]=> int(818) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(836) ["disease_id"]=> int(818) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [141]=> object(app\models\DiseaseBranch)#4449 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(838) ["disease_id"]=> int(820) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(838) ["disease_id"]=> int(820) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [142]=> object(app\models\DiseaseBranch)#4450 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(839) ["disease_id"]=> int(821) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(839) ["disease_id"]=> int(821) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [143]=> object(app\models\DiseaseBranch)#4451 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(840) ["disease_id"]=> int(822) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(840) ["disease_id"]=> int(822) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [144]=> object(app\models\DiseaseBranch)#4452 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(842) ["disease_id"]=> int(824) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(842) ["disease_id"]=> int(824) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [145]=> object(app\models\DiseaseBranch)#4453 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(845) ["disease_id"]=> int(827) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(845) ["disease_id"]=> int(827) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [146]=> object(app\models\DiseaseBranch)#4454 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(909) ["disease_id"]=> int(890) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(909) ["disease_id"]=> int(890) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [147]=> object(app\models\DiseaseBranch)#4455 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(910) ["disease_id"]=> int(891) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(910) ["disease_id"]=> int(891) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [148]=> object(app\models\DiseaseBranch)#4456 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(911) ["disease_id"]=> int(892) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(911) ["disease_id"]=> int(892) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [149]=> object(app\models\DiseaseBranch)#4457 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(912) ["disease_id"]=> int(893) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(912) ["disease_id"]=> int(893) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [150]=> object(app\models\DiseaseBranch)#4458 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(913) ["disease_id"]=> int(894) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> 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["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(917) ["disease_id"]=> int(898) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(917) ["disease_id"]=> int(898) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [155]=> object(app\models\DiseaseBranch)#4463 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(918) ["disease_id"]=> int(899) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(918) ["disease_id"]=> int(899) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#158 (12) { ["attributes"]=> array(11) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(4) "link" [3]=> string(14) "genitive_title" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(10) "full_title" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_branch" ["langClassName"]=> string(21) "app\models\BranchLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "branch_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(11) { ["public"]=> int(1) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["full_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#159 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#157 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#159 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#157 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#158 (12) { ["attributes"]=> array(11) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(4) "link" [3]=> string(14) "genitive_title" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(10) "full_title" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_branch" ["langClassName"]=> string(21) "app\models\BranchLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "branch_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(11) { ["public"]=> int(1) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["full_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#159 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#157 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } } } ["disease"]=> object(app\models\Disease)#206 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(56) "Рак груди (рак молочной железы)" ["genitive_title"]=> string(19) "Рака груди" ["link"]=> string(19) "lechenie-raka-grudi" ["about"]=> string(1772) "Рак молочной железы является одним из самых изученных в онкологии. Нет повода отчаиваться узнав о диагнозе рак груди, но правильным решением будет понять все доступные возможности современного лечения рака молочной железы в специализированных клиниках России и за пределами нашей страны. Мы рекомендуем для вас лучших маммологов-онкологов, хирургов, радиологов, онкологов-химиотерапевтов, радиологов и специалистов в области генетической-молекулярной диагностики рака. Прежде чем принять решение о лечение рака молочной железы, мы советуем вам убедиться, что технология является наиболее передовой, а лечение наименее инвазивным, насколько это возможно с учетом стадии заболевания. Кроме того, после окончания основного этапа лечения, связанного с удалением опухоли, мы рекомендуем опытных пластических хирургов, предлагающих несколько вариантов реконструкции груди: с использованием жировой ткани, аутотрансплантации кожи и новейших имплантатов груди.
" ["description"]=> string(22096) "Во многом, тактика лечения рака молочной железы базируется на правильной диагностике опухоли. Верификация образца полученной ткани опухоли позволяет определить в злокачественных клетках рака молочной железы специальные рецепторы (белки), чувствительные к новым таргетным лекарствам, гормонам, препаратам химиотерапии. Поэтому персонализированное, а значит более эффективное лечение — возможно проводить только после получения результатов биопсии, которой не нужно бояться. Биопсия в современных клиниках выполняется с помощью очень тонкой иглы и под контролем оборудования визуальной диагностики (рентген, ультразвук). Кроме того, результаты биопсии можно получить в течение 30 минут, это особенно важно когда нет времени ждать и принято решение о хирургическом лечении опухоли. В этом случае, уже во время операции будет известен характер опухоли, а значит и дальнейшая тактика лечения определяется безотлагательно.
Еще раз подчеркнем, что правильное лечение рака молочной железы должно быть персонализированным, когда вам говорят — «что у нас есть протокол лечения рака» — это означает, что он должен быть применен только после цитогенетического исследования полученного образца опухоли. Иначе существует риск общетоксического воздействия препаратов химиотерапии и низкого их избирательного эффекта на опухоль. Мы говорим об этом потому, что сталкивались с подобными случаями в своей практике и считаем своим долгом сказать о правильности современных подходов к диагностике и лечению рака молочной железы.
Кроме биопсии не менее важна визуализация, или говоря иными словами — обнаружение опухоли в тканях груди с помощью современного оборудования. Маммография с томосинтезом — это многомерное исследование тканей молочной железы, проводится как и обычная маммография, только комфортнее для женщины и ценнее для врача. Так как, современная трехмерная томография не пропустит ни одного (даже самого маленького) очага опухоли молочной железы. Этот метод хорош не только для определения опухоли, но и для рутинных проверок, благодаря которым рак груди стал выявляться на ранних стадиях, следовательно, лечение и последствия рака могут быть минимальными.
Для обнаружения возможного распространения раковых клеток в ближайшие лимфатические узлы (при подозрении), проводится биопсия и возможное удаление сторожевых лимфатических узлов, В некоторых западных клиниках и больницах Израиля, а в последнее время в ведущих российских больницах — применяется тактика совмещения удаления опухоли молочной железы и одновременного удаления сторожевых лимфатических узлов (только ближайших к опухоли узлов, в которых обнаружен раковые клетки). Такой подход позволяет избежать опасного и неприятного последствия — лимфостаза рук, а следовательно избежать необходимость длительной реабилитации после хирургического лечения. Всегда важно определить отсутствие метастазов опухоли в других участках тела. Конечно, если обратиться к врачу на ранних стадиях рака, когда вы только пальпаторною обнаружили в молочной железе небольшой узелок и «нашли» полчаса времени на маммографию, то поиск метастазов не нужен.
Но мы сталкиваемся, к большому сожалению, с запущенными формами рака молочной железы, когда необходимо обязательное проведение ПЭТ КТ для поиска отдаленных опухолей. Конечно и в этом случае есть решения, к примеру, в одной из израильских больниц установлено оборудование для мультипланарного обнаружения множественных метастазов рака в головном мозге и возможностью за один сеанс радиотерапии разрушить несколько метастазов.
Мы хорошо знакомы с примерами успешного лечения рака груди на разных стадиях онкологического процесса, однако мы призываем всех женщин к регулярному обследованию, самообследованию молочных желез, особенно это необходимо женщинам имеющим семейную историю рака молочных желез (генетическую предрасположенность). Прежде чем принимать заместительную гормональную терапию мы рекомендуем женщинам из группы риска пройти обследование и получить консультацию квалифицированного эндокринолога и онколога.
В основном определяются две формы рака молочной железы.
Рак возникающий в железистой ткани — является карциномой, которая образуется в клетках молочных протоков. Протоковый рак может быть инвазивным, с потенциалом последующего распространения, или неинвазивным. У любого рака молочной железы достаточно высокие шансы на излечение, но неинвазивные формы карциномы лучше поддаются лечению.
Другая частая фора рака — очаговый рак, возникает в дольках молочной железы.
Менее распространена агрессивная форма рака молочной железы — это воспалительный рак, такая опухоль распространяются быстро и необычно, в большой плоскости. Иногда встречается опухоли независимые от гормонов и не имеющие в своих клетках рецепторов HER2, на которые действуют современные лекарства, блокирующие рост раковых клеток.
Рак молочной железы бывает не только у женщин, крайне редко рак груди обнаруживается у мужчин. Статистика обнаружения рака у сильной половины человечества несоизмерима мала, однако такие случаи встречаются, например в США диагноз рак молочной железы ежегодно устанавливается более 2000 мужчин.
Современная система деления стадий развития рака молочной железы была разработанной отечественными онкологами, а также за своим описанием соответствует полной международной классификации по поводу стадий рака молочной железы TNM. Она состоит из 5 стадий, так как вторая стадия делится на 2А и 2В стадии.
1-я стадия — опухоль не больше двух см в диаметре, без распространения на близлежащие ткани и лимфатические узлы.
2-я А стадия — размер опухоли от 2-х до 5-и см в диаметре, частично спаянна с кожей, метастазы не обнаружены.
2-я В стадия — опухоль имеет размер около 2–5 см в диаметре, от нее отходят не больше чем два метастаза на стороне локализации опухоли.
3-я стадия — опухоль более 5 см в диаметре, имеет прорастания в кожу и окружающую жировую ткань. Присутствует симптом умбиликации — втянутая кожа над опухолью, наличие не более 2 метастазов.
4-я стадия — опухоль распространяется на всю молочную железу, присутствуют обширные изъязвления и отдаленные метастазы.
Если вы обеспокоены семейной историей рака молочной железы, мы рекомендуем вам клиники для прохождения генетического тестирования и точного определения риска. Все, что увеличивает шансы на возникновение рака молочной железы является фактором риска:
Другие факторы риска рака молочной железы включают в себя:
Исследования показывают, что многие виды рака можно предотвратить. Обратитесь к нашим медицинским консультантам за более подробной информацией.
Распространенные симптомы рака груди:
Хирургическое лечение рака молочной железы является одним из приоритетных направлений лечения, как уже было сказано в начале нашей статьи, удаление только сторожевых лимфатических узлов и опухоли — влияет на дальнейшую реабилитацию. Кроме того, по результатам биопсии планируется хирургическое лечение и комплексная терапия. Однако, нужно отметить, что биопсия может показать высокую чувствительность опухоли к гормональному лечению и специфическим таргетным лекарствам, тогда хирургия будет минимальной, а лечение при этом не потеряет своей эффективности. В некоторых случаях бывает достаточно только направленной терапии, химиотерапии, или гормонального лечения.
Мастэктомия — это основная операция по удалению опухоли молочной железы. При мастэктомии удаляется одна или две груди. Во многих клиниках совмещают мастэктомию и реконструктивную хирургию. Щадящие операции с сохранением максимальной структуры груди возможны только на ранних, первой и второй стадии рака, когда процесс имеет относительно ограниченную локализацию в молочной железе. Обследование является решающим фактором при планировании способа операции.
Лучевая терапия на сегодняшний день имеет более точечное облучение, с минимальным риском лучевого поражения здоровых участков. Для принятия решения о возможности лучевой терапии необходимо обследование. В случае выявление хорошей чувствительности опухоли к лечению, возможно ограничится только минимальной хирургией и применением современных лекарств. Несмотря на это, ваш врач может предложить локальную форму лучевой терапии, когда источник облучения располагают вблизи опухоли — это называется брахитерапией, и такая методика часто применяется во время операции для лучшей зачистки от раковых клеток, которые могут остаться после удаления опухоли. Некоторые небольшие локальные очаги опухоли с нестандартной локализацией могут быть уничтожены с помощью современного метода стереотаксической радиохирургии (кибер-нож).
Химиотерапия наиболее часто проводится до или после операции, также является основным методом лечения запущенного рака, распространившегося за пределы молочной железы. Мы предлагаем самые современные и эффективные варианты химиотерапии для рака молочной железы, которые доступны в многих клиниках мира. Мы рекомендуем опытных врачей, которые впервые применили химиотерапию до операции, чтобы уменьшить опухоль молочной железы, с целью минимального повреждение окружающих тканей во время операции.
Гормональная терапия, например лекарство «tamoxifen», помогает блокировать гормоны «подпитывающие» рост рака молочной железы. Но как было отмечено, лечение гормонами проводится в случае выявления гормональной зависимости опухоли.
Целевая терапия (таргетное лечение) рака молочной железы — это введение современных биологических лекарств, например «грцептин» является одним из видов биологической терапии, мишенью для которого служат раковые клетки производящие слишком много белка под названием HER2. Этот белок присутствует у некоторых пациентов с раком молочной железы. «Герцептин» связывается с клетками, прекратив производство HER2 белка необходимого для роста опухоли.
Стоимость лечения рака молочной железы зависит от стадии процесса и может быть минимальной на ранних стадиях рака. Мы рекомендуем лечение рака в лучших клиниках России и за рубежом, при этом в Docland.ru обеспечивается персонализированный подход и экспертный уровень выбора клиники. Мы не увеличиваем стоимость лечения, она остается равной стоимости при прямом обращении в клинику. В отличие от агентств медицинского туризма, мы предоставляем прямой доступ к лучшим онкологам, при более низкой стоимости медицинских услуг.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(3) { ["translation"]=> object(app\models\DiseaseLang)#227 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } ["diseasesInBranch"]=> array(1) { [0]=> object(app\models\DiseaseBranch)#523 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["branches"]=> array(1) { [0]=> object(app\models\Branch)#524 (13) { ["relevance"]=> NULL ["count"]=> NULL ["imageFile"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(179) "Лечение онкологии за границей без посредников, цены зарубежных клиник, отзывы пациентов - Докланд" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(574) "лечение онкологии за границей, лечение онкологии за рубежом, лечение за рубежом рака, лечение рака за границей, лечение рака за границей стоимость, лечение рака в европе, лечение рака за границей отзывы, отзывы лечение рака легких за границей, онкологическая хирургия в европе, лечение онкозаболеваний за границей" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\BranchLang)#529 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#209 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#207 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } } } ["country"]=> object(app\models\Country)#86 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["public"]=> int(1) ["doctors_description"]=> string(0) "" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["request_published_default"]=> int(0) ["request_price"]=> string(3) "700" ["external_id"]=> int(2524) ["request_price_qualitative"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(18) "Швейцария" ["link"]=> string(12) "shvejtsarija" ["genitive_title"]=> string(18) "Швейцарии" ["adj_genitive_plural_title"]=> string(22) "швейцарских" ["prepositional_title"]=> string(18) "Швейцарии" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(923) "В многопрофильных клиниках Швейцарии, предоставляющих услуги иностранным пациентам, большое внимание уделяют качеству оказываемых услуг. Помимо качественного лечения, соответствующего лучшим мировым стандартам, здесь отличный сервис. Для удобства пациентов их размещают в комфортабельных одноместных палатах, за ними ведется круглосуточное медицинское наблюдение. Больной может выбирать меню. Пациенты также высоко оценивают тактичность медперсонала, строгое соблюдение конфиденциальности.
" ["advantage"]=> string(4382) "Лечение и оздоровление в клиниках Швейцарии является одним из наиболее качественных вариантов избавления от болезни. В этой стране существуют высокие требования к профессиональной подготовке врачей, а также оснащению клиник. Используются наиболее современные методики терапии различных заболеваний, от рака до бесплодия, от неврологических болезней до проблем с костями и суставами. Большое внимание уделяется также комфортности пребывания пациентов: любой человек, приезжающий из-за границы, может рассчитывать на самый высокий уровень сервиса, внимательность медицинского персонала и соблюдение конфиденциальности.
ВОЗ, проводящая ежегодно итоги работы систем медучреждений в разных странах, постоянно причисляет швейцарскую медицину в число лучших в мире. И, хотя принятые за лечение в Швейцарии цены могут быть выше, чем в странах с менее развитой медициной, отзывы о лечении в Швейцарии показывают: те, кто хотят добиться максимального результата терапии, едут в эту страну.
Цены на лечение в клиниках этой страны нельзя назвать низкими, однако его качество вполне оправдывает затраты. По уровню цен клиники в Швейцарии дешевле, чем в США, но дороже, чем в Израиле. Стоимость лечения в Швейцарии по сравнению с Германией приблизительно одинакова. Приблизительные цены на лечение таковы:
Медицинский туризм в Швейцарии – это отрасль, которая работает как часы. Для организации поездки пациент может воспользоваться услугами компании-посредника или же организовать поездку самостоятельно. Медицинские посредники помогают выбрать клинику для лечения, составить и согласовать с медиками график пребывания, помочь с оформлением визы и приобретением билетов. Также компании-посредники позаботятся о наличии переводчика и могут составить культурную или развлекательную программу на время пребывания в стране. Поскольку санатории Швейцарии так же популярны, как и лечебные клиники, многие пациенты объединяют отдых в санаториях с лечением. Компании-посредники берут на себя хлопоты по организации пребывания в санатории.
" ["specialization"]=> string(0) "" ["accessibility"]=> string(2068) "Официальный язык – немецкий (швейцарский немецкий), французский (швейцарский французский), итальянский, ретороманский
Государственная валюта - швейцарский франк.
Возможные способы оплаты: наличными (швейцарский франк, евро)
кредитные карты: VISA, MASTERCARD
банковский перевод, необходимо провести за 3 дня до начала обследования / лечения.
перевод Western Union или Money Gram.
Время полета (Моcква - Вена) – 3 часа 3 минуты
При организации лечения за границей у людей может возникнуть ряд вопросов. Как правило, они однотипные, и в первую очередь пациентов волнуют две проблемы:
Как попасть на лечение?
Как оплатить лечение?
Самый простой способ поехать на лечение в Швейцарию – обратиться к услугам надежных специализированных компаний, которые помогут подобрать подходящую клинику и оформить необходимые документы.
Иностранцы в швейцарские клиники принимаются только после полной предоплаты лечения. Если по каким-либо причинам необходимость в предоплаченных процедурах отпадает, их стоимость затем пациенту возвращается." ["prices"]=> string(223) "Helvetic Airways 18 931 р.
Easyjet 42 503 р.
Аэрофлот 61 214 р.
" ["service_advantage"]=> string(293) "Наиболее современные и успешные способы лечения; Высочайший уровень квалификации врачей; Возможность санаторно-курортного лечения; Высокий уровень сервиса." ["public"]=> int(1) ["doctors_description"]=> string(1056) "Медицинский персонал, осуществляющий лечение иностранных пациентов в клиниках Швейцарии, отличается высоким профессионализмом и тактичностью. Для медицины Швейцарии характерны доверительно-дружеские отношения между персоналом клиники и пациентом. Здесь считают, что только по достижении полного взаимопонимания можно получить по-настоящему хороший результат. Обратившись за помощью, вы можете рассчитывать не только на качественное лечение по самым современным методикам, использование лекарств нового поколения, но и на возможность соединить отдых и лечение.
" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(500) "Швейцарская медицина считается одной из самых прогрессивных в мире. Особенно развиты направления терапии онкопатологий и бесплодия, ортопедия, пластическая хирургия, нейрохирургия и офтальмология. Высокий профессионализм врачей, безупречный сервис, полная анонимность." 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"genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [2]=> object(app\models\City)#617 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(14) "Лозанна" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(14) "Лозанны" ["adj_genitive_plural_title"]=> string(14) "Лозанна" ["prepositional_title"]=> string(14) "Лозанне" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#622 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } } ["clinics"]=> array(4) { [0]=> object(app\models\Clinic)#619 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3230) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["genitive_title"]=> string(51) "Клиники Хирсланден в Цюрихе" ["link"]=> string(29) "klinika-hirslanden-v-tsjurihe" ["about"]=> string(1234) "Клиника Хирсланден располагается в Цюрихе — одном из крупных городов северо-востока Швейцарии, столице одноименного кантона. Это современный частный медицинский центр с инновационной инфраструктурой и высочайшими стандартами предоставления медицинской помощи. Центр известен в стране, как один из наиболее передовых. Тут граждане Швейцарии и иностранные гости проходят диагностику и лечение на новейшей аппаратуре, в центре работают современные операционные, проводятся конвенциональные и малоинвазивные операции, процедуры радиотерапии, физиотерапии. В клинике работает более 1000 специалистов, а количество отделений и институтов составляет несколько десятков. " ["description"]=> string(11458) "Территориально клиника находится неподалеку от Цюрихского озера, в районе Хирсланден. Сюда можно легко добраться на общественном или частном транспорте. Многие пациенты предпочитают приезжать сюда на бесплатном автобусе клиники. Центр предлагает своим пациентам полный спектр медицинских услуг, начиная от экстренных процедур и заканчивая плановой госпитализацией.
Лечение в клинике Хирсланден основано на использовании самых передовых методов медицины — тут работают современные лаборатории, оснащенные высокотехнологичным оборудованием, применяются новейшие лекарственные препараты и методы физиотерапии. Отзывы о клинике Хирсланден можно встретить на различных специализированных интернет-площадках, где пациенты делятся друг с другом своим мнением по поводу того или иного медицинского центра. В большинстве случаев, бывшие пациенты Хирсланден отмечают высокий уровень профессионализма работающих здесь врачей и эффективность применяемых ими методов лечения.
В центре работает более 50 разных подразделений и институтов, основные направления — кардиология, висцеральная хирургия, неврология и нейрохирургия, ортопедия, гинекология и акушерство. Отделение экстренной медицинской помощи в клинике действует 24 часа в сутки 7 дней в неделю.
В отделении проводится полный спектр процедур по диагностике и лечению сердечно-сосудистых заболеваний, начиная от курсов медикаментозной терапии и заканчивая катетерной дилатацией коронарных сосудов, имплантацией сосудистых протезов, установкой сердечных клапанов и шунтированием сердца. Ежегодно тут проводится более 2000 процедур катетерной диагностики, около 800 процедур баллонной дилатации и около 800 открытых операций на сердце.
Врачи, которые работают в центре, обладают многолетней практикой лучевой диагностики заболеваний органов брюшной полости и помогают гастроэнтерологам, гепатологам, урологам, гинекологам и хирургам клиники, проводят ультразвуковую диагностику, компьютерную томографию и МРТ. Здесь проводятся комплексные исследования печени, поджелудочной железы, селезенки, кишечника, почек, мочеполовой системы.
В этом подразделении проводятся высокотехнологичные исследования, основанные на использовании методов ядерной диагностики и гибридной диагностической аппаратуры, позволяющей использовать совместно конвенциональный компьютерный томограф и однофотонную эмиссионную томографию (т. н. SPECT/CT).
В центре проводятся операции на органах брюшной полости, тут работают торакальные хирурги, проводятся вмешательства по удалению опухолей. Здесь преимущественно проводятся хирургические операции на мягких тканях, в центр поступают пациенты, нуждающиеся в комплексных и сложных операциях на брюшной полости и грудной полости. Большая часть хирургов центра имеет профессорские ученые степени.
В центре чек-ап диагностики ежегодно проходят профилактическое обследование тысячи пациентов — как жителей кантона, так и гостей страны. К услугам пациентов Хирсланден — более 1100 квалифицированных специалистов и несколько десятков специализированных центров. Здесь можно пройти стандартную программу чек-ап или программу диагностики, ориентированную на специфические нужды.
Специалисты центра занимаются протезированием коленных, плечевых, тазобедренных и локтевых суставов. Тут применяются современные модели имплантатов, позволяющие гарантировать высокую надежность использования протеза. Применяя малоинвазивные методы замены суставов, врачи обеспечивают сохранение мышечных и других мягких тканей, сокращение периода реабилитации и ускорение восстановления функций сустава. В центре применяются современные навигационные и роботизированные системы. Тут же проводятся артроскопические операции по восстановлению поврежденных структур коленного и плечевого суставов.
В отделении проходят амбулаторное и стационарное лечение пациенты со злокачественными заболеваниями — как солидными опухолями, так и раковыми поражениями крови. Лечение проходит в спокойной и умиротворяющей атмосфере, с использованием самых современных подходов — инновационных методов абляции, малоинвазивной хирургии, радиотерапии, системных химиопрепаратов и средств таргетной терапии. Отделение работает в тесном сотрудничестве со Швейцарским институтом иммунологического лечения опухолей.
В клинике круглосуточно и без выходных проводятся лучевые исследования — рентгенография, томография, комплексные исследования. Тут же осуществляются малоинвазивные интервенционные исследования. Результаты диагностики быстро интерпретируются. Работает курьерская служба, которая доставляет данные лучевой диагностики на CD-дисках в течение двух дней после проведения обследования.
Основные мощности института располагаются на территории другого центра — клиники Männedorf, вскоре их структуры будут объединены в единый комплекс. На данный момент пациенты клиники здесь проходят полный комплекс процедур, связанных с лучевым лечением новообразований на новейших линейных ускорителях TrueBeam и установках стереотаксической хирургии Cyberknife. Также тут проводятся процедуры контактного радиологического лечения опухолей и процедуры интраоперационной радиотерапии.
В центре проходят лечение спортсмены с травмами суставов, связок, сухожилий, мышечных тканей. Тут проводят артроскопические операции, лечат переломы, проводят трансплантацию хрящевых тканей и замену суставов.
Помимо вышеперечисленных подразделений, в клинике действует множество других — центр лечения инсульта, центр травмы, работают отделения урологии, ЛОР-заболеваний, косметической хирургии, ревматологии, физиотерапии, центр лечения заболеваний сосудов, неонатальное отделение и родильный дом, отделения гастроэнтерологии, лечения головной боли, инфекционных заболеваний, подразделение диагностики патологий молочной железы и др.
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"app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#625 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#623 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#626 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } [1]=> object(app\models\Clinic)#627 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(32) "universitetskaya-klinika-cyuriha" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "b58f73cea30dd11a3a7a99f82457dd3e.jpg" ["photo"]=> string(36) "c6eca14bc35706362bf9c4ae02f51eb9.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(10) "47.3766158" ["longitude"]=> string(17) "8.549177500000042" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-20 12:45:41" ["updated_at"]=> string(19) "2019-05-20 14:14:19" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3250) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(58) "Университетская клиника Цюриха" ["genitive_title"]=> string(58) "Университетской клиники Цюриха" ["link"]=> string(33) "universitetskaja-klinika-tsjuriha" ["about"]=> string(1590) "В клинике работает порядка 8000 сотрудников, из них — более 1300 врачей. Ежегодно в центре около 130 тысяч пациентов проходят амбулаторное лечение и 35 тысяч пациентов пролечиваются в режиме стационара. Общее количество структурных подразделений клиники превышает четыре десятка. Отзывы о Университетской клинике Цюриха по большей части положительные, пациенты отмечают высокое качество предоставленных им медицинских услуг, возможность поучаствовать в клинических испытаниях новейших видов терапии. В клинике постоянно проводятся исследования в области регенеративной и персонализированной медицины. Хотя стоимость лечения в Университетской клинике Цюриха и нельзя назвать невысокой, сюда стремятся попасть пациенты со всех стран мира — ведь качество лечебных процедур и уровень подготовки врачей здесь соответствуют самым высоким международным стандартам. " ["description"]=> string(9155) "Университетская клиника Цюриха в Швейцарии — один из немногих университетских медицинских центров в стране и первая клиника, образованная в городе. Свое начало больница берет с 1204 года. За прошедшие столетия как название, так и местоположение клиники несколько раз менялись. В университетской клинике работали и продолжают работать многие выдающиеся врачи. В 20 веке тут трудился известный немецкий хирург Фердинанд Зауэрбрух, основоположник торакальной хирургии. Сегодня в стенах клиники проводит свои исследования иммунной системы человека профессор Рольф Мартин Цинкернагель — обладатель Нобелевской премии по физиологии и медицине.
Для гостей и пациентов клиники работает Wi-Fi. Действует трехразовая система питания с возможностью выбора блюд и изменения диеты (больше углеводов, больше овощей и т. д.). Доступна специализированная диета для больных диабетом и пациентов со специфическими требованиями к пище. Также в клинике действует несколько кафе и бистро. На территории центра есть банкоматы, работают парикмахерские, имеются комнаты для посетителей и детские комнаты. Гостевой дом клиники состоит из шести однокомнатных и шести двухкомнатных апартаментов, где родственники пациентов могут оставаться на период их госпитализации. Также здесь проживают пациенты перед тем, как лечь в клинику или после госпитализации. Комнаты оборудованы всем необходимым — начиная от стиральных машин и заканчивая телевизионными панелями.
Цены в Университетской клинике Цюриха в большинстве своем соответствуют расценкам остальных западно-европейских клиник. Нельзя сказать, что они слишком уж демократичны. Но и излишне высокими они тоже не являются, о чем свидетельствует хотя бы то, что в центре периодически можно встретить пациентов из России, Украины, других бывших союзных республик. Для медицинских туристов в центре действует международный отдел, сотрудники которого свободно разговаривают на нескольких языках и обеспечивают полную поддержку больного на всех этапах лечения.
В клинике действует несколько десятков структурных подразделений, приведем лишь некоторые из них.
Центр лечения рака работает совместно с Университетской детской клиникой Цюриха и занимается лечением широкого спектра злокачественных заболеваний как у взрослых, так и у маленьких пациентов. Тут можно пройти самые инновационные лечебные процедуры, основанные на междисциплинарном подходе и результатах последних научных исследований. Пациенты центра проходят курсы химиотерапии, лучевую терапию, таргетную и иммунную терапию. Врачи подразделения обладают большим опытом проведения малоинвазивных операций по удалению опухолей. Также специалисты центра предоставляют «второе мнение» пациентам из других стран.
Институт клинической химии — подразделение, специализирующееся на лабораторных методах диагностики. Здесь применяются новейшие химические, физические и биологические методы исследований, разрабатываются новые виды диагностических тестов естественных биологических жидкостей человека (крови, мочи и т. д.).
В Институте невропатологии работают врачи, занимающиеся вопросами диагностики и терапии патологий центральной и периферической нервной системы и скелетной мускулатуры. В тесном сотрудничестве невропатологи и нейрохирурги института проводят лечение самого широкого спектра болезней — от прионных заболеваний до разного рода энцефалопатий.
Сотрудники Института патологии и молекулярной патологии занимаются лабораторной диагностикой, используя образцы тканей пациента. Здесь проводятся гистопатологические, цитопатологические, молекулярные исследования.
В отделении пульмонологии проходят лечение пациенты с различными видами заболеваний дыхательной системы, в частности — хронической обструктивной болезнью легких, апноэ во сне. Сотрудники отделения работают в тесном контакте с врачами отделения трансплантологии, где осуществляется пересадка легких.
Врачи отделения торакальной хирургии проводят операции на грудной клетке, лечат опухоли легких и плевры, эмфизему, проводят малоинвазивные робот-ассистированные операции.
В клинике действует и множество других отделений и специализированных центров.
В составе клиники имеется отделение лучевой диагностики, позволяющее проводить исследование и лечение больных различными болезнями — заболеваниями желудочно-кишечного тракта, неврологическими, гинекологическими, сердечно-сосудистыми заболеваниями. Также здесь проводятся процедуры, связанные с ортопедической и пластической хирургией.
Цены в клинике Женолье выше, чем в среднем по Европе. Это определяется тем, что медицинский центр ориентируется на предоставление инновационных медицинских услуг и сервиса высочайшего качества.
В клинике действует амбулаторное отделение, где врачи дают консультации, а пациенты проходят лечебные процедуры, не требующие госпитализации. Здесь проводится лабораторная диагностика и лучевые исследования. В клинике работает один из самых передовых хирургических центров в Европе, операционные которого оснащены инновационным оборудованием, позволяющим, помимо всего прочего, проводить сеансы телемедицины.
Отзывы о клинике Женолье в целом очень позитивно характеризуют качество полученных лечебных процедур. Многих пациентов совершенно не волнует, сколько стоит лечение в клинике Женолье — их прежде всего интересует результат терапии. И подавляющее большинство пациентов клиники не разочаровываются в своих ожиданиях.
В клинике работает специализированный международный отдел, его сотрудники занимаются приемом заявок и ведением иностранных пациентов, которые прибывают сюда из самых разных точек мира — Среднего Востока, Европы, Азии и других мест. Сервисное обслуживание больного не ограничивается одним лишь предоставлением медицинской помощи, каждый пациент получает персонального медицинского координатора, который помогает подбирать врачей, координирует их, осуществляет функции переводчика и т. д.
В клинике действует почти полсотни отделений и специализированных подразделений. Пациенты могут здесь получить медицинскую помощь, ориентированную на лечение самого широкого спектра заболеваний — от аллергии до язвы желудка.
Специалисты отделения занимаются диагностикой атеросклероза и патологий клапанов сердца, аритмии, инфаркта миокарда, повышенного давления, коронарной недостаточности и других заболеваний сердечно-сосудистой системы. Также здесь проводятся процедуры, связанные с интервенционной кардиологией — пациентам делают катетеризацию, устанавливают коронарные стенты и искусственные клапаны сердца.
Врачи отделения проводят операции на органах грудной клетки, удаляют новообразования бронхов и легких, лечат заболевания плевры. Здесь широко применяется лазерная хирургия, особенно при лечении обструкции дыхательных путей, вызванной ростом новообразований.
Специалисты отделения занимаются терапией изменений и заболеваний, связанных с возрастом. Сюда поступают пациенты в возрасте 65-80 лет и старше. Они получают медицинскую, психологическую и социальную помощь, направленную на коррекцию физических, функциональных, психических и когнитивных расстройств. Здесь пациенты получают помощь как в условиях амбулатории, так и в условиях стационара. Врачи отделения обладают большим опытом терапии острых и хронических заболеваний, а также последующей реабилитации пациентов.
Лечение в онкологическом отделении проводится на междисциплинарной основе — с болезнью пациента борется целая команда специалистов из разных областей. Используя последние достижения в медицине, хирурги и радиологи, специалисты по химиотерапии и биотерапии совместными усилиями уверенно выводят больного на ремиссию. Здесь применяются инновационные таргетные препараты, современные средства гормональной и иммунной терапии.
В отделении предоставляется такая уникальная услуга, как медицинский гипноз — пройдя от 3 до 10 сеансов психотерапии, больной получает возможность находить и мобилизовать собственные силы для поиска решений своих ежедневных проблем.
В отделении работают врачи хирургических специальностей, обладающие большим клиническим опытом оперативного лечения травм и дегенеративных заболеваний опорно-двигательного аппарата. Тут проходят курсы терапии больные с заболеваниями позвоночника, связок, суставов, сухожилий и мышц. Специалисты отделения лечат переломы конечностей и позвоночника, дислокацию суставов, разрывы мышц, опухоли костей и остеоартроз, проводят операции по полному и частичному эндопротезированию.
В отделении трудится более десяти физиотерапевтов, специализирующихся на лечении травм и заболеваний опорно-двигательного аппарата, а также на общей реабилитации пациентов. Отделение оснащено новейшим изокинетическим оборудованием, которое позволяет в сжатые сроки восстанавливать подвижность в коленных, плечевых, локтевых, тазобедренных суставах. Тут получают медицинскую помощь и пациенты после хирургических операций, пока полностью не восстановят свою форму.
Хирурги отделения имеют значительный клинический опыт реконструктивной и эстетической хирургии, коррекции врожденных анатомических аномалий, увеличения и уменьшения груди, подтяжки лица, ринопластики, брефаропластики, омоложения кожи с использованием лазерных процедур.
Отделение радиологического лечения злокачественных заболеваний — одно из самых передовых в Западной Европе. Тут установлено высокоточное оборудование, позволяющее проводить гипер- и гипофракционированную дистанционную радиотерапию, роботизированную стереотаксическую радиохирургию, контактную радиотерапию.
В клинике действуют и другие отделения — гинекологии, дерматологии, общей хирургии, эндокринологии, офтальмологии, нейрохирургии, робот-ассистированной и лапароскопической хирургии, сосудистой хирургии, урологии, неврологии, пульмонологии, психиатрии и др.
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["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(29) "Клиника Леманик" ["genitive_title"]=> string(29) "Клинике Леманик" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(1694) "Клиника Леманик в Швейцарии хорошо известна, как передовой центр эстетической и регенеративной медицины. Своим пациентам клиника предоставляет косметические процедуры и услуги по омоложению, основанные на самых инновационных и высокотехнологичных подходах. Отзывы о клинике Леманик подтверждают высокое качество применяемых процедур — это эстетическая дерматология и хирургические операции на коже, терапия, направленная на омоложение кожи, пластическая и реконструктивная хирургия, регенеративные процедуры. Врачи центра обладают большим опытом лечения заболеваний кожи и слизистых, ногтей и волос, проводят эффективную терапию акне и псориаза, витилиго и гипергидроза, экземы и дерматитов. Хирурги успешно исправляют косметические дефекты, а специалисты по превентивной и функциональной медицине занимаются вопросами общего омоложения организма, восстановления гибкости, силы, улучшения жизненного тонуса. " ["description"]=> string(8752) "Располагается клиника в Лозанне — четвертом по величине городе Швейцарии. Сюда приезжает много женщин из США и Европы, клиника хорошо известна в России, Украине и других бывших государствах СНГ. Это один из наиболее оснащенных медицинских центров, ориентированный на решение вопросов эстетики человеческого тела и борьбы с возрастными изменениями. Тут активно применяется высокотехнологичная аппаратура — лазерные установки, оборудование для эстетической хирургии, фототерапии, криотерапии.
Цены в клинике Леманик вполне приемлемы на взгляд среднестатистического жителя Западной Европы. Хотя стоимость лечения в клинике Леманик для жителей бывших союзных республик может показаться несколько завышенной, это — лишь следствие различия в уровне жизни. Для обычного швейцарца стоимость процедуры омоложения кожи в клинике не выше, чем стоимость ужина в среднем женевском ресторане. Если принять во внимание эффективность предоставляемых процедур и долговременный эстетический эффект, их стоимость выглядит вполне приемлемой.
Специалисты клиники применяют самый широкий спектр современных подходов, позволяющих быстро и эффективно убирать косметические дефекты, улучшать эстетику лица и других частей тела.
Лечение рубцов от акне с помощью синего света — безболезненный метод, который позволяет значительно улучшить внешний вид всего за 2-4 процедуры, каждая из которых длится по 15 минут и состоит в облучении проблемных участков кожи светом длиной волны 400-700 нм и 800-1200 нм с определенной частотой пульсации.
Аквалифтинг — техника регенерации кожи лица, позволяющая восстановить эластичность, убрать мелкие морщины, удалить пигментные пятна, возникающие в результате гормональных и сосудистых аномалий. Одна сессия длится порядка 60 минут, за это время в кожу «впрыскивается» стерильная вода или физраствор, обогащенные антиоксидантами, витаминами, средствами борьбы со свободными радикалами. Такой революционный подход в медицине называют «трансдермальным введением воды и активных молекул».
Блефаропластика — хирургические операции по удалению излишков кожи и подкожного жира на верхних и нижних веках. Практически сразу после процедуры глаза становятся более открытыми, а лицо более молодым и привлекательным. Иногда блефаропластика сочетается с подтяжкой лица, за счет чего обеспечивается еще более выразительный омолаживающий эффект.
Пластические операции по увеличению или уменьшению груди — одни из самых востребованных в клинике. Здесь можно провести коррекцию птоза, асимметрии груди и сосков, установить силиконовые имплантаты. Как правило, после хирургической операции пациентка проводит в клинике всего несколько дней и потом может возвращаться к своей обыденной жизни.
Карбокситерапия — подкожное введение углекислого газа, позволяющее стимулировать процессы регенерации и омоложения кожи. Процедура позволяет убрать небольшое провисание кожи лица, шеи, рук, живота и т. д., убрать мешки под глазами, растяжки кожи. Врач делает микроинъекции углекислого газа в кожу, в ответ на это обработанные участки начинают активно снабжаться кислородом, структура коллагена улучшается, кожа приобретает эластичность. В поверхностных слоях кожи улучшается метаболизм, происходит формирование нового коллагена и эластина, начинается липолиз жировых тканей.
Удаление целлюлита с использованием прибора Cellu M6 Endermolab позволяет безболезненно и аккуратно проводить глубокий LPG массаж, воздействуя на ткани во всех направлениях и стимулируя липолиз.
Криолиполиз — инновационный метод реабсорбции жировых тканей с помощью пониженных температур. Используя специальную аппаратуру, врач «замораживает» жировые клетки в глубоких слоях кожи без повреждения других тканей эпидермиса. Одна процедура длится около двух часов и позволяет вызвать естественный липолиз адипоцитов.
Фракционированный лазер — технология, которая позволяет разглаживать поверхность кожи, удалять морщины, уменьшать рубцы и растяжки. Процедура обладает омолаживающим эффектом, может применяться на коже лица, шеи, рук и т. д. Техника фототермолиза представляет собой одну из наиболее современных разработок в области эстетической медицины. Обычно один курс состоит из четырех сеансов.
В клинике, помимо вышеперечисленных процедур, проводят и другие — лазерное удаление дефектов и татуировок, волос и пигментных пятен, хирургический лифтинг лица, делают липоскульптуру и пластику живота, термаж и пилинг, мезотерапию, инъекции ботокса и гиалуроновой кислоты, фототерапию, нехирургический лифтинг груди и т. д. Сюда приезжает множество женщин из бывших государств СНГ — каждая из них, пройдя комплекс процедур, остается довольна полученным эффектом.
" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(70) "Швейцария, Лозанна 1003, Lausanne, 2 Avenue De La Gare" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(29) "Клиника Леманик" ["seo_h1"]=> string(29) "Клиника Леманик" ["seo_description"]=> string(477) "Клиника Леманик — специализированный швейцарский центр эстетической медицины. Опытные врачи, современная высокотехнологичная аппаратура, самый полный спектр эффективных процедур. Лазерное омоложение, хирургические косметические операции, криотехнологии." 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{ ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } ["city"]=> NULL ["sort"]=> NULL ["limit"]=> int(10) } ["id"]=> string(7) "disease" ["module"]=> object(yii\web\Application)#4 (33) { ["defaultRoute"]=> string(4) "site" ["catchAll"]=> NULL ["controller"]=> *RECURSION* ["_homeUrl":"yii\web\Application":private]=> NULL ["controllerNamespace"]=> string(15) "app\controllers" ["name"]=> string(14) "My Application" ["charset"]=> string(5) "UTF-8" ["language"]=> string(2) "en" ["sourceLanguage"]=> string(2) "ru" ["layout"]=> string(4) "main" ["requestedRoute"]=> string(12) "disease/view" ["requestedAction"]=> object(yii\base\InlineAction)#243 (6) { ["actionMethod"]=> string(10) "actionView" ["id"]=> string(4) "view" ["controller"]=> *RECURSION* ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> NULL } ["requestedParams"]=> array(6) { [0]=> object(app\models\Branch)#156 (13) { ["relevance"]=> NULL ["count"]=> NULL ["imageFile"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(179) "Лечение онкологии за границей без посредников, цены зарубежных клиник, отзывы пациентов - Докланд" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(574) "лечение онкологии за границей, лечение онкологии за рубежом, лечение за рубежом рака, лечение рака за границей, лечение рака за границей стоимость, лечение рака в европе, лечение рака за границей отзывы, отзывы лечение рака легких за границей, онкологическая хирургия в европе, лечение онкозаболеваний за границей" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_related":"yii\db\BaseActiveRecord":private]=> array(2) { ["translation"]=> object(app\models\BranchLang)#182 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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["disease_id"]=> int(50) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [26]=> object(app\models\DiseaseBranch)#4334 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(77) ["disease_id"]=> int(51) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(77) ["disease_id"]=> int(51) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [27]=> object(app\models\DiseaseBranch)#4335 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(78) ["disease_id"]=> int(52) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(78) ["disease_id"]=> int(52) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [28]=> object(app\models\DiseaseBranch)#4336 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(79) ["disease_id"]=> int(53) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(79) ["disease_id"]=> int(53) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [29]=> object(app\models\DiseaseBranch)#4337 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(80) ["disease_id"]=> int(54) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(80) ["disease_id"]=> int(54) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [30]=> object(app\models\DiseaseBranch)#4338 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(81) ["disease_id"]=> int(55) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(81) ["disease_id"]=> int(55) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [31]=> object(app\models\DiseaseBranch)#4339 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(82) ["disease_id"]=> int(56) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(82) ["disease_id"]=> int(56) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [32]=> object(app\models\DiseaseBranch)#4340 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(83) ["disease_id"]=> int(58) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(83) ["disease_id"]=> int(58) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [33]=> object(app\models\DiseaseBranch)#4341 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(84) ["disease_id"]=> int(59) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(84) ["disease_id"]=> int(59) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [34]=> object(app\models\DiseaseBranch)#4342 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(85) ["disease_id"]=> int(60) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(85) ["disease_id"]=> int(60) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [35]=> object(app\models\DiseaseBranch)#4343 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(86) ["disease_id"]=> int(62) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(86) ["disease_id"]=> int(62) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [36]=> object(app\models\DiseaseBranch)#4344 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(700) ["disease_id"]=> int(699) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(700) ["disease_id"]=> int(699) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [37]=> object(app\models\DiseaseBranch)#4345 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(188) ["disease_id"]=> int(211) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(188) ["disease_id"]=> int(211) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [38]=> object(app\models\DiseaseBranch)#4346 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(359) ["disease_id"]=> int(394) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(359) ["disease_id"]=> int(394) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [39]=> object(app\models\DiseaseBranch)#4347 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(370) ["disease_id"]=> int(405) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(370) ["disease_id"]=> int(405) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [40]=> object(app\models\DiseaseBranch)#4348 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(727) ["disease_id"]=> int(720) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(727) ["disease_id"]=> int(720) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [41]=> object(app\models\DiseaseBranch)#4349 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(728) ["disease_id"]=> int(721) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(728) ["disease_id"]=> int(721) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [42]=> object(app\models\DiseaseBranch)#4350 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(386) ["disease_id"]=> int(416) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(386) ["disease_id"]=> int(416) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [43]=> object(app\models\DiseaseBranch)#4351 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(396) ["disease_id"]=> int(426) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(396) ["disease_id"]=> int(426) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [44]=> object(app\models\DiseaseBranch)#4352 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(403) ["disease_id"]=> int(433) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(403) ["disease_id"]=> int(433) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [45]=> object(app\models\DiseaseBranch)#4353 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(404) ["disease_id"]=> int(434) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(404) ["disease_id"]=> int(434) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [46]=> object(app\models\DiseaseBranch)#4354 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(406) ["disease_id"]=> int(436) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(406) ["disease_id"]=> int(436) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [47]=> object(app\models\DiseaseBranch)#4355 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(407) ["disease_id"]=> int(437) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(407) ["disease_id"]=> int(437) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [48]=> object(app\models\DiseaseBranch)#4356 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(408) ["disease_id"]=> int(438) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(408) ["disease_id"]=> int(438) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [49]=> object(app\models\DiseaseBranch)#4357 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(416) ["disease_id"]=> int(452) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(416) ["disease_id"]=> int(452) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [50]=> object(app\models\DiseaseBranch)#4358 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(429) ["disease_id"]=> int(465) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(429) ["disease_id"]=> int(465) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [51]=> object(app\models\DiseaseBranch)#4359 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(434) ["disease_id"]=> int(470) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(434) ["disease_id"]=> int(470) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [53]=> object(app\models\DiseaseBranch)#4361 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(453) ["disease_id"]=> int(489) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(453) ["disease_id"]=> int(489) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [54]=> object(app\models\DiseaseBranch)#4362 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(454) ["disease_id"]=> int(490) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(454) ["disease_id"]=> int(490) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [55]=> object(app\models\DiseaseBranch)#4363 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(455) ["disease_id"]=> int(491) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(455) ["disease_id"]=> int(491) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [56]=> object(app\models\DiseaseBranch)#4364 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(456) ["disease_id"]=> int(492) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(456) ["disease_id"]=> int(492) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [58]=> object(app\models\DiseaseBranch)#4366 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(458) ["disease_id"]=> int(494) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(458) ["disease_id"]=> int(494) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [59]=> object(app\models\DiseaseBranch)#4367 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(459) ["disease_id"]=> int(495) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(459) ["disease_id"]=> int(495) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [60]=> object(app\models\DiseaseBranch)#4368 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(460) ["disease_id"]=> int(496) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(460) ["disease_id"]=> int(496) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [61]=> object(app\models\DiseaseBranch)#4369 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(461) ["disease_id"]=> int(497) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(461) ["disease_id"]=> int(497) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [63]=> object(app\models\DiseaseBranch)#4371 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(463) ["disease_id"]=> int(499) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(463) ["disease_id"]=> int(499) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [64]=> object(app\models\DiseaseBranch)#4372 (10) { 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int(465) ["disease_id"]=> int(501) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [66]=> object(app\models\DiseaseBranch)#4374 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(466) ["disease_id"]=> int(507) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(466) ["disease_id"]=> int(507) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [68]=> object(app\models\DiseaseBranch)#4376 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(468) ["disease_id"]=> int(504) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(468) ["disease_id"]=> int(504) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [69]=> object(app\models\DiseaseBranch)#4377 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(469) ["disease_id"]=> int(505) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(469) ["disease_id"]=> int(505) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [70]=> object(app\models\DiseaseBranch)#4378 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(470) ["disease_id"]=> int(506) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(470) ["disease_id"]=> int(506) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [71]=> object(app\models\DiseaseBranch)#4379 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(478) ["disease_id"]=> int(515) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(478) ["disease_id"]=> int(515) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [73]=> object(app\models\DiseaseBranch)#4381 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(480) ["disease_id"]=> int(517) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(480) ["disease_id"]=> int(517) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [74]=> object(app\models\DiseaseBranch)#4382 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(481) ["disease_id"]=> int(518) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(481) ["disease_id"]=> int(518) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [75]=> object(app\models\DiseaseBranch)#4383 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(482) ["disease_id"]=> int(519) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(482) ["disease_id"]=> int(519) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [76]=> object(app\models\DiseaseBranch)#4384 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(483) ["disease_id"]=> int(520) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(483) ["disease_id"]=> int(520) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [77]=> object(app\models\DiseaseBranch)#4385 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(484) ["disease_id"]=> int(521) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(484) ["disease_id"]=> int(521) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [78]=> object(app\models\DiseaseBranch)#4386 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(704) ["disease_id"]=> int(703) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(704) ["disease_id"]=> int(703) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [79]=> object(app\models\DiseaseBranch)#4387 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(614) ["disease_id"]=> int(642) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(614) ["disease_id"]=> int(642) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [80]=> object(app\models\DiseaseBranch)#4388 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(691) ["disease_id"]=> int(457) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(691) ["disease_id"]=> int(457) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [81]=> object(app\models\DiseaseBranch)#4389 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(699) ["disease_id"]=> int(698) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(699) ["disease_id"]=> int(698) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [82]=> object(app\models\DiseaseBranch)#4390 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(725) ["disease_id"]=> int(718) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(725) ["disease_id"]=> int(718) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [83]=> object(app\models\DiseaseBranch)#4391 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(732) ["disease_id"]=> int(724) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(732) ["disease_id"]=> int(724) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [84]=> object(app\models\DiseaseBranch)#4392 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(734) ["disease_id"]=> int(725) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(734) ["disease_id"]=> int(725) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [85]=> object(app\models\DiseaseBranch)#4393 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(747) ["disease_id"]=> int(735) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(747) ["disease_id"]=> int(735) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [86]=> object(app\models\DiseaseBranch)#4394 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(748) ["disease_id"]=> int(736) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(748) ["disease_id"]=> int(736) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [87]=> object(app\models\DiseaseBranch)#4395 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(749) ["disease_id"]=> int(737) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(749) ["disease_id"]=> int(737) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [88]=> object(app\models\DiseaseBranch)#4396 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(750) ["disease_id"]=> int(738) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(750) ["disease_id"]=> int(738) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [89]=> object(app\models\DiseaseBranch)#4397 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(753) ["disease_id"]=> int(739) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(753) ["disease_id"]=> int(739) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [90]=> object(app\models\DiseaseBranch)#4398 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(754) ["disease_id"]=> int(740) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(754) ["disease_id"]=> int(740) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [91]=> object(app\models\DiseaseBranch)#4399 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(756) ["disease_id"]=> int(742) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(756) ["disease_id"]=> int(742) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [92]=> object(app\models\DiseaseBranch)#4400 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(757) ["disease_id"]=> int(743) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(757) ["disease_id"]=> int(743) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [93]=> object(app\models\DiseaseBranch)#4401 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(758) ["disease_id"]=> int(744) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(758) ["disease_id"]=> int(744) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [94]=> object(app\models\DiseaseBranch)#4402 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(759) ["disease_id"]=> int(745) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(759) ["disease_id"]=> int(745) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [95]=> object(app\models\DiseaseBranch)#4403 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(761) ["disease_id"]=> int(747) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(761) ["disease_id"]=> int(747) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [96]=> object(app\models\DiseaseBranch)#4404 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(766) ["disease_id"]=> int(752) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(766) ["disease_id"]=> int(752) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } 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["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [98]=> object(app\models\DiseaseBranch)#4406 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(768) ["disease_id"]=> int(754) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(768) ["disease_id"]=> int(754) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [99]=> object(app\models\DiseaseBranch)#4407 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(769) ["disease_id"]=> int(755) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(769) ["disease_id"]=> int(755) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [100]=> object(app\models\DiseaseBranch)#4408 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(770) ["disease_id"]=> int(756) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(770) ["disease_id"]=> int(756) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [101]=> object(app\models\DiseaseBranch)#4409 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(772) ["disease_id"]=> int(757) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(772) ["disease_id"]=> int(757) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [102]=> object(app\models\DiseaseBranch)#4410 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(773) ["disease_id"]=> int(758) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(773) ["disease_id"]=> int(758) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [103]=> object(app\models\DiseaseBranch)#4411 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(774) ["disease_id"]=> int(759) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(774) ["disease_id"]=> int(759) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [104]=> object(app\models\DiseaseBranch)#4412 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(776) ["disease_id"]=> int(761) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(776) ["disease_id"]=> int(761) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [105]=> object(app\models\DiseaseBranch)#4413 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(777) ["disease_id"]=> int(762) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(777) ["disease_id"]=> int(762) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [106]=> object(app\models\DiseaseBranch)#4414 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(779) ["disease_id"]=> int(763) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(779) ["disease_id"]=> int(763) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [107]=> object(app\models\DiseaseBranch)#4415 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(781) ["disease_id"]=> int(764) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(781) ["disease_id"]=> int(764) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [108]=> object(app\models\DiseaseBranch)#4416 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(786) ["disease_id"]=> int(768) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(786) ["disease_id"]=> int(768) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [109]=> object(app\models\DiseaseBranch)#4417 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(787) ["disease_id"]=> int(769) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(787) ["disease_id"]=> int(769) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [110]=> object(app\models\DiseaseBranch)#4418 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(788) ["disease_id"]=> int(770) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(788) ["disease_id"]=> int(770) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [111]=> object(app\models\DiseaseBranch)#4419 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(790) ["disease_id"]=> int(772) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(790) ["disease_id"]=> int(772) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [112]=> object(app\models\DiseaseBranch)#4420 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(793) ["disease_id"]=> int(775) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(793) ["disease_id"]=> int(775) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [113]=> object(app\models\DiseaseBranch)#4421 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(796) ["disease_id"]=> int(778) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(796) ["disease_id"]=> int(778) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [114]=> object(app\models\DiseaseBranch)#4422 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(797) ["disease_id"]=> int(779) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(797) ["disease_id"]=> int(779) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [115]=> object(app\models\DiseaseBranch)#4423 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(798) ["disease_id"]=> int(780) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(798) ["disease_id"]=> int(780) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [116]=> object(app\models\DiseaseBranch)#4424 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(799) ["disease_id"]=> int(781) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(799) ["disease_id"]=> int(781) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [117]=> object(app\models\DiseaseBranch)#4425 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(801) ["disease_id"]=> int(783) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(801) ["disease_id"]=> int(783) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [118]=> object(app\models\DiseaseBranch)#4426 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(803) ["disease_id"]=> int(785) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(803) ["disease_id"]=> int(785) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [119]=> object(app\models\DiseaseBranch)#4427 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(807) ["disease_id"]=> int(789) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(807) ["disease_id"]=> int(789) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [120]=> object(app\models\DiseaseBranch)#4428 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(808) ["disease_id"]=> int(790) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(808) ["disease_id"]=> int(790) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [121]=> object(app\models\DiseaseBranch)#4429 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(810) ["disease_id"]=> int(792) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(810) ["disease_id"]=> int(792) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [122]=> object(app\models\DiseaseBranch)#4430 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(812) ["disease_id"]=> int(794) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(812) ["disease_id"]=> int(794) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [123]=> object(app\models\DiseaseBranch)#4431 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(813) ["disease_id"]=> int(795) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(813) ["disease_id"]=> int(795) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [124]=> object(app\models\DiseaseBranch)#4432 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(814) ["disease_id"]=> int(796) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(814) ["disease_id"]=> int(796) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [125]=> object(app\models\DiseaseBranch)#4433 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(815) ["disease_id"]=> int(797) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(815) ["disease_id"]=> int(797) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [126]=> object(app\models\DiseaseBranch)#4434 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(816) ["disease_id"]=> int(798) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(816) ["disease_id"]=> int(798) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [127]=> object(app\models\DiseaseBranch)#4435 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(817) ["disease_id"]=> int(799) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(817) ["disease_id"]=> int(799) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [128]=> object(app\models\DiseaseBranch)#4436 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(818) ["disease_id"]=> int(800) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(818) ["disease_id"]=> int(800) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [129]=> object(app\models\DiseaseBranch)#4437 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(819) ["disease_id"]=> int(801) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(819) ["disease_id"]=> int(801) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [130]=> object(app\models\DiseaseBranch)#4438 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(821) ["disease_id"]=> int(803) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(821) ["disease_id"]=> int(803) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [131]=> object(app\models\DiseaseBranch)#4439 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(822) ["disease_id"]=> int(804) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(822) ["disease_id"]=> int(804) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [132]=> object(app\models\DiseaseBranch)#4440 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(823) ["disease_id"]=> int(805) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(823) ["disease_id"]=> int(805) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [133]=> object(app\models\DiseaseBranch)#4441 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(824) ["disease_id"]=> int(806) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(824) ["disease_id"]=> int(806) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [134]=> object(app\models\DiseaseBranch)#4442 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(826) ["disease_id"]=> int(808) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(826) ["disease_id"]=> int(808) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [135]=> object(app\models\DiseaseBranch)#4443 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(827) ["disease_id"]=> int(809) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(827) ["disease_id"]=> int(809) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [136]=> object(app\models\DiseaseBranch)#4444 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(828) ["disease_id"]=> int(810) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(828) ["disease_id"]=> int(810) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [137]=> object(app\models\DiseaseBranch)#4445 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(829) ["disease_id"]=> int(811) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(829) ["disease_id"]=> int(811) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [138]=> object(app\models\DiseaseBranch)#4446 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(831) ["disease_id"]=> int(813) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(831) ["disease_id"]=> int(813) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [139]=> object(app\models\DiseaseBranch)#4447 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(835) ["disease_id"]=> int(817) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(835) ["disease_id"]=> int(817) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [140]=> object(app\models\DiseaseBranch)#4448 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(836) ["disease_id"]=> int(818) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(836) ["disease_id"]=> int(818) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [141]=> object(app\models\DiseaseBranch)#4449 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(838) ["disease_id"]=> int(820) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(838) ["disease_id"]=> int(820) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [142]=> object(app\models\DiseaseBranch)#4450 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(839) ["disease_id"]=> int(821) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(839) ["disease_id"]=> int(821) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [143]=> object(app\models\DiseaseBranch)#4451 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(840) ["disease_id"]=> int(822) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(840) ["disease_id"]=> int(822) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [144]=> object(app\models\DiseaseBranch)#4452 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(842) ["disease_id"]=> int(824) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(842) ["disease_id"]=> int(824) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [145]=> object(app\models\DiseaseBranch)#4453 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(845) ["disease_id"]=> int(827) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(845) ["disease_id"]=> int(827) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [146]=> object(app\models\DiseaseBranch)#4454 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(909) ["disease_id"]=> int(890) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(909) ["disease_id"]=> int(890) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [147]=> object(app\models\DiseaseBranch)#4455 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(910) ["disease_id"]=> int(891) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(910) ["disease_id"]=> int(891) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } 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["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(912) ["disease_id"]=> int(893) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(912) ["disease_id"]=> int(893) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } [150]=> object(app\models\DiseaseBranch)#4458 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(913) ["disease_id"]=> int(894) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> 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int(918) ["disease_id"]=> int(899) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#158 (12) { ["attributes"]=> array(11) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(4) "link" [3]=> string(14) "genitive_title" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(10) "full_title" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_branch" ["langClassName"]=> string(21) "app\models\BranchLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "branch_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(11) { ["public"]=> int(1) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["full_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#159 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#157 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } } } [1]=> object(app\models\Disease)#206 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(56) "Рак груди (рак молочной железы)" ["genitive_title"]=> string(19) "Рака груди" ["link"]=> string(19) "lechenie-raka-grudi" ["about"]=> string(1772) "Рак молочной железы является одним из самых изученных в онкологии. Нет повода отчаиваться узнав о диагнозе рак груди, но правильным решением будет понять все доступные возможности современного лечения рака молочной железы в специализированных клиниках России и за пределами нашей страны. Мы рекомендуем для вас лучших маммологов-онкологов, хирургов, радиологов, онкологов-химиотерапевтов, радиологов и специалистов в области генетической-молекулярной диагностики рака. Прежде чем принять решение о лечение рака молочной железы, мы советуем вам убедиться, что технология является наиболее передовой, а лечение наименее инвазивным, насколько это возможно с учетом стадии заболевания. Кроме того, после окончания основного этапа лечения, связанного с удалением опухоли, мы рекомендуем опытных пластических хирургов, предлагающих несколько вариантов реконструкции груди: с использованием жировой ткани, аутотрансплантации кожи и новейших имплантатов груди.
" ["description"]=> string(22096) "Во многом, тактика лечения рака молочной железы базируется на правильной диагностике опухоли. Верификация образца полученной ткани опухоли позволяет определить в злокачественных клетках рака молочной железы специальные рецепторы (белки), чувствительные к новым таргетным лекарствам, гормонам, препаратам химиотерапии. Поэтому персонализированное, а значит более эффективное лечение — возможно проводить только после получения результатов биопсии, которой не нужно бояться. Биопсия в современных клиниках выполняется с помощью очень тонкой иглы и под контролем оборудования визуальной диагностики (рентген, ультразвук). Кроме того, результаты биопсии можно получить в течение 30 минут, это особенно важно когда нет времени ждать и принято решение о хирургическом лечении опухоли. В этом случае, уже во время операции будет известен характер опухоли, а значит и дальнейшая тактика лечения определяется безотлагательно.
Еще раз подчеркнем, что правильное лечение рака молочной железы должно быть персонализированным, когда вам говорят — «что у нас есть протокол лечения рака» — это означает, что он должен быть применен только после цитогенетического исследования полученного образца опухоли. Иначе существует риск общетоксического воздействия препаратов химиотерапии и низкого их избирательного эффекта на опухоль. Мы говорим об этом потому, что сталкивались с подобными случаями в своей практике и считаем своим долгом сказать о правильности современных подходов к диагностике и лечению рака молочной железы.
Кроме биопсии не менее важна визуализация, или говоря иными словами — обнаружение опухоли в тканях груди с помощью современного оборудования. Маммография с томосинтезом — это многомерное исследование тканей молочной железы, проводится как и обычная маммография, только комфортнее для женщины и ценнее для врача. Так как, современная трехмерная томография не пропустит ни одного (даже самого маленького) очага опухоли молочной железы. Этот метод хорош не только для определения опухоли, но и для рутинных проверок, благодаря которым рак груди стал выявляться на ранних стадиях, следовательно, лечение и последствия рака могут быть минимальными.
Для обнаружения возможного распространения раковых клеток в ближайшие лимфатические узлы (при подозрении), проводится биопсия и возможное удаление сторожевых лимфатических узлов, В некоторых западных клиниках и больницах Израиля, а в последнее время в ведущих российских больницах — применяется тактика совмещения удаления опухоли молочной железы и одновременного удаления сторожевых лимфатических узлов (только ближайших к опухоли узлов, в которых обнаружен раковые клетки). Такой подход позволяет избежать опасного и неприятного последствия — лимфостаза рук, а следовательно избежать необходимость длительной реабилитации после хирургического лечения. Всегда важно определить отсутствие метастазов опухоли в других участках тела. Конечно, если обратиться к врачу на ранних стадиях рака, когда вы только пальпаторною обнаружили в молочной железе небольшой узелок и «нашли» полчаса времени на маммографию, то поиск метастазов не нужен.
Но мы сталкиваемся, к большому сожалению, с запущенными формами рака молочной железы, когда необходимо обязательное проведение ПЭТ КТ для поиска отдаленных опухолей. Конечно и в этом случае есть решения, к примеру, в одной из израильских больниц установлено оборудование для мультипланарного обнаружения множественных метастазов рака в головном мозге и возможностью за один сеанс радиотерапии разрушить несколько метастазов.
Мы хорошо знакомы с примерами успешного лечения рака груди на разных стадиях онкологического процесса, однако мы призываем всех женщин к регулярному обследованию, самообследованию молочных желез, особенно это необходимо женщинам имеющим семейную историю рака молочных желез (генетическую предрасположенность). Прежде чем принимать заместительную гормональную терапию мы рекомендуем женщинам из группы риска пройти обследование и получить консультацию квалифицированного эндокринолога и онколога.
В основном определяются две формы рака молочной железы.
Рак возникающий в железистой ткани — является карциномой, которая образуется в клетках молочных протоков. Протоковый рак может быть инвазивным, с потенциалом последующего распространения, или неинвазивным. У любого рака молочной железы достаточно высокие шансы на излечение, но неинвазивные формы карциномы лучше поддаются лечению.
Другая частая фора рака — очаговый рак, возникает в дольках молочной железы.
Менее распространена агрессивная форма рака молочной железы — это воспалительный рак, такая опухоль распространяются быстро и необычно, в большой плоскости. Иногда встречается опухоли независимые от гормонов и не имеющие в своих клетках рецепторов HER2, на которые действуют современные лекарства, блокирующие рост раковых клеток.
Рак молочной железы бывает не только у женщин, крайне редко рак груди обнаруживается у мужчин. Статистика обнаружения рака у сильной половины человечества несоизмерима мала, однако такие случаи встречаются, например в США диагноз рак молочной железы ежегодно устанавливается более 2000 мужчин.
Современная система деления стадий развития рака молочной железы была разработанной отечественными онкологами, а также за своим описанием соответствует полной международной классификации по поводу стадий рака молочной железы TNM. Она состоит из 5 стадий, так как вторая стадия делится на 2А и 2В стадии.
1-я стадия — опухоль не больше двух см в диаметре, без распространения на близлежащие ткани и лимфатические узлы.
2-я А стадия — размер опухоли от 2-х до 5-и см в диаметре, частично спаянна с кожей, метастазы не обнаружены.
2-я В стадия — опухоль имеет размер около 2–5 см в диаметре, от нее отходят не больше чем два метастаза на стороне локализации опухоли.
3-я стадия — опухоль более 5 см в диаметре, имеет прорастания в кожу и окружающую жировую ткань. Присутствует симптом умбиликации — втянутая кожа над опухолью, наличие не более 2 метастазов.
4-я стадия — опухоль распространяется на всю молочную железу, присутствуют обширные изъязвления и отдаленные метастазы.
Если вы обеспокоены семейной историей рака молочной железы, мы рекомендуем вам клиники для прохождения генетического тестирования и точного определения риска. Все, что увеличивает шансы на возникновение рака молочной железы является фактором риска:
Другие факторы риска рака молочной железы включают в себя:
Исследования показывают, что многие виды рака можно предотвратить. Обратитесь к нашим медицинским консультантам за более подробной информацией.
Распространенные симптомы рака груди:
Хирургическое лечение рака молочной железы является одним из приоритетных направлений лечения, как уже было сказано в начале нашей статьи, удаление только сторожевых лимфатических узлов и опухоли — влияет на дальнейшую реабилитацию. Кроме того, по результатам биопсии планируется хирургическое лечение и комплексная терапия. Однако, нужно отметить, что биопсия может показать высокую чувствительность опухоли к гормональному лечению и специфическим таргетным лекарствам, тогда хирургия будет минимальной, а лечение при этом не потеряет своей эффективности. В некоторых случаях бывает достаточно только направленной терапии, химиотерапии, или гормонального лечения.
Мастэктомия — это основная операция по удалению опухоли молочной железы. При мастэктомии удаляется одна или две груди. Во многих клиниках совмещают мастэктомию и реконструктивную хирургию. Щадящие операции с сохранением максимальной структуры груди возможны только на ранних, первой и второй стадии рака, когда процесс имеет относительно ограниченную локализацию в молочной железе. Обследование является решающим фактором при планировании способа операции.
Лучевая терапия на сегодняшний день имеет более точечное облучение, с минимальным риском лучевого поражения здоровых участков. Для принятия решения о возможности лучевой терапии необходимо обследование. В случае выявление хорошей чувствительности опухоли к лечению, возможно ограничится только минимальной хирургией и применением современных лекарств. Несмотря на это, ваш врач может предложить локальную форму лучевой терапии, когда источник облучения располагают вблизи опухоли — это называется брахитерапией, и такая методика часто применяется во время операции для лучшей зачистки от раковых клеток, которые могут остаться после удаления опухоли. Некоторые небольшие локальные очаги опухоли с нестандартной локализацией могут быть уничтожены с помощью современного метода стереотаксической радиохирургии (кибер-нож).
Химиотерапия наиболее часто проводится до или после операции, также является основным методом лечения запущенного рака, распространившегося за пределы молочной железы. Мы предлагаем самые современные и эффективные варианты химиотерапии для рака молочной железы, которые доступны в многих клиниках мира. Мы рекомендуем опытных врачей, которые впервые применили химиотерапию до операции, чтобы уменьшить опухоль молочной железы, с целью минимального повреждение окружающих тканей во время операции.
Гормональная терапия, например лекарство «tamoxifen», помогает блокировать гормоны «подпитывающие» рост рака молочной железы. Но как было отмечено, лечение гормонами проводится в случае выявления гормональной зависимости опухоли.
Целевая терапия (таргетное лечение) рака молочной железы — это введение современных биологических лекарств, например «грцептин» является одним из видов биологической терапии, мишенью для которого служат раковые клетки производящие слишком много белка под названием HER2. Этот белок присутствует у некоторых пациентов с раком молочной железы. «Герцептин» связывается с клетками, прекратив производство HER2 белка необходимого для роста опухоли.
Стоимость лечения рака молочной железы зависит от стадии процесса и может быть минимальной на ранних стадиях рака. Мы рекомендуем лечение рака в лучших клиниках России и за рубежом, при этом в Docland.ru обеспечивается персонализированный подход и экспертный уровень выбора клиники. Мы не увеличиваем стоимость лечения, она остается равной стоимости при прямом обращении в клинику. В отличие от агентств медицинского туризма, мы предоставляем прямой доступ к лучшим онкологам, при более низкой стоимости медицинских услуг.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#209 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#207 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } } } [2]=> object(app\models\Country)#86 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["public"]=> int(1) ["doctors_description"]=> string(0) "" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["request_published_default"]=> int(0) ["request_price"]=> string(3) "700" ["external_id"]=> int(2524) ["request_price_qualitative"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(18) "Швейцария" ["link"]=> string(12) "shvejtsarija" ["genitive_title"]=> string(18) "Швейцарии" ["adj_genitive_plural_title"]=> string(22) "швейцарских" ["prepositional_title"]=> string(18) "Швейцарии" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(923) "В многопрофильных клиниках Швейцарии, предоставляющих услуги иностранным пациентам, большое внимание уделяют качеству оказываемых услуг. Помимо качественного лечения, соответствующего лучшим мировым стандартам, здесь отличный сервис. Для удобства пациентов их размещают в комфортабельных одноместных палатах, за ними ведется круглосуточное медицинское наблюдение. Больной может выбирать меню. Пациенты также высоко оценивают тактичность медперсонала, строгое соблюдение конфиденциальности.
" ["advantage"]=> string(4382) "Лечение и оздоровление в клиниках Швейцарии является одним из наиболее качественных вариантов избавления от болезни. В этой стране существуют высокие требования к профессиональной подготовке врачей, а также оснащению клиник. Используются наиболее современные методики терапии различных заболеваний, от рака до бесплодия, от неврологических болезней до проблем с костями и суставами. Большое внимание уделяется также комфортности пребывания пациентов: любой человек, приезжающий из-за границы, может рассчитывать на самый высокий уровень сервиса, внимательность медицинского персонала и соблюдение конфиденциальности.
ВОЗ, проводящая ежегодно итоги работы систем медучреждений в разных странах, постоянно причисляет швейцарскую медицину в число лучших в мире. И, хотя принятые за лечение в Швейцарии цены могут быть выше, чем в странах с менее развитой медициной, отзывы о лечении в Швейцарии показывают: те, кто хотят добиться максимального результата терапии, едут в эту страну.
Цены на лечение в клиниках этой страны нельзя назвать низкими, однако его качество вполне оправдывает затраты. По уровню цен клиники в Швейцарии дешевле, чем в США, но дороже, чем в Израиле. Стоимость лечения в Швейцарии по сравнению с Германией приблизительно одинакова. Приблизительные цены на лечение таковы:
Медицинский туризм в Швейцарии – это отрасль, которая работает как часы. Для организации поездки пациент может воспользоваться услугами компании-посредника или же организовать поездку самостоятельно. Медицинские посредники помогают выбрать клинику для лечения, составить и согласовать с медиками график пребывания, помочь с оформлением визы и приобретением билетов. Также компании-посредники позаботятся о наличии переводчика и могут составить культурную или развлекательную программу на время пребывания в стране. Поскольку санатории Швейцарии так же популярны, как и лечебные клиники, многие пациенты объединяют отдых в санаториях с лечением. Компании-посредники берут на себя хлопоты по организации пребывания в санатории.
" ["specialization"]=> string(0) "" ["accessibility"]=> string(2068) "Официальный язык – немецкий (швейцарский немецкий), французский (швейцарский французский), итальянский, ретороманский
Государственная валюта - швейцарский франк.
Возможные способы оплаты: наличными (швейцарский франк, евро)
кредитные карты: VISA, MASTERCARD
банковский перевод, необходимо провести за 3 дня до начала обследования / лечения.
перевод Western Union или Money Gram.
Время полета (Моcква - Вена) – 3 часа 3 минуты
При организации лечения за границей у людей может возникнуть ряд вопросов. Как правило, они однотипные, и в первую очередь пациентов волнуют две проблемы:
Как попасть на лечение?
Как оплатить лечение?
Самый простой способ поехать на лечение в Швейцарию – обратиться к услугам надежных специализированных компаний, которые помогут подобрать подходящую клинику и оформить необходимые документы.
Иностранцы в швейцарские клиники принимаются только после полной предоплаты лечения. Если по каким-либо причинам необходимость в предоплаченных процедурах отпадает, их стоимость затем пациенту возвращается." ["prices"]=> string(223) "Helvetic Airways 18 931 р.
Easyjet 42 503 р.
Аэрофлот 61 214 р.
" ["service_advantage"]=> string(293) "Наиболее современные и успешные способы лечения; Высочайший уровень квалификации врачей; Возможность санаторно-курортного лечения; Высокий уровень сервиса." ["public"]=> int(1) ["doctors_description"]=> string(1056) "Медицинский персонал, осуществляющий лечение иностранных пациентов в клиниках Швейцарии, отличается высоким профессионализмом и тактичностью. Для медицины Швейцарии характерны доверительно-дружеские отношения между персоналом клиники и пациентом. Здесь считают, что только по достижении полного взаимопонимания можно получить по-настоящему хороший результат. Обратившись за помощью, вы можете рассчитывать не только на качественное лечение по самым современным методикам, использование лекарств нового поколения, но и на возможность соединить отдых и лечение.
" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(500) "Швейцарская медицина считается одной из самых прогрессивных в мире. Особенно развиты направления терапии онкопатологий и бесплодия, ортопедия, пластическая хирургия, нейрохирургия и офтальмология. Высокий профессионализм врачей, безупречный сервис, полная анонимность." 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"genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [2]=> object(app\models\City)#617 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(14) "Лозанна" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(14) "Лозанны" ["adj_genitive_plural_title"]=> string(14) "Лозанна" ["prepositional_title"]=> string(14) "Лозанне" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#622 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } } ["clinics"]=> array(4) { [0]=> object(app\models\Clinic)#619 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3230) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["genitive_title"]=> string(51) "Клиники Хирсланден в Цюрихе" ["link"]=> string(29) "klinika-hirslanden-v-tsjurihe" ["about"]=> string(1234) "Клиника Хирсланден располагается в Цюрихе — одном из крупных городов северо-востока Швейцарии, столице одноименного кантона. Это современный частный медицинский центр с инновационной инфраструктурой и высочайшими стандартами предоставления медицинской помощи. Центр известен в стране, как один из наиболее передовых. Тут граждане Швейцарии и иностранные гости проходят диагностику и лечение на новейшей аппаратуре, в центре работают современные операционные, проводятся конвенциональные и малоинвазивные операции, процедуры радиотерапии, физиотерапии. В клинике работает более 1000 специалистов, а количество отделений и институтов составляет несколько десятков. " ["description"]=> string(11458) "Территориально клиника находится неподалеку от Цюрихского озера, в районе Хирсланден. Сюда можно легко добраться на общественном или частном транспорте. Многие пациенты предпочитают приезжать сюда на бесплатном автобусе клиники. Центр предлагает своим пациентам полный спектр медицинских услуг, начиная от экстренных процедур и заканчивая плановой госпитализацией.
Лечение в клинике Хирсланден основано на использовании самых передовых методов медицины — тут работают современные лаборатории, оснащенные высокотехнологичным оборудованием, применяются новейшие лекарственные препараты и методы физиотерапии. Отзывы о клинике Хирсланден можно встретить на различных специализированных интернет-площадках, где пациенты делятся друг с другом своим мнением по поводу того или иного медицинского центра. В большинстве случаев, бывшие пациенты Хирсланден отмечают высокий уровень профессионализма работающих здесь врачей и эффективность применяемых ими методов лечения.
В центре работает более 50 разных подразделений и институтов, основные направления — кардиология, висцеральная хирургия, неврология и нейрохирургия, ортопедия, гинекология и акушерство. Отделение экстренной медицинской помощи в клинике действует 24 часа в сутки 7 дней в неделю.
В отделении проводится полный спектр процедур по диагностике и лечению сердечно-сосудистых заболеваний, начиная от курсов медикаментозной терапии и заканчивая катетерной дилатацией коронарных сосудов, имплантацией сосудистых протезов, установкой сердечных клапанов и шунтированием сердца. Ежегодно тут проводится более 2000 процедур катетерной диагностики, около 800 процедур баллонной дилатации и около 800 открытых операций на сердце.
Врачи, которые работают в центре, обладают многолетней практикой лучевой диагностики заболеваний органов брюшной полости и помогают гастроэнтерологам, гепатологам, урологам, гинекологам и хирургам клиники, проводят ультразвуковую диагностику, компьютерную томографию и МРТ. Здесь проводятся комплексные исследования печени, поджелудочной железы, селезенки, кишечника, почек, мочеполовой системы.
В этом подразделении проводятся высокотехнологичные исследования, основанные на использовании методов ядерной диагностики и гибридной диагностической аппаратуры, позволяющей использовать совместно конвенциональный компьютерный томограф и однофотонную эмиссионную томографию (т. н. SPECT/CT).
В центре проводятся операции на органах брюшной полости, тут работают торакальные хирурги, проводятся вмешательства по удалению опухолей. Здесь преимущественно проводятся хирургические операции на мягких тканях, в центр поступают пациенты, нуждающиеся в комплексных и сложных операциях на брюшной полости и грудной полости. Большая часть хирургов центра имеет профессорские ученые степени.
В центре чек-ап диагностики ежегодно проходят профилактическое обследование тысячи пациентов — как жителей кантона, так и гостей страны. К услугам пациентов Хирсланден — более 1100 квалифицированных специалистов и несколько десятков специализированных центров. Здесь можно пройти стандартную программу чек-ап или программу диагностики, ориентированную на специфические нужды.
Специалисты центра занимаются протезированием коленных, плечевых, тазобедренных и локтевых суставов. Тут применяются современные модели имплантатов, позволяющие гарантировать высокую надежность использования протеза. Применяя малоинвазивные методы замены суставов, врачи обеспечивают сохранение мышечных и других мягких тканей, сокращение периода реабилитации и ускорение восстановления функций сустава. В центре применяются современные навигационные и роботизированные системы. Тут же проводятся артроскопические операции по восстановлению поврежденных структур коленного и плечевого суставов.
В отделении проходят амбулаторное и стационарное лечение пациенты со злокачественными заболеваниями — как солидными опухолями, так и раковыми поражениями крови. Лечение проходит в спокойной и умиротворяющей атмосфере, с использованием самых современных подходов — инновационных методов абляции, малоинвазивной хирургии, радиотерапии, системных химиопрепаратов и средств таргетной терапии. Отделение работает в тесном сотрудничестве со Швейцарским институтом иммунологического лечения опухолей.
В клинике круглосуточно и без выходных проводятся лучевые исследования — рентгенография, томография, комплексные исследования. Тут же осуществляются малоинвазивные интервенционные исследования. Результаты диагностики быстро интерпретируются. Работает курьерская служба, которая доставляет данные лучевой диагностики на CD-дисках в течение двух дней после проведения обследования.
Основные мощности института располагаются на территории другого центра — клиники Männedorf, вскоре их структуры будут объединены в единый комплекс. На данный момент пациенты клиники здесь проходят полный комплекс процедур, связанных с лучевым лечением новообразований на новейших линейных ускорителях TrueBeam и установках стереотаксической хирургии Cyberknife. Также тут проводятся процедуры контактного радиологического лечения опухолей и процедуры интраоперационной радиотерапии.
В центре проходят лечение спортсмены с травмами суставов, связок, сухожилий, мышечных тканей. Тут проводят артроскопические операции, лечат переломы, проводят трансплантацию хрящевых тканей и замену суставов.
Помимо вышеперечисленных подразделений, в клинике действует множество других — центр лечения инсульта, центр травмы, работают отделения урологии, ЛОР-заболеваний, косметической хирургии, ревматологии, физиотерапии, центр лечения заболеваний сосудов, неонатальное отделение и родильный дом, отделения гастроэнтерологии, лечения головной боли, инфекционных заболеваний, подразделение диагностики патологий молочной железы и др.
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"app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#625 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#623 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#626 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } [1]=> object(app\models\Clinic)#627 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(32) "universitetskaya-klinika-cyuriha" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "b58f73cea30dd11a3a7a99f82457dd3e.jpg" ["photo"]=> string(36) "c6eca14bc35706362bf9c4ae02f51eb9.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(10) "47.3766158" ["longitude"]=> string(17) "8.549177500000042" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-20 12:45:41" ["updated_at"]=> string(19) "2019-05-20 14:14:19" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3250) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(58) "Университетская клиника Цюриха" ["genitive_title"]=> string(58) "Университетской клиники Цюриха" ["link"]=> string(33) "universitetskaja-klinika-tsjuriha" ["about"]=> string(1590) "В клинике работает порядка 8000 сотрудников, из них — более 1300 врачей. Ежегодно в центре около 130 тысяч пациентов проходят амбулаторное лечение и 35 тысяч пациентов пролечиваются в режиме стационара. Общее количество структурных подразделений клиники превышает четыре десятка. Отзывы о Университетской клинике Цюриха по большей части положительные, пациенты отмечают высокое качество предоставленных им медицинских услуг, возможность поучаствовать в клинических испытаниях новейших видов терапии. В клинике постоянно проводятся исследования в области регенеративной и персонализированной медицины. Хотя стоимость лечения в Университетской клинике Цюриха и нельзя назвать невысокой, сюда стремятся попасть пациенты со всех стран мира — ведь качество лечебных процедур и уровень подготовки врачей здесь соответствуют самым высоким международным стандартам. " ["description"]=> string(9155) "Университетская клиника Цюриха в Швейцарии — один из немногих университетских медицинских центров в стране и первая клиника, образованная в городе. Свое начало больница берет с 1204 года. За прошедшие столетия как название, так и местоположение клиники несколько раз менялись. В университетской клинике работали и продолжают работать многие выдающиеся врачи. В 20 веке тут трудился известный немецкий хирург Фердинанд Зауэрбрух, основоположник торакальной хирургии. Сегодня в стенах клиники проводит свои исследования иммунной системы человека профессор Рольф Мартин Цинкернагель — обладатель Нобелевской премии по физиологии и медицине.
Для гостей и пациентов клиники работает Wi-Fi. Действует трехразовая система питания с возможностью выбора блюд и изменения диеты (больше углеводов, больше овощей и т. д.). Доступна специализированная диета для больных диабетом и пациентов со специфическими требованиями к пище. Также в клинике действует несколько кафе и бистро. На территории центра есть банкоматы, работают парикмахерские, имеются комнаты для посетителей и детские комнаты. Гостевой дом клиники состоит из шести однокомнатных и шести двухкомнатных апартаментов, где родственники пациентов могут оставаться на период их госпитализации. Также здесь проживают пациенты перед тем, как лечь в клинику или после госпитализации. Комнаты оборудованы всем необходимым — начиная от стиральных машин и заканчивая телевизионными панелями.
Цены в Университетской клинике Цюриха в большинстве своем соответствуют расценкам остальных западно-европейских клиник. Нельзя сказать, что они слишком уж демократичны. Но и излишне высокими они тоже не являются, о чем свидетельствует хотя бы то, что в центре периодически можно встретить пациентов из России, Украины, других бывших союзных республик. Для медицинских туристов в центре действует международный отдел, сотрудники которого свободно разговаривают на нескольких языках и обеспечивают полную поддержку больного на всех этапах лечения.
В клинике действует несколько десятков структурных подразделений, приведем лишь некоторые из них.
Центр лечения рака работает совместно с Университетской детской клиникой Цюриха и занимается лечением широкого спектра злокачественных заболеваний как у взрослых, так и у маленьких пациентов. Тут можно пройти самые инновационные лечебные процедуры, основанные на междисциплинарном подходе и результатах последних научных исследований. Пациенты центра проходят курсы химиотерапии, лучевую терапию, таргетную и иммунную терапию. Врачи подразделения обладают большим опытом проведения малоинвазивных операций по удалению опухолей. Также специалисты центра предоставляют «второе мнение» пациентам из других стран.
Институт клинической химии — подразделение, специализирующееся на лабораторных методах диагностики. Здесь применяются новейшие химические, физические и биологические методы исследований, разрабатываются новые виды диагностических тестов естественных биологических жидкостей человека (крови, мочи и т. д.).
В Институте невропатологии работают врачи, занимающиеся вопросами диагностики и терапии патологий центральной и периферической нервной системы и скелетной мускулатуры. В тесном сотрудничестве невропатологи и нейрохирурги института проводят лечение самого широкого спектра болезней — от прионных заболеваний до разного рода энцефалопатий.
Сотрудники Института патологии и молекулярной патологии занимаются лабораторной диагностикой, используя образцы тканей пациента. Здесь проводятся гистопатологические, цитопатологические, молекулярные исследования.
В отделении пульмонологии проходят лечение пациенты с различными видами заболеваний дыхательной системы, в частности — хронической обструктивной болезнью легких, апноэ во сне. Сотрудники отделения работают в тесном контакте с врачами отделения трансплантологии, где осуществляется пересадка легких.
Врачи отделения торакальной хирургии проводят операции на грудной клетке, лечат опухоли легких и плевры, эмфизему, проводят малоинвазивные робот-ассистированные операции.
В клинике действует и множество других отделений и специализированных центров.
В составе клиники имеется отделение лучевой диагностики, позволяющее проводить исследование и лечение больных различными болезнями — заболеваниями желудочно-кишечного тракта, неврологическими, гинекологическими, сердечно-сосудистыми заболеваниями. Также здесь проводятся процедуры, связанные с ортопедической и пластической хирургией.
Цены в клинике Женолье выше, чем в среднем по Европе. Это определяется тем, что медицинский центр ориентируется на предоставление инновационных медицинских услуг и сервиса высочайшего качества.
В клинике действует амбулаторное отделение, где врачи дают консультации, а пациенты проходят лечебные процедуры, не требующие госпитализации. Здесь проводится лабораторная диагностика и лучевые исследования. В клинике работает один из самых передовых хирургических центров в Европе, операционные которого оснащены инновационным оборудованием, позволяющим, помимо всего прочего, проводить сеансы телемедицины.
Отзывы о клинике Женолье в целом очень позитивно характеризуют качество полученных лечебных процедур. Многих пациентов совершенно не волнует, сколько стоит лечение в клинике Женолье — их прежде всего интересует результат терапии. И подавляющее большинство пациентов клиники не разочаровываются в своих ожиданиях.
В клинике работает специализированный международный отдел, его сотрудники занимаются приемом заявок и ведением иностранных пациентов, которые прибывают сюда из самых разных точек мира — Среднего Востока, Европы, Азии и других мест. Сервисное обслуживание больного не ограничивается одним лишь предоставлением медицинской помощи, каждый пациент получает персонального медицинского координатора, который помогает подбирать врачей, координирует их, осуществляет функции переводчика и т. д.
В клинике действует почти полсотни отделений и специализированных подразделений. Пациенты могут здесь получить медицинскую помощь, ориентированную на лечение самого широкого спектра заболеваний — от аллергии до язвы желудка.
Специалисты отделения занимаются диагностикой атеросклероза и патологий клапанов сердца, аритмии, инфаркта миокарда, повышенного давления, коронарной недостаточности и других заболеваний сердечно-сосудистой системы. Также здесь проводятся процедуры, связанные с интервенционной кардиологией — пациентам делают катетеризацию, устанавливают коронарные стенты и искусственные клапаны сердца.
Врачи отделения проводят операции на органах грудной клетки, удаляют новообразования бронхов и легких, лечат заболевания плевры. Здесь широко применяется лазерная хирургия, особенно при лечении обструкции дыхательных путей, вызванной ростом новообразований.
Специалисты отделения занимаются терапией изменений и заболеваний, связанных с возрастом. Сюда поступают пациенты в возрасте 65-80 лет и старше. Они получают медицинскую, психологическую и социальную помощь, направленную на коррекцию физических, функциональных, психических и когнитивных расстройств. Здесь пациенты получают помощь как в условиях амбулатории, так и в условиях стационара. Врачи отделения обладают большим опытом терапии острых и хронических заболеваний, а также последующей реабилитации пациентов.
Лечение в онкологическом отделении проводится на междисциплинарной основе — с болезнью пациента борется целая команда специалистов из разных областей. Используя последние достижения в медицине, хирурги и радиологи, специалисты по химиотерапии и биотерапии совместными усилиями уверенно выводят больного на ремиссию. Здесь применяются инновационные таргетные препараты, современные средства гормональной и иммунной терапии.
В отделении предоставляется такая уникальная услуга, как медицинский гипноз — пройдя от 3 до 10 сеансов психотерапии, больной получает возможность находить и мобилизовать собственные силы для поиска решений своих ежедневных проблем.
В отделении работают врачи хирургических специальностей, обладающие большим клиническим опытом оперативного лечения травм и дегенеративных заболеваний опорно-двигательного аппарата. Тут проходят курсы терапии больные с заболеваниями позвоночника, связок, суставов, сухожилий и мышц. Специалисты отделения лечат переломы конечностей и позвоночника, дислокацию суставов, разрывы мышц, опухоли костей и остеоартроз, проводят операции по полному и частичному эндопротезированию.
В отделении трудится более десяти физиотерапевтов, специализирующихся на лечении травм и заболеваний опорно-двигательного аппарата, а также на общей реабилитации пациентов. Отделение оснащено новейшим изокинетическим оборудованием, которое позволяет в сжатые сроки восстанавливать подвижность в коленных, плечевых, локтевых, тазобедренных суставах. Тут получают медицинскую помощь и пациенты после хирургических операций, пока полностью не восстановят свою форму.
Хирурги отделения имеют значительный клинический опыт реконструктивной и эстетической хирургии, коррекции врожденных анатомических аномалий, увеличения и уменьшения груди, подтяжки лица, ринопластики, брефаропластики, омоложения кожи с использованием лазерных процедур.
Отделение радиологического лечения злокачественных заболеваний — одно из самых передовых в Западной Европе. Тут установлено высокоточное оборудование, позволяющее проводить гипер- и гипофракционированную дистанционную радиотерапию, роботизированную стереотаксическую радиохирургию, контактную радиотерапию.
В клинике действуют и другие отделения — гинекологии, дерматологии, общей хирургии, эндокринологии, офтальмологии, нейрохирургии, робот-ассистированной и лапароскопической хирургии, сосудистой хирургии, урологии, неврологии, пульмонологии, психиатрии и др.
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["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(29) "Клиника Леманик" ["genitive_title"]=> string(29) "Клинике Леманик" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(1694) "Клиника Леманик в Швейцарии хорошо известна, как передовой центр эстетической и регенеративной медицины. Своим пациентам клиника предоставляет косметические процедуры и услуги по омоложению, основанные на самых инновационных и высокотехнологичных подходах. Отзывы о клинике Леманик подтверждают высокое качество применяемых процедур — это эстетическая дерматология и хирургические операции на коже, терапия, направленная на омоложение кожи, пластическая и реконструктивная хирургия, регенеративные процедуры. Врачи центра обладают большим опытом лечения заболеваний кожи и слизистых, ногтей и волос, проводят эффективную терапию акне и псориаза, витилиго и гипергидроза, экземы и дерматитов. Хирурги успешно исправляют косметические дефекты, а специалисты по превентивной и функциональной медицине занимаются вопросами общего омоложения организма, восстановления гибкости, силы, улучшения жизненного тонуса. " ["description"]=> string(8752) "Располагается клиника в Лозанне — четвертом по величине городе Швейцарии. Сюда приезжает много женщин из США и Европы, клиника хорошо известна в России, Украине и других бывших государствах СНГ. Это один из наиболее оснащенных медицинских центров, ориентированный на решение вопросов эстетики человеческого тела и борьбы с возрастными изменениями. Тут активно применяется высокотехнологичная аппаратура — лазерные установки, оборудование для эстетической хирургии, фототерапии, криотерапии.
Цены в клинике Леманик вполне приемлемы на взгляд среднестатистического жителя Западной Европы. Хотя стоимость лечения в клинике Леманик для жителей бывших союзных республик может показаться несколько завышенной, это — лишь следствие различия в уровне жизни. Для обычного швейцарца стоимость процедуры омоложения кожи в клинике не выше, чем стоимость ужина в среднем женевском ресторане. Если принять во внимание эффективность предоставляемых процедур и долговременный эстетический эффект, их стоимость выглядит вполне приемлемой.
Специалисты клиники применяют самый широкий спектр современных подходов, позволяющих быстро и эффективно убирать косметические дефекты, улучшать эстетику лица и других частей тела.
Лечение рубцов от акне с помощью синего света — безболезненный метод, который позволяет значительно улучшить внешний вид всего за 2-4 процедуры, каждая из которых длится по 15 минут и состоит в облучении проблемных участков кожи светом длиной волны 400-700 нм и 800-1200 нм с определенной частотой пульсации.
Аквалифтинг — техника регенерации кожи лица, позволяющая восстановить эластичность, убрать мелкие морщины, удалить пигментные пятна, возникающие в результате гормональных и сосудистых аномалий. Одна сессия длится порядка 60 минут, за это время в кожу «впрыскивается» стерильная вода или физраствор, обогащенные антиоксидантами, витаминами, средствами борьбы со свободными радикалами. Такой революционный подход в медицине называют «трансдермальным введением воды и активных молекул».
Блефаропластика — хирургические операции по удалению излишков кожи и подкожного жира на верхних и нижних веках. Практически сразу после процедуры глаза становятся более открытыми, а лицо более молодым и привлекательным. Иногда блефаропластика сочетается с подтяжкой лица, за счет чего обеспечивается еще более выразительный омолаживающий эффект.
Пластические операции по увеличению или уменьшению груди — одни из самых востребованных в клинике. Здесь можно провести коррекцию птоза, асимметрии груди и сосков, установить силиконовые имплантаты. Как правило, после хирургической операции пациентка проводит в клинике всего несколько дней и потом может возвращаться к своей обыденной жизни.
Карбокситерапия — подкожное введение углекислого газа, позволяющее стимулировать процессы регенерации и омоложения кожи. Процедура позволяет убрать небольшое провисание кожи лица, шеи, рук, живота и т. д., убрать мешки под глазами, растяжки кожи. Врач делает микроинъекции углекислого газа в кожу, в ответ на это обработанные участки начинают активно снабжаться кислородом, структура коллагена улучшается, кожа приобретает эластичность. В поверхностных слоях кожи улучшается метаболизм, происходит формирование нового коллагена и эластина, начинается липолиз жировых тканей.
Удаление целлюлита с использованием прибора Cellu M6 Endermolab позволяет безболезненно и аккуратно проводить глубокий LPG массаж, воздействуя на ткани во всех направлениях и стимулируя липолиз.
Криолиполиз — инновационный метод реабсорбции жировых тканей с помощью пониженных температур. Используя специальную аппаратуру, врач «замораживает» жировые клетки в глубоких слоях кожи без повреждения других тканей эпидермиса. Одна процедура длится около двух часов и позволяет вызвать естественный липолиз адипоцитов.
Фракционированный лазер — технология, которая позволяет разглаживать поверхность кожи, удалять морщины, уменьшать рубцы и растяжки. Процедура обладает омолаживающим эффектом, может применяться на коже лица, шеи, рук и т. д. Техника фототермолиза представляет собой одну из наиболее современных разработок в области эстетической медицины. Обычно один курс состоит из четырех сеансов.
В клинике, помимо вышеперечисленных процедур, проводят и другие — лазерное удаление дефектов и татуировок, волос и пигментных пятен, хирургический лифтинг лица, делают липоскульптуру и пластику живота, термаж и пилинг, мезотерапию, инъекции ботокса и гиалуроновой кислоты, фототерапию, нехирургический лифтинг груди и т. д. Сюда приезжает множество женщин из бывших государств СНГ — каждая из них, пройдя комплекс процедур, остается довольна полученным эффектом.
" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(70) "Швейцария, Лозанна 1003, Lausanne, 2 Avenue De La Gare" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(29) "Клиника Леманик" ["seo_h1"]=> string(29) "Клиника Леманик" ["seo_description"]=> string(477) "Клиника Леманик — специализированный швейцарский центр эстетической медицины. Опытные врачи, современная высокотехнологичная аппаратура, самый полный спектр эффективных процедур. Лазерное омоложение, хирургические косметические операции, криотехнологии." 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["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } [3]=> NULL [4]=> NULL [5]=> int(10) } ["extensions"]=> array(22) { ["herroffizier/yii2-attribute-index-validator"]=> array(3) { ["name"]=> string(43) "herroffizier/yii2-attribute-index-validator" ["version"]=> string(7) "1.0.0.0" ["alias"]=> array(2) { ["@herroffizier/yii2aiv/tests"]=> string(81) "/var/www/html/docland.ru/vendor/herroffizier/yii2-attribute-index-validator/tests" ["@herroffizier/yii2aiv"]=> string(79) "/var/www/html/docland.ru/vendor/herroffizier/yii2-attribute-index-validator/src" } } ["herroffizier/yii2-translit-validator"]=> array(3) { ["name"]=> string(36) "herroffizier/yii2-translit-validator" ["version"]=> string(7) "1.0.0.0" ["alias"]=> array(2) { ["@herroffizier/yii2tv/tests"]=> string(74) "/var/www/html/docland.ru/vendor/herroffizier/yii2-translit-validator/tests" ["@herroffizier/yii2tv"]=> string(72) "/var/www/html/docland.ru/vendor/herroffizier/yii2-translit-validator/src" } } ["herroffizier/yii2-upload-manager"]=> array(3) { ["name"]=> string(32) "herroffizier/yii2-upload-manager" ["version"]=> string(7) "1.0.0.0" ["alias"]=> array(2) { ["@herroffizier/yii2um/tests"]=> string(70) "/var/www/html/docland.ru/vendor/herroffizier/yii2-upload-manager/tests" ["@herroffizier/yii2um"]=> string(68) "/var/www/html/docland.ru/vendor/herroffizier/yii2-upload-manager/src" } } ["omgdef/yii2-multilingual-behavior"]=> array(3) { ["name"]=> string(33) "omgdef/yii2-multilingual-behavior" ["version"]=> string(7) "2.1.2.0" ["alias"]=> array(1) { ["@omgdef/multilingual"]=> string(69) "/var/www/html/docland.ru/vendor/omgdef/yii2-multilingual-behavior/src" } } ["yiisoft/yii2-bootstrap"]=> array(3) { ["name"]=> string(22) "yiisoft/yii2-bootstrap" ["version"]=> string(7) "2.0.8.0" ["alias"]=> array(1) { ["@yii/bootstrap"]=> string(58) "/var/www/html/docland.ru/vendor/yiisoft/yii2-bootstrap/src" } } ["2amigos/yii2-date-time-picker-widget"]=> array(3) { ["name"]=> string(36) "2amigos/yii2-date-time-picker-widget" ["version"]=> string(7) "1.0.4.0" ["alias"]=> array(1) { ["@dosamigos/datetimepicker"]=> string(72) "/var/www/html/docland.ru/vendor/2amigos/yii2-date-time-picker-widget/src" } } ["2amigos/yii2-selectize-widget"]=> array(3) { ["name"]=> string(29) "2amigos/yii2-selectize-widget" ["version"]=> string(7) "1.1.0.0" ["alias"]=> array(1) { ["@dosamigos/selectize"]=> string(65) "/var/www/html/docland.ru/vendor/2amigos/yii2-selectize-widget/src" } } ["skeeks/yii2-assets-auto-compress"]=> array(3) { ["name"]=> string(32) "skeeks/yii2-assets-auto-compress" ["version"]=> string(7) "1.4.1.0" ["alias"]=> array(1) { ["@skeeks/yii2/assetsAuto"]=> string(68) "/var/www/html/docland.ru/vendor/skeeks/yii2-assets-auto-compress/src" } } ["linslin/yii2-curl"]=> array(3) { ["name"]=> string(17) "linslin/yii2-curl" ["version"]=> string(7) "1.2.1.0" ["alias"]=> array(1) { ["@linslin/yii2/curl"]=> string(49) "/var/www/html/docland.ru/vendor/linslin/yii2-curl" } } ["yiisoft/yii2-codeception"]=> array(3) { ["name"]=> string(24) "yiisoft/yii2-codeception" ["version"]=> string(7) "2.0.6.0" ["alias"]=> array(1) { ["@yii/codeception"]=> string(56) "/var/www/html/docland.ru/vendor/yiisoft/yii2-codeception" } } ["yiisoft/yii2-gii"]=> array(3) { ["name"]=> string(16) "yiisoft/yii2-gii" ["version"]=> string(7) "2.0.7.0" ["alias"]=> array(1) { ["@yii/gii"]=> string(52) "/var/www/html/docland.ru/vendor/yiisoft/yii2-gii/src" } } ["yiisoft/yii2-faker"]=> array(3) { ["name"]=> string(18) "yiisoft/yii2-faker" ["version"]=> string(7) "2.0.4.0" ["alias"]=> array(1) { ["@yii/faker"]=> string(50) "/var/www/html/docland.ru/vendor/yiisoft/yii2-faker" } } ["2amigos/yii2-dosamigos-asset-bundle"]=> array(3) { ["name"]=> string(35) "2amigos/yii2-dosamigos-asset-bundle" ["version"]=> string(7) "0.1.0.0" ["alias"]=> array(1) { ["@dosamigos/assets"]=> string(67) "/var/www/html/docland.ru/vendor/2amigos/yii2-dosamigos-asset-bundle" } } ["2amigos/yii2-editable-widget"]=> array(3) { ["name"]=> string(28) "2amigos/yii2-editable-widget" ["version"]=> string(7) "1.1.1.0" ["alias"]=> array(1) { ["@dosamigos/editable"]=> string(64) "/var/www/html/docland.ru/vendor/2amigos/yii2-editable-widget/src" } } ["2amigos/yii2-grid-view-library"]=> array(3) { ["name"]=> string(30) "2amigos/yii2-grid-view-library" ["version"]=> string(7) "0.1.1.0" ["alias"]=> array(1) { ["@dosamigos/grid"]=> string(62) "/var/www/html/docland.ru/vendor/2amigos/yii2-grid-view-library" } } ["kartik-v/yii2-date-range"]=> array(3) { ["name"]=> string(24) "kartik-v/yii2-date-range" ["version"]=> string(7) "1.7.0.0" ["alias"]=> array(1) { ["@kartik/daterange"]=> string(60) "/var/www/html/docland.ru/vendor/kartik-v/yii2-date-range/src" } } ["yiisoft/yii2-debug"]=> array(3) { ["name"]=> string(18) "yiisoft/yii2-debug" ["version"]=> string(8) "2.0.14.0" ["alias"]=> array(1) { ["@yii/debug"]=> string(54) "/var/www/html/docland.ru/vendor/yiisoft/yii2-debug/src" } } ["yiisoft/yii2-httpclient"]=> array(3) { ["name"]=> string(23) "yiisoft/yii2-httpclient" ["version"]=> string(7) "2.0.7.0" ["alias"]=> array(1) { ["@yii/httpclient"]=> string(59) "/var/www/html/docland.ru/vendor/yiisoft/yii2-httpclient/src" } } ["yiisoft/yii2-redis"]=> array(3) { ["name"]=> string(18) "yiisoft/yii2-redis" ["version"]=> string(7) "2.0.9.0" ["alias"]=> array(1) { ["@yii/redis"]=> string(54) "/var/www/html/docland.ru/vendor/yiisoft/yii2-redis/src" } } ["yiisoft/yii2-swiftmailer"]=> array(3) { ["name"]=> string(24) "yiisoft/yii2-swiftmailer" ["version"]=> string(7) "2.1.2.0" ["alias"]=> array(1) { ["@yii/swiftmailer"]=> string(60) "/var/www/html/docland.ru/vendor/yiisoft/yii2-swiftmailer/src" } } ["vova07/yii2-imperavi-widget"]=> array(3) { ["name"]=> string(27) "vova07/yii2-imperavi-widget" ["version"]=> string(7) "2.0.9.0" ["alias"]=> array(2) { ["@vova07/imperavi"]=> string(63) "/var/www/html/docland.ru/vendor/vova07/yii2-imperavi-widget/src" ["@vova07/imperavi/tests"]=> string(65) "/var/www/html/docland.ru/vendor/vova07/yii2-imperavi-widget/tests" } } ["kartik-v/yii2-krajee-base"]=> array(3) { ["name"]=> string(25) "kartik-v/yii2-krajee-base" ["version"]=> string(7) "2.0.4.0" ["alias"]=> array(1) { ["@kartik/base"]=> string(61) "/var/www/html/docland.ru/vendor/kartik-v/yii2-krajee-base/src" } } } ["bootstrap"]=> array(3) { [0]=> string(3) "log" [1]=> string(3) "seo" [2]=> string(18) "assetsAutoCompress" } ["state"]=> int(3) ["loadedModules"]=> array(1) { ["yii\web\Application"]=> *RECURSION* } ["_runtimePath":"yii\base\Application":private]=> string(32) "/var/www/html/docland.ru/runtime" ["_vendorPath":"yii\base\Application":private]=> string(31) "/var/www/html/docland.ru/vendor" ["params"]=> array(18) { ["languages"]=> array(2) { ["ru"]=> string(6) "Рус" ["en"]=> string(6) "Анг" } ["adminEmail"]=> string(24) "webmaster@doclandmed.com" ["googleMapsApiKey"]=> string(39) "AIzaSyAZfoNPRM9Kw_NhnEbFh4bH94fnWvFf5JE" ["phone"]=> string(15) "+74954812786" ["phoneMoscow"]=> bool(false) ["whatsapp"]=> bool(false) ["skype"]=> bool(false) ["rootUrl"]=> string(22) "https://doclandmed.com" ["email"]=> string(19) "info@doclandmed.com" ["logoPath"]=> string(14) "/i/logo-en.png" ["countryBannerPath"]=> string(20) "/i/banner-doctor.png" ["showBranches"]=> bool(true) ["faviconPath"]=> string(12) "/favicon.ico" ["counters"]=> array(2) { ["yandex"]=> array(1) { ["id"]=> string(8) "35776680" } ["google"]=> array(1) { ["id"]=> string(14) "UA-112619891-1" } } ["socialLinks"]=> array(6) { ["vk"]=> array(2) { ["link"]=> string(28) "https://vk.com/club121064291" ["icon"]=> string(5) "fa-vk" } ["fb"]=> array(2) { ["link"]=> string(42) "https://www.facebook.com/doclandtreatment/" ["icon"]=> string(11) "fa-facebook" } ["ok"]=> array(2) { ["link"]=> string(33) "http://ok.ru/group/52684669976727" ["icon"]=> string(16) "fa-odnoklassniki" } ["youtube"]=> array(2) { ["link"]=> string(56) "https://www.youtube.com/channel/UCtgoyVE4-KilEzT5StHidpA" ["icon"]=> string(10) "fa-youtube" } ["linkedin"]=> array(2) { ["link"]=> string(144) "https://www.linkedin.com/company/docland-ru---%D0%BB%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5-%D0%B7%D0%B0-%D1%80%D1%83%D0%B1%D0%B5%D0%B6%D0%BE%D0%BC" ["icon"]=> string(11) "fa-linkedin" } ["twitter"]=> array(2) { ["link"]=> string(30) "https://twitter.com/docland_ta" ["icon"]=> string(10) "fa-twitter" } } ["main"]=> array(2) { ["numCountries"]=> int(6) ["branchImg"]=> array(5) { ["default"]=> string(21) "/i/tmp/direction1.jpg" ["oncology"]=> string(26) "/i/branches/oncology.png?2" ["orthopedics"]=> string(28) "/i/branches/ortopedija.png?2" ["cardiology-and-a-heart-surgery"]=> string(30) "/i/branches/kardiologija.png?2" ["neurology"]=> string(27) "/i/branches/nevrologija.png" } } ["redactorDefaultSettings"]=> array(4) { ["plugins"]=> array(2) { [0]=> string(10) "fullscreen" [1]=> string(12) "imagemanager" } ["buttons"]=> array(11) { [0]=> string(10) "formatting" [1]=> string(4) "bold" [2]=> string(6) "italic" [3]=> string(7) "deleted" [4]=> string(13) "unorderedlist" [5]=> string(11) "orderedlist" [6]=> string(5) "image" [7]=> string(4) "file" [8]=> string(4) "link" [9]=> string(14) "horizontalrule" [10]=> string(4) "html" } ["removeAttr"]=> array(1) { [0]=> array(2) { [0]=> string(1) "*" [1]=> string(5) "style" } } ["formattingAdd"]=> array(1) { ["columnbreak-p-toggle"]=> array(3) { ["title"]=> string(50) "Сделать отдельной колонкой" ["tag"]=> string(1) "p" ["class"]=> string(11) "columnbreak" } } } ["notificationEmails"]=> array(1) { [0]=> string(24) "doctor@israelclinics.org" } } ["id"]=> string(7) "docland" ["module"]=> NULL ["controllerMap"]=> array(0) { } ["_basePath":"yii\base\Module":private]=> string(24) "/var/www/html/docland.ru" ["_viewPath":"yii\base\Module":private]=> string(30) "/var/www/html/docland.ru/views" ["_layoutPath":"yii\base\Module":private]=> string(38) "/var/www/html/docland.ru/views/layouts" ["_modules":"yii\base\Module":private]=> array(2) { ["manage"]=> array(3) { ["class"]=> string(25) "app\modules\manage\Module" ["layout"]=> string(4) "main" ["as access"]=> array(2) { ["class"]=> string(25) "yii\filters\AccessControl" ["rules"]=> array(1) { [0]=> array(2) { ["allow"]=> bool(true) ["roles"]=> array(2) { [0]=> string(5) "admin" [1]=> string(6) "editor" } } } } } ["partner"]=> array(3) { ["class"]=> string(26) "app\modules\partner\Module" ["layout"]=> string(4) "main" ["as access"]=> array(2) { ["class"]=> string(25) "yii\filters\AccessControl" ["rules"]=> array(1) { [0]=> array(2) { ["allow"]=> bool(true) ["roles"]=> array(1) { [0]=> string(7) "partner" } } } } } } ["_version":"yii\base\Module":private]=> NULL ["_components":"yii\di\ServiceLocator":private]=> array(17) { ["errorHandler"]=> object(yii\web\ErrorHandler)#7 (17) { ["maxSourceLines"]=> int(19) ["maxTraceSourceLines"]=> int(13) ["errorAction"]=> string(10) "site/error" ["errorView"]=> string(33) "@yii/views/errorHandler/error.php" ["exceptionView"]=> string(37) "@yii/views/errorHandler/exception.php" ["callStackItemView"]=> string(41) "@yii/views/errorHandler/callStackItem.php" ["previousExceptionView"]=> string(45) "@yii/views/errorHandler/previousException.php" ["displayVars"]=> array(5) { [0]=> string(4) "_GET" [1]=> string(5) "_POST" [2]=> string(6) "_FILES" [3]=> string(7) "_COOKIE" [4]=> string(8) "_SESSION" } ["traceLine"]=> string(6) "{html}" ["discardExistingOutput"]=> bool(true) ["memoryReserveSize"]=> int(262144) ["exception"]=> NULL ["_memoryReserve":"yii\base\ErrorHandler":private]=> string(262144) "xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx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xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx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FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id`=8)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2428) [4]=> array(0) { } [5]=> int(6279392) } [42]=> array(6) { [0]=> string(71) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id`=8)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2429) [4]=> array(0) { } [5]=> int(6294936) } [43]=> array(6) { [0]=> string(71) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id`=8)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2429) [4]=> array(0) { } [5]=> int(6295808) } [44]=> array(6) { [0]=> string(71) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id`=8)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,243) [4]=> array(0) { } [5]=> int(6301432) } [45]=> array(6) { [0]=> string(203) "SELECT * FROM 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float(1717216918,2451) [4]=> array(0) { } [5]=> int(6339192) } [48]=> array(6) { [0]=> string(55) "SELECT * FROM `clinic_to_disease` WHERE `disease_id`=44" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2455) [4]=> array(0) { } [5]=> int(6429608) } [49]=> array(6) { [0]=> string(55) "SELECT * FROM `clinic_to_disease` WHERE `disease_id`=44" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2455) [4]=> array(0) { } [5]=> int(6430712) } [50]=> array(6) { [0]=> string(55) "SELECT * FROM `clinic_to_disease` WHERE `disease_id`=44" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2457) [4]=> array(0) { } [5]=> int(6460408) } [51]=> array(6) { [0]=> string(619) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '91', 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'224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2458) [4]=> array(0) { } [5]=> int(6452016) } [53]=> array(6) { [0]=> string(619) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', '180', '186', '189', '191', '192', '195', '201', '205', '206', '212', '219', '224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2468) [4]=> array(0) { } [5]=> int(6453520) } [54]=> array(6) { [0]=> string(79) "SELECT * FROM `clinic_to_disease` WHERE (`disease_id`=44) AND (`disease_id`=44)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,247) [4]=> array(0) { } [5]=> int(6514408) } [55]=> array(6) { [0]=> string(79) "SELECT * FROM `clinic_to_disease` WHERE (`disease_id`=44) AND (`disease_id`=44)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,247) [4]=> array(0) { } [5]=> int(6515296) } [56]=> array(6) { [0]=> string(79) "SELECT * FROM `clinic_to_disease` WHERE (`disease_id`=44) AND (`disease_id`=44)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2472) [4]=> array(0) { } [5]=> int(6545024) } [57]=> array(6) { [0]=> string(991) "SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', '180', '186', '189', '191', '192', '195', '201', '205', '206', '212', '219', '224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2473) [4]=> array(0) { } [5]=> int(6550728) } [58]=> array(6) { [0]=> string(991) "SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', '180', '186', '189', '191', '192', '195', '201', '205', '206', '212', '219', '224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2473) [4]=> array(0) { } [5]=> int(6537816) } [59]=> array(6) { [0]=> string(991) "SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', '180', '186', '189', '191', '192', '195', '201', '205', '206', '212', '219', '224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2479) [4]=> array(0) { } [5]=> int(6542120) } [60]=> array(6) { [0]=> string(101) "SELECT * FROM `clinic_to_disease` WHERE (`disease_id`=44) AND (`disease_id`=44) AND (`disease_id`=44)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2479) [4]=> array(0) { } [5]=> int(6524624) } [61]=> array(6) { [0]=> string(101) "SELECT * FROM `clinic_to_disease` WHERE (`disease_id`=44) AND (`disease_id`=44) AND (`disease_id`=44)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2479) [4]=> array(0) { } [5]=> int(6525312) } [62]=> array(6) { [0]=> string(101) "SELECT * FROM `clinic_to_disease` WHERE (`disease_id`=44) AND (`disease_id`=44) AND (`disease_id`=44)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,248) [4]=> array(0) { } [5]=> int(6555072) } [63]=> array(6) { [0]=> string(1021) "SELECT AVG(rating) FROM (SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', '180', '186', '189', '191', '192', '195', '201', '205', '206', '212', '219', '224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC) `c`" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2482) [4]=> array(0) { } [5]=> int(6558920) } [64]=> array(6) { [0]=> string(1021) "SELECT AVG(rating) FROM (SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', 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`language`='en')) AND (`clinic`.`id` IN ('5', '91', '6', '12', '120', '126', '134', '98', '137', '138', '140', '141', '148', '149', '150', '152', '154', '84', '41', '164', '172', '181', '182', '180', '186', '189', '191', '192', '195', '201', '205', '206', '212', '219', '224', '236', '372', '262', '263', '264', '161', '266', '268', '272', '273', '274', '275', '17', '38', '36', '349', '358', '360', '362', '363', '365')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC) `c`" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2487) [4]=> array(0) { } [5]=> int(6553920) } [66]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2488) [4]=> array(0) { } [5]=> int(6544648) } [67]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2488) [4]=> array(0) { } [5]=> int(6545728) } [68]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,249) [4]=> array(0) { } [5]=> int(6671176) } [69]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', 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'366', '367', '370', '373'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2493) [4]=> array(0) { } [5]=> int(6674288) } [70]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2493) [4]=> array(0) { } [5]=> int(6619872) } [71]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2608) [4]=> array(0) { } [5]=> int(6623424) } [72]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,261) [4]=> array(0) { } [5]=> int(6552608) } [73]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,261) [4]=> array(0) { } [5]=> int(6553496) } [74]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2613) [4]=> array(0) { } [5]=> int(6678976) } [75]=> array(6) { [0]=> string(2112) "SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2616) [4]=> array(0) { } [5]=> int(6683160) } [76]=> array(6) { [0]=> string(2112) "SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2616) [4]=> array(0) { } [5]=> int(6628976) } [77]=> array(6) { [0]=> string(2112) "SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2623) [4]=> array(0) { } [5]=> int(6635424) } [78]=> array(6) { [0]=> string(94) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2624) [4]=> array(0) { } [5]=> int(6562424) } [79]=> array(6) { [0]=> string(94) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2624) [4]=> array(0) { } [5]=> int(6563080) } [80]=> array(6) { [0]=> string(94) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2626) [4]=> array(0) { } [5]=> int(6688576) } [81]=> array(6) { [0]=> string(2142) "SELECT AVG(rating) FROM (SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC) `c`" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2629) [4]=> array(0) { } [5]=> int(6690936) } [82]=> array(6) { [0]=> string(2142) "SELECT AVG(rating) FROM (SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', 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(SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373')) GROUP BY `clinic`.`id` ORDER BY `clinic`.`rating` DESC) `c`" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2638) [4]=> array(0) { } [5]=> int(6641296) } [84]=> array(6) { [0]=> string(334) "SELECT COUNT(*) FROM `review` LEFT JOIN `review_to_clinic` ON `review`.`id` = `review_to_clinic`.`review_id` LEFT JOIN `clinic` ON `review_to_clinic`.`clinic_id` = `clinic`.`id` WHERE (`review`.`published`=1) AND (`review`.`language`='en') AND (0=1) AND (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2641) [4]=> array(0) { } [5]=> int(6657576) } [85]=> array(6) { [0]=> string(334) "SELECT COUNT(*) FROM `review` LEFT JOIN `review_to_clinic` ON `review`.`id` = `review_to_clinic`.`review_id` LEFT JOIN `clinic` ON `review_to_clinic`.`clinic_id` = `clinic`.`id` WHERE (`review`.`published`=1) AND (`review`.`language`='en') AND (0=1) AND (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2642) [4]=> array(0) { } [5]=> int(6658760) } [86]=> array(6) { [0]=> string(334) "SELECT COUNT(*) FROM `review` LEFT JOIN `review_to_clinic` ON `review`.`id` = `review_to_clinic`.`review_id` LEFT JOIN `clinic` ON `review_to_clinic`.`clinic_id` = `clinic`.`id` WHERE (`review`.`published`=1) AND (`review`.`language`='en') AND (0=1) AND (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2643) [4]=> array(0) { } [5]=> int(6659624) } [87]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2647) [4]=> array(0) { } [5]=> int(6735768) } [88]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2647) [4]=> array(0) { } [5]=> int(6736848) } [89]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,265) [4]=> array(0) { } [5]=> int(6862296) } [90]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2652) [4]=> array(0) { } [5]=> int(6865408) } [91]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2652) [4]=> array(0) { } [5]=> int(6810992) } [92]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2677) [4]=> array(0) { } [5]=> int(6814544) } [93]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2678) [4]=> array(0) { } [5]=> int(6745040) } [94]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2678) [4]=> array(0) { } [5]=> int(6745928) } [95]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2681) [4]=> array(0) { } [5]=> int(6871408) } [96]=> array(6) { [0]=> string(1736) "SELECT `id` FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2683) [4]=> array(0) { } [5]=> int(6873856) } [97]=> array(6) { [0]=> string(1736) "SELECT `id` FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2683) [4]=> array(0) { } [5]=> int(6819440) } [98]=> array(6) { [0]=> string(1736) "SELECT `id` FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', 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[3]=> float(1717216918,2705) [4]=> array(0) { } [5]=> int(6835504) } [101]=> array(6) { [0]=> string(111) "SELECT * FROM `city` WHERE (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (0=1)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2754) [4]=> array(0) { } [5]=> int(6837368) } [102]=> array(6) { [0]=> string(234) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (0=1)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2755) [4]=> array(0) { } [5]=> int(6840856) } [103]=> array(6) { [0]=> string(234) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (0=1)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2755) [4]=> array(0) { } [5]=> int(6842112) } [104]=> array(6) { [0]=> string(234) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (0=1)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2755) [4]=> array(0) { } [5]=> int(6842848) } [105]=> array(6) { [0]=> string(2333) "SELECT COUNT(DISTINCT clinic.id) count, `country`.`id`, `country`.`title`, `country`.`link` FROM `country` LEFT JOIN `city` ON `country`.`id` = `city`.`country_id` LEFT JOIN `clinic` ON `city`.`id` = `clinic`.`city_id` LEFT JOIN `clinic_to_branch` ON `clinic`.`id` = `clinic_to_branch`.`clinic_id` LEFT JOIN `branch` ON `clinic_to_branch`.`branch_id` = `branch`.`id` WHERE (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`country`.`public`=1) AND (`clinic`.`id` IN ('5', '6', '7', '8', '9', '10', '11', '12', '13', '14', '16', '17', '20', '24', '25', '36', '38', '41', '42', '46', '47', '49', '51', '53', '55', '56', '57', '61', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '80', '82', '83', '84', '85', '86', '87', '88', '91', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '109', '116', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '143', '144', '145', '146', '147', '148', '149', '150', '151', '152', '153', '154', '155', '159', '161', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '191', '192', '194', '195', '196', '199', '200', '201', '202', '203', '205', '206', '207', '208', '209', '210', '212', '213', '214', '215', '216', '217', '218', '219', '220', 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float(1717216918,2759) [4]=> array(0) { } [5]=> int(6952232) } [106]=> array(6) { [0]=> string(2333) "SELECT COUNT(DISTINCT clinic.id) count, `country`.`id`, `country`.`title`, `country`.`link` FROM `country` LEFT JOIN `city` ON `country`.`id` = `city`.`country_id` LEFT JOIN `clinic` ON `city`.`id` = `clinic`.`city_id` LEFT JOIN `clinic_to_branch` ON `clinic`.`id` = `clinic_to_branch`.`clinic_id` LEFT JOIN `branch` ON `clinic_to_branch`.`branch_id` = `branch`.`id` WHERE (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`country`.`public`=1) AND (`clinic`.`id` IN ('5', '6', '7', '8', '9', '10', '11', '12', '13', '14', '16', '17', '20', '24', '25', '36', '38', '41', '42', '46', '47', '49', '51', '53', '55', '56', '57', '61', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '80', '82', '83', '84', '85', '86', '87', '88', '91', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '109', '116', '117', '119', 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IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND ((`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`public`=1)) AND ((`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`branch`.`id` IN (SELECT `lang_branch`.`branch_id` FROM `lang_branch` WHERE `lang_branch`.`public`=1))) GROUP BY `country`.`id` ORDER BY `count` DESC, `branch`.`sort_order`" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2759) [4]=> array(0) { } [5]=> int(6906496) } [107]=> array(6) { [0]=> string(2333) "SELECT COUNT(DISTINCT clinic.id) count, `country`.`id`, `country`.`title`, `country`.`link` FROM `country` LEFT JOIN `city` ON `country`.`id` = `city`.`country_id` LEFT JOIN `clinic` ON `city`.`id` = `clinic`.`city_id` LEFT JOIN `clinic_to_branch` ON `clinic`.`id` = `clinic_to_branch`.`clinic_id` LEFT JOIN `branch` ON `clinic_to_branch`.`branch_id` = `branch`.`id` WHERE (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`country`.`public`=1) AND (`clinic`.`id` IN ('5', '6', '7', '8', '9', '10', '11', '12', '13', '14', '16', '17', '20', '24', '25', '36', '38', '41', '42', '46', '47', '49', '51', '53', '55', '56', '57', '61', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '80', '82', '83', '84', '85', '86', '87', '88', '91', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '109', '116', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '143', '144', '145', '146', '147', '148', '149', '150', '151', '152', '153', '154', '155', '159', '161', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '191', '192', '194', '195', '196', '199', '200', '201', '202', '203', '205', '206', '207', '208', '209', '210', '212', '213', '214', '215', '216', '217', '218', '219', 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[3]=> float(1717216918,2783) [4]=> array(0) { } [5]=> int(6917080) } [108]=> array(6) { [0]=> string(110) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id` IN (6, 5, 12, 10, 9, 7, 8, 11, 14, 17))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2785) [4]=> array(0) { } [5]=> int(6984208) } [109]=> array(6) { [0]=> string(110) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id` IN (6, 5, 12, 10, 9, 7, 8, 11, 14, 17))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2785) [4]=> array(0) { } [5]=> int(6982544) } [110]=> array(6) { [0]=> string(110) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id` IN (6, 5, 12, 10, 9, 7, 8, 11, 14, 17))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2787) [4]=> array(0) { } [5]=> int(7024128) } [111]=> array(6) { [0]=> string(123) "SELECT * FROM `city` WHERE (`city`.`id` IN (SELECT `city_id` FROM 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} [115]=> array(6) { [0]=> string(84) "SELECT * FROM `lang_city` WHERE (`language`='en') AND (`city_id` IN (156, 157, 162))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2926) [4]=> array(0) { } [5]=> int(7328208) } [116]=> array(6) { [0]=> string(84) "SELECT * FROM `lang_city` WHERE (`language`='en') AND (`city_id` IN (156, 157, 162))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2928) [4]=> array(0) { } [5]=> int(7333736) } [117]=> array(6) { [0]=> string(144) "SELECT * FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`city_id` IN (156, 157, 162))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,2973) [4]=> array(0) { } [5]=> int(7362896) } [118]=> array(6) { [0]=> string(144) "SELECT * FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`city_id` IN (156, 157, 162))" [1]=> int(80) 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(SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`city_id` IN (156, 157, 162))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3145) [4]=> array(0) { } [5]=> int(9020712) } [169]=> array(6) { [0]=> string(144) "SELECT * FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`city_id` IN (156, 157, 162))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3145) [4]=> array(0) { } [5]=> int(9021216) } [170]=> array(6) { [0]=> string(144) "SELECT * FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`city_id` IN (156, 157, 162))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3153) [4]=> array(0) { } [5]=> int(9092488) } [171]=> array(6) { [0]=> string(93) "SELECT * FROM `lang_clinic` WHERE (`language`='en') AND (`clinic_id` IN (344, 346, 345, 350))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3154) [4]=> array(0) { } [5]=> int(9148576) } [172]=> array(6) { [0]=> string(93) "SELECT * FROM `lang_clinic` WHERE (`language`='en') AND (`clinic_id` IN (344, 346, 345, 350))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3154) [4]=> array(0) { } [5]=> int(9148704) } [173]=> array(6) { [0]=> string(93) "SELECT * FROM `lang_clinic` WHERE (`language`='en') AND (`clinic_id` IN (344, 346, 345, 350))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3155) [4]=> array(0) { } [5]=> int(9155712) } [174]=> array(6) { [0]=> string(72) "SELECT COUNT(*) FROM `request` WHERE `clinic_id` IN (344, 346, 345, 350)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3156) [4]=> array(0) { } [5]=> int(9154504) } [175]=> array(6) { [0]=> string(72) "SELECT COUNT(*) FROM `request` WHERE `clinic_id` IN (344, 346, 345, 350)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3156) [4]=> array(0) { } [5]=> int(9154848) } [176]=> array(6) { [0]=> string(72) "SELECT COUNT(*) FROM `request` WHERE `clinic_id` IN (344, 346, 345, 350)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3246) [4]=> array(0) { } [5]=> int(9155424) } [177]=> array(6) { [0]=> string(54) "SELECT * FROM `params` WHERE `name`='settings.view.en'" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3252) [4]=> array(0) { } [5]=> int(9162904) } [178]=> array(6) { [0]=> string(54) "SELECT * FROM `params` WHERE `name`='settings.view.en'" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3252) [4]=> array(0) { } [5]=> int(9163976) } [179]=> array(6) { [0]=> string(54) "SELECT * FROM `params` WHERE `name`='settings.view.en'" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3254) [4]=> array(0) { } [5]=> int(9165384) } [180]=> array(6) { [0]=> string(124) "SELECT * FROM `branch` WHERE `branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en') ORDER BY `title`" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3256) [4]=> array(0) { } [5]=> int(9201832) } [181]=> array(6) { [0]=> string(124) "SELECT * FROM `branch` WHERE `branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en') ORDER BY `title`" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3256) [4]=> array(0) { } [5]=> int(9203064) } [182]=> array(6) { [0]=> string(124) "SELECT * FROM `branch` WHERE `branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en') ORDER BY `title`" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3266) [4]=> array(0) { } [5]=> int(9643024) } [183]=> array(6) { [0]=> string(283) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (40, 63, 64, 28, 27, 14, 57, 62, 22, 39, 69, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 68, 8, 9, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 65, 30, 60, 48, 32, 45, 46, 33, 58, 67, 26, 43, 12, 18, 21, 55))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3276) [4]=> array(0) { } [5]=> int(10414296) } [184]=> array(6) { [0]=> string(283) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (40, 63, 64, 28, 27, 14, 57, 62, 22, 39, 69, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 68, 8, 9, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 65, 30, 60, 48, 32, 45, 46, 33, 58, 67, 26, 43, 12, 18, 21, 55))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3276) [4]=> array(0) { } [5]=> int(10401888) } [185]=> array(6) { [0]=> string(283) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (40, 63, 64, 28, 27, 14, 57, 62, 22, 39, 69, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 68, 8, 9, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 65, 30, 60, 48, 32, 45, 46, 33, 58, 67, 26, 43, 12, 18, 21, 55))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3291) [4]=> array(0) { } [5]=> int(10521792) } [186]=> array(6) { [0]=> string(265) "SELECT * FROM `service_to_branch` WHERE `branch_id` IN (40, 63, 64, 28, 27, 14, 57, 62, 22, 39, 69, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 68, 8, 9, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 65, 30, 60, 48, 32, 45, 46, 33, 58, 67, 26, 43, 12, 18, 21, 55)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3295) [4]=> array(0) { } [5]=> int(10565728) } [187]=> array(6) { [0]=> string(265) "SELECT * FROM `service_to_branch` WHERE `branch_id` IN (40, 63, 64, 28, 27, 14, 57, 62, 22, 39, 69, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 68, 8, 9, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 65, 30, 60, 48, 32, 45, 46, 33, 58, 67, 26, 43, 12, 18, 21, 55)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3295) [4]=> array(0) { } [5]=> int(10553520) } [188]=> array(6) { [0]=> string(265) "SELECT * FROM `service_to_branch` WHERE `branch_id` IN (40, 63, 64, 28, 27, 14, 57, 62, 22, 39, 69, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 68, 8, 9, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 65, 30, 60, 48, 32, 45, 46, 33, 58, 67, 26, 43, 12, 18, 21, 55)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3298) [4]=> array(0) { } [5]=> int(10699416) } [189]=> array(6) { [0]=> string(635) "SELECT * FROM `service` WHERE (`service`.`id` IN (SELECT `service_id` FROM `lang_service` WHERE `language`='en')) AND (`id` IN (4, 5, 29, 49, 30, 31, 32, 43, 84, 53, 52, 35, 36, 83, 48, 20, 39, 40, 41, 34, 42, 44, 45, 46, 47, 50, 51, 54, 55, 56, 57, 58, 59, 60, 61, 81, 62, 82, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 87, 86, 88, 89, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 12, 128, 129, 130, 9, 27, 28, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3308) [4]=> array(0) { } [5]=> int(10850056) } [190]=> array(6) { [0]=> string(635) "SELECT * FROM `service` WHERE (`service`.`id` IN (SELECT `service_id` FROM `lang_service` WHERE `language`='en')) AND (`id` IN (4, 5, 29, 49, 30, 31, 32, 43, 84, 53, 52, 35, 36, 83, 48, 20, 39, 40, 41, 34, 42, 44, 45, 46, 47, 50, 51, 54, 55, 56, 57, 58, 59, 60, 61, 81, 62, 82, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 87, 86, 88, 89, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 12, 128, 129, 130, 9, 27, 28, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3308) [4]=> array(0) { } [5]=> int(10822104) } [191]=> array(6) { [0]=> string(635) "SELECT * FROM `service` WHERE (`service`.`id` IN (SELECT `service_id` FROM `lang_service` WHERE `language`='en')) AND (`id` IN (4, 5, 29, 49, 30, 31, 32, 43, 84, 53, 52, 35, 36, 83, 48, 20, 39, 40, 41, 34, 42, 44, 45, 46, 47, 50, 51, 54, 55, 56, 57, 58, 59, 60, 61, 81, 62, 82, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 87, 86, 88, 89, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 12, 128, 129, 130, 9, 27, 28, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3313) [4]=> array(0) { } [5]=> int(10928648) } [192]=> array(6) { [0]=> string(582) "SELECT * FROM `lang_service` WHERE (`language`='en') AND (`service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3324) [4]=> array(0) { } [5]=> int(11939768) } [193]=> array(6) { [0]=> string(582) "SELECT * FROM `lang_service` WHERE (`language`='en') AND (`service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3324) [4]=> array(0) { } [5]=> int(11911688) } [194]=> array(6) { [0]=> string(582) "SELECT * FROM `lang_service` WHERE (`language`='en') AND (`service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3327) [4]=> array(0) { } [5]=> int(11985456) } [195]=> array(6) { [0]=> string(563) "SELECT * FROM `service_to_branch` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3333) [4]=> array(0) { } [5]=> int(12099216) } [196]=> array(6) { [0]=> string(563) "SELECT * FROM `service_to_branch` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3333) [4]=> array(0) { } [5]=> int(12071400) } [197]=> array(6) { [0]=> string(563) "SELECT * FROM `service_to_branch` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3336) [4]=> array(0) { } [5]=> int(12217936) } [198]=> array(6) { [0]=> string(422) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id` IN ('68', '27', '40', '19', '51', '8', '26', '25', '29', '52', '13', '23', '61', '39', '12', '20', '49', '56', '50', '28', '62', '57', '64', '33', '9', '14', '16', '36', '42', '48', '46', '31', '11', '22', '63', '38', '17', '44', '24', '54', '41', '65', '30', '60', '32', '45', '58', '43', '21', '18'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3337) [4]=> array(0) { } [5]=> int(12225096) } [199]=> array(6) { [0]=> string(422) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id` IN ('68', '27', '40', '19', '51', '8', '26', '25', '29', '52', '13', '23', '61', '39', '12', '20', '49', '56', '50', '28', '62', '57', '64', '33', '9', '14', '16', '36', '42', '48', '46', '31', '11', '22', '63', '38', '17', '44', '24', '54', '41', '65', '30', '60', '32', '45', '58', '43', '21', '18'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3337) [4]=> array(0) { } [5]=> int(12213544) } [200]=> array(6) { [0]=> string(422) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id` IN ('68', '27', '40', '19', '51', '8', '26', '25', '29', '52', '13', '23', '61', '39', '12', '20', '49', '56', '50', '28', '62', '57', '64', '33', '9', '14', '16', '36', '42', '48', '46', '31', '11', '22', '63', '38', '17', '44', '24', '54', '41', '65', '30', '60', '32', '45', '58', '43', '21', '18'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3343) [4]=> array(0) { } [5]=> int(12633304) } [201]=> array(6) { [0]=> string(271) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (9, 40, 63, 28, 27, 14, 62, 22, 39, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 8, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 30, 60, 48, 32, 45, 46, 33, 58, 26, 43, 12, 18, 21, 68, 57, 65, 64))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3349) [4]=> array(0) { } [5]=> int(13270784) } [202]=> array(6) { [0]=> string(271) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (9, 40, 63, 28, 27, 14, 62, 22, 39, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 8, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 30, 60, 48, 32, 45, 46, 33, 58, 26, 43, 12, 18, 21, 68, 57, 65, 64))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3349) [4]=> array(0) { } [5]=> int(13259104) } [203]=> array(6) { [0]=> string(271) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (9, 40, 63, 28, 27, 14, 62, 22, 39, 23, 52, 13, 61, 51, 25, 56, 49, 16, 36, 50, 38, 42, 8, 17, 19, 29, 44, 11, 24, 20, 54, 31, 41, 30, 60, 48, 32, 45, 46, 33, 58, 26, 43, 12, 18, 21, 68, 57, 65, 64))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3352) [4]=> array(0) { } [5]=> int(13374632) } [204]=> array(6) { [0]=> string(564) "SELECT * FROM `service_to_disease` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3361) [4]=> array(0) { } [5]=> int(13388016) } [205]=> array(6) { [0]=> string(564) "SELECT * FROM `service_to_disease` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3361) [4]=> array(0) { } [5]=> int(13360200) } [206]=> array(6) { [0]=> string(564) "SELECT * FROM `service_to_disease` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3363) [4]=> array(0) { } [5]=> int(13404768) } [207]=> array(6) { [0]=> string(456) "SELECT * FROM `disease` WHERE (`disease`.`id` IN (SELECT `disease_id` FROM `lang_disease` WHERE `language`='en')) AND (`id` IN ('4', '292', '44', '47', '190', '52', '53', '54', '56', '41', '45', '84', '246', '7', '9', '243', '8', '51', '34', '123', '416', '407', '104', '110', '102', '187', '406', '93', '64', '77', '37', '400', '70', '130', '385', '386', '67', '244', '387', '71', '382', '11', '390', '24', '432', '18', '245', '247', '218', '602', '214'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3364) [4]=> array(0) { } [5]=> int(13400048) } [208]=> array(6) { [0]=> string(456) "SELECT * FROM `disease` WHERE (`disease`.`id` IN (SELECT `disease_id` FROM `lang_disease` WHERE `language`='en')) AND (`id` IN ('4', '292', '44', '47', '190', '52', '53', '54', '56', '41', '45', '84', '246', '7', '9', '243', '8', '51', '34', '123', '416', '407', '104', '110', '102', '187', '406', '93', '64', '77', '37', '400', '70', '130', '385', '386', '67', '244', '387', '71', '382', '11', '390', '24', '432', '18', '245', '247', '218', '602', '214'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3364) [4]=> array(0) { } [5]=> int(13388232) } [209]=> array(6) { [0]=> string(456) "SELECT * FROM `disease` WHERE (`disease`.`id` IN (SELECT `disease_id` FROM `lang_disease` WHERE `language`='en')) AND (`id` IN ('4', '292', '44', '47', '190', '52', '53', '54', '56', '41', '45', '84', '246', '7', '9', '243', '8', '51', '34', '123', '416', '407', '104', '110', '102', '187', '406', '93', '64', '77', '37', '400', '70', '130', '385', '386', '67', '244', '387', '71', '382', '11', '390', '24', '432', '18', '245', '247', '218', '602', '214'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3369) [4]=> array(0) { } [5]=> int(13644352) } [210]=> array(6) { [0]=> string(301) "SELECT * FROM `lang_disease` WHERE (`language`='en') AND (`disease_id` IN (4, 7, 8, 9, 11, 18, 24, 34, 37, 41, 44, 45, 47, 51, 52, 53, 54, 56, 64, 67, 70, 71, 77, 84, 93, 102, 104, 110, 123, 130, 187, 190, 214, 218, 243, 244, 245, 246, 247, 292, 382, 385, 386, 387, 390, 400, 406, 407, 416, 432, 602))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3375) [4]=> array(0) { } [5]=> int(14258728) } [211]=> array(6) { [0]=> string(301) "SELECT * FROM `lang_disease` WHERE (`language`='en') AND (`disease_id` IN (4, 7, 8, 9, 11, 18, 24, 34, 37, 41, 44, 45, 47, 51, 52, 53, 54, 56, 64, 67, 70, 71, 77, 84, 93, 102, 104, 110, 123, 130, 187, 190, 214, 218, 243, 244, 245, 246, 247, 292, 382, 385, 386, 387, 390, 400, 406, 407, 416, 432, 602))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3375) [4]=> array(0) { } [5]=> int(14246784) } [212]=> array(6) { [0]=> string(301) "SELECT * FROM `lang_disease` WHERE (`language`='en') AND (`disease_id` IN (4, 7, 8, 9, 11, 18, 24, 34, 37, 41, 44, 45, 47, 51, 52, 53, 54, 56, 64, 67, 70, 71, 77, 84, 93, 102, 104, 110, 123, 130, 187, 190, 214, 218, 243, 244, 245, 246, 247, 292, 382, 385, 386, 387, 390, 400, 406, 407, 416, 432, 602))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3392) [4]=> array(0) { } [5]=> int(14417272) } [213]=> array(6) { [0]=> string(567) "SELECT * FROM `service_country_price` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3401) [4]=> array(0) { } [5]=> int(14509152) } [214]=> array(6) { [0]=> string(567) "SELECT * FROM `service_country_price` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3402) [4]=> array(0) { } [5]=> int(14481336) } [215]=> array(6) { [0]=> string(567) "SELECT * FROM `service_country_price` WHERE `service_id` IN (4, 5, 9, 12, 20, 27, 28, 29, 30, 31, 32, 84, 86, 34, 35, 36, 81, 82, 83, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 88, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 89, 87, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 124, 123, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3524) [4]=> array(0) { } [5]=> int(15820280) } [216]=> array(6) { [0]=> string(66) "SELECT * FROM `disease_to_branch_to_service` WHERE disease_id = 44" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3726) [4]=> array(0) { } [5]=> int(18058448) } [217]=> array(6) { [0]=> string(66) "SELECT * FROM `disease_to_branch_to_service` WHERE disease_id = 44" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3726) [4]=> array(0) { } [5]=> int(18059592) } [218]=> array(6) { [0]=> string(66) "SELECT * FROM `disease_to_branch_to_service` WHERE disease_id = 44" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,374) [4]=> array(0) { } [5]=> int(18060384) } [219]=> array(6) { [0]=> string(66) "SELECT * FROM `disease_to_branch_to_service` WHERE disease_id = 44" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3742) [4]=> array(0) { } [5]=> int(18067464) } [220]=> array(6) { [0]=> string(66) "SELECT * FROM `disease_to_branch_to_service` WHERE disease_id = 44" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3742) [4]=> array(0) { } [5]=> int(18068608) } [221]=> array(6) { [0]=> string(66) "SELECT * FROM `disease_to_branch_to_service` WHERE disease_id = 44" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3743) [4]=> array(0) { } [5]=> int(18069400) } [222]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3751) [4]=> array(0) { } [5]=> int(15706096) } [223]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3751) [4]=> array(0) { } [5]=> int(15707176) } [224]=> array(6) { [0]=> string(52) "SELECT * FROM `clinic_to_branch` WHERE `branch_id`=8" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3754) [4]=> array(0) { } [5]=> int(15832624) } [225]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3756) [4]=> array(0) { } [5]=> int(15835736) } [226]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3756) [4]=> array(0) { } [5]=> int(15781320) } [227]=> array(6) { [0]=> string(1740) "SELECT COUNT(*) FROM `clinic` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', '247', '232', '233', '236', '237', '238', '241', '249', '254', '255', '259', '144', '262', '263', '264', '320', '372', '265', '266', '267', '268', '269', '270', '271', '272', '273', '274', '275', '280', '17', '91', '116', '145', '147', '154', '192', '199', '202', '205', '209', '210', '212', '213', '224', '228', '229', '234', '235', '231', '42', '282', '283', '293', '294', '295', '296', '297', '298', '306', '308', '311', '318', '319', '326', '329', '331', '332', '335', '336', '330', '338', '340', '317', '343', '344', '345', '346', '349', '351', '354', '356', '357', '358', '359', '360', '361', '362', '363', '290', '364', '365', '366', '367', '370', '373'))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3768) [4]=> array(0) { } [5]=> int(15784872) } [228]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3769) [4]=> array(0) { } [5]=> int(15726864) } [229]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3769) [4]=> array(0) { } [5]=> int(15727752) } [230]=> array(6) { [0]=> string(74) "SELECT * FROM `clinic_to_branch` WHERE (`branch_id`=8) AND (`branch_id`=8)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,3772) [4]=> array(0) { } [5]=> int(15853232) } [231]=> array(6) { [0]=> string(2107) "SELECT COUNT(*) FROM (SELECT `clinic`.* FROM `clinic` INNER JOIN `city` ON `clinic`.`city_id` = `city`.`id` INNER JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`clinic`.`id` IN (SELECT `clinic_id` FROM `lang_clinic` WHERE `language`='en')) AND (`clinic`.`id` IN (SELECT `lang_clinic`.`clinic_id` FROM `lang_clinic` WHERE `lang_clinic`.`public`=1)) AND (`country`.`id`=22) AND (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`clinic`.`id` IN ('5', '7', '10', '20', '6', '11', '16', '9', '14', '24', '8', '13', '12', '25', '36', '38', '41', '46', '47', '48', '49', '51', '53', '55', '57', '64', '65', '66', '67', '68', '70', '71', '73', '74', '75', '77', '79', '82', '83', '84', '85', '86', '87', '88', '92', '93', '97', '98', '99', '100', '101', '102', '103', '105', '107', '61', '109', '161', '117', '119', '120', '124', '125', '126', '127', '133', '134', '135', '136', '137', '138', '139', '140', '141', '146', '143', '148', '149', '150', '151', '152', '153', '155', '159', '80', '162', '164', '167', '169', '171', '172', '173', '178', '180', '181', '182', '183', '184', '185', '186', '187', '188', '189', '195', '191', '194', '196', '200', '56', '201', '203', '206', '207', '208', '214', '215', '216', '217', '218', '219', '220', '221', '222', '223', '225', '226', '227', '246', 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array(6) { [0]=> string(113) "SELECT COUNT(*) FROM `faq` WHERE (`faq`.`language`='en') AND (`faq`.`public`=1) AND (`item_id`=44) AND (`type`=1)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4553) [4]=> array(0) { } [5]=> int(16498768) } [288]=> array(6) { [0]=> string(133) "SELECT * FROM `faq` WHERE (`faq`.`language`='en') AND (`faq`.`public`=1) AND (`item_id`=44) AND (`type`=1) ORDER BY `id` DESC LIMIT 5" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4554) [4]=> array(0) { } [5]=> int(16499504) } [289]=> array(6) { [0]=> string(133) "SELECT * FROM `faq` WHERE (`faq`.`language`='en') AND (`faq`.`public`=1) AND (`item_id`=44) AND (`type`=1) ORDER BY `id` DESC LIMIT 5" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4554) [4]=> array(0) { } [5]=> int(16500008) } [290]=> array(6) { [0]=> string(133) "SELECT * FROM `faq` WHERE (`faq`.`language`='en') AND (`faq`.`public`=1) AND (`item_id`=44) AND 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float(1717216918,4562) [4]=> array(0) { } [5]=> int(16513656) } [293]=> array(6) { [0]=> string(285) "SELECT `city`.* FROM `city` LEFT JOIN `country` ON `city`.`country_id` = `country`.`id` WHERE (`city`.`id` IN (SELECT `city_id` FROM `lang_city` WHERE `language`='en')) AND (`country`.`id` IN (SELECT `country_id` FROM `lang_country` WHERE `language`='en')) AND (`city`.`country_id`=22)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4565) [4]=> array(0) { } [5]=> int(16521856) } [294]=> array(6) { [0]=> string(84) "SELECT * FROM `lang_city` WHERE (`language`='en') AND (`city_id` IN (156, 157, 162))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4566) [4]=> array(0) { } [5]=> int(16554920) } [295]=> array(6) { [0]=> string(84) "SELECT * FROM `lang_city` WHERE (`language`='en') AND (`city_id` IN (156, 157, 162))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4566) [4]=> array(0) { } [5]=> 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AND (`id`=22)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4569) [4]=> array(0) { } [5]=> int(16583928) } [300]=> array(6) { [0]=> string(74) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id`=22)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,457) [4]=> array(0) { } [5]=> int(16599840) } [301]=> array(6) { [0]=> string(74) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id`=22)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,457) [4]=> array(0) { } [5]=> int(16600712) } [302]=> array(6) { [0]=> string(74) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id`=22)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4571) [4]=> array(0) { } [5]=> int(16604616) } [303]=> array(6) { [0]=> string(53) "SELECT * FROM `disease_to_branch` WHERE `branch_id`=8" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4574) [4]=> array(0) { } [5]=> int(16608088) } [304]=> array(6) { [0]=> string(53) "SELECT * FROM `disease_to_branch` WHERE `branch_id`=8" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4574) [4]=> array(0) { } [5]=> int(16609192) } [305]=> array(6) { [0]=> string(53) "SELECT * FROM `disease_to_branch` WHERE `branch_id`=8" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4576) [4]=> array(0) { } [5]=> int(16695816) } [306]=> array(6) { [0]=> string(999) "SELECT * FROM `disease` WHERE (`disease`.`id` IN (SELECT `disease_id` FROM `lang_disease` WHERE `language`='en')) AND (`disease`.`id` IN (SELECT `lang_disease`.`disease_id` FROM `lang_disease` WHERE `lang_disease`.`public`=1)) AND (id!=44) AND (`id` IN (187, 188, 189, 190, 4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 699, 211, 394, 405, 720, 721, 416, 426, 433, 434, 436, 437, 438, 452, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 507, 503, 504, 505, 506, 515, 516, 517, 518, 519, 520, 521, 703, 642, 457, 698, 718, 724, 725, 735, 736, 737, 738, 739, 740, 742, 743, 744, 745, 747, 752, 753, 754, 755, 756, 757, 758, 759, 761, 762, 763, 764, 768, 769, 770, 772, 775, 778, 779, 780, 781, 783, 785, 789, 790, 792, 794, 795, 796, 797, 798, 799, 800, 801, 803, 804, 805, 806, 808, 809, 810, 811, 813, 817, 818, 820, 821, 822, 824, 827, 890, 891, 892, 893, 894, 895, 896, 897, 898, 899))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4581) [4]=> array(0) { } [5]=> int(16809952) } [307]=> array(6) { [0]=> string(999) "SELECT * FROM `disease` WHERE (`disease`.`id` IN (SELECT `disease_id` FROM `lang_disease` WHERE `language`='en')) AND (`disease`.`id` IN (SELECT `lang_disease`.`disease_id` FROM `lang_disease` WHERE `lang_disease`.`public`=1)) AND (id!=44) AND (`id` IN (187, 188, 189, 190, 4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 699, 211, 394, 405, 720, 721, 416, 426, 433, 434, 436, 437, 438, 452, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 507, 503, 504, 505, 506, 515, 516, 517, 518, 519, 520, 521, 703, 642, 457, 698, 718, 724, 725, 735, 736, 737, 738, 739, 740, 742, 743, 744, 745, 747, 752, 753, 754, 755, 756, 757, 758, 759, 761, 762, 763, 764, 768, 769, 770, 772, 775, 778, 779, 780, 781, 783, 785, 789, 790, 792, 794, 795, 796, 797, 798, 799, 800, 801, 803, 804, 805, 806, 808, 809, 810, 811, 813, 817, 818, 820, 821, 822, 824, 827, 890, 891, 892, 893, 894, 895, 896, 897, 898, 899))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4581) [4]=> array(0) { } [5]=> int(16771936) } [308]=> array(6) { [0]=> string(999) "SELECT * FROM `disease` WHERE (`disease`.`id` IN (SELECT `disease_id` FROM `lang_disease` WHERE `language`='en')) AND (`disease`.`id` IN (SELECT `lang_disease`.`disease_id` FROM `lang_disease` WHERE `lang_disease`.`public`=1)) AND (id!=44) AND (`id` IN (187, 188, 189, 190, 4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 699, 211, 394, 405, 720, 721, 416, 426, 433, 434, 436, 437, 438, 452, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 507, 503, 504, 505, 506, 515, 516, 517, 518, 519, 520, 521, 703, 642, 457, 698, 718, 724, 725, 735, 736, 737, 738, 739, 740, 742, 743, 744, 745, 747, 752, 753, 754, 755, 756, 757, 758, 759, 761, 762, 763, 764, 768, 769, 770, 772, 775, 778, 779, 780, 781, 783, 785, 789, 790, 792, 794, 795, 796, 797, 798, 799, 800, 801, 803, 804, 805, 806, 808, 809, 810, 811, 813, 817, 818, 820, 821, 822, 824, 827, 890, 891, 892, 893, 894, 895, 896, 897, 898, 899))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4609) [4]=> array(0) { } [5]=> int(17624176) } [309]=> array(6) { [0]=> string(451) "SELECT * FROM `lang_disease` WHERE (`language`='en') AND (`disease_id` IN (4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 187, 188, 189, 190, 211, 394, 405, 416, 426, 433, 434, 436, 437, 438, 452, 457, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 503, 504, 505, 506, 507, 515, 516, 517, 518, 519, 520, 521, 642, 698, 699, 703, 718, 720, 721))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,462) [4]=> array(0) { } [5]=> int(18598392) } [310]=> array(6) { [0]=> string(451) "SELECT * FROM `lang_disease` WHERE (`language`='en') AND (`disease_id` IN (4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 187, 188, 189, 190, 211, 394, 405, 416, 426, 433, 434, 436, 437, 438, 452, 457, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 503, 504, 505, 506, 507, 515, 516, 517, 518, 519, 520, 521, 642, 698, 699, 703, 718, 720, 721))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,462) [4]=> array(0) { } [5]=> int(18578904) } [311]=> array(6) { [0]=> string(451) "SELECT * FROM `lang_disease` WHERE (`language`='en') AND (`disease_id` IN (4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 187, 188, 189, 190, 211, 394, 405, 416, 426, 433, 434, 436, 437, 438, 452, 457, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 503, 504, 505, 506, 507, 515, 516, 517, 518, 519, 520, 521, 642, 698, 699, 703, 718, 720, 721))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4625) [4]=> array(0) { } [5]=> int(18756088) } [312]=> array(6) { [0]=> string(432) "SELECT * FROM `disease_to_branch` WHERE `disease_id` IN (4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 187, 188, 189, 190, 211, 394, 405, 416, 426, 433, 434, 436, 437, 438, 452, 457, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 503, 504, 505, 506, 507, 515, 516, 517, 518, 519, 520, 521, 642, 698, 699, 703, 718, 720, 721)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,463) [4]=> array(0) { } [5]=> int(18821528) } [313]=> array(6) { [0]=> string(432) "SELECT * FROM `disease_to_branch` WHERE `disease_id` IN (4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 187, 188, 189, 190, 211, 394, 405, 416, 426, 433, 434, 436, 437, 438, 452, 457, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 503, 504, 505, 506, 507, 515, 516, 517, 518, 519, 520, 521, 642, 698, 699, 703, 718, 720, 721)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,463) [4]=> array(0) { } [5]=> int(18802176) } [314]=> array(6) { [0]=> string(432) "SELECT * FROM `disease_to_branch` WHERE `disease_id` IN (4, 5, 7, 28, 29, 30, 31, 34, 37, 38, 39, 40, 41, 42, 43, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 58, 59, 60, 62, 187, 188, 189, 190, 211, 394, 405, 416, 426, 433, 434, 436, 437, 438, 452, 457, 465, 470, 488, 489, 490, 491, 492, 493, 494, 495, 496, 497, 498, 499, 500, 501, 503, 504, 505, 506, 507, 515, 516, 517, 518, 519, 520, 521, 642, 698, 699, 703, 718, 720, 721)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4634) [4]=> array(0) { } [5]=> int(18851080) } [315]=> array(6) { [0]=> string(131) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id` IN (8, 41))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4638) [4]=> array(0) { } [5]=> int(18873504) } [316]=> array(6) { [0]=> string(131) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id` IN (8, 41))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4638) [4]=> array(0) { } [5]=> int(18874272) } [317]=> array(6) { [0]=> string(131) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`id` IN (8, 41))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4639) [4]=> array(0) { } [5]=> int(18892272) } [318]=> array(6) { [0]=> string(80) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (8, 41))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,464) [4]=> array(0) { } [5]=> int(18920280) } [319]=> array(6) { [0]=> string(80) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (8, 41))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,464) [4]=> array(0) { } [5]=> int(18920904) } [320]=> array(6) { [0]=> string(80) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (8, 41))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4641) [4]=> array(0) { } [5]=> int(18929592) } [321]=> array(6) { [0]=> string(115) "SELECT * FROM `post` WHERE (`post`.`id` IN (SELECT `post_id` FROM `lang_post` WHERE `language`='en')) AND (`id`=33)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,466) [4]=> array(0) { } [5]=> int(19108856) } [322]=> array(6) { [0]=> string(115) "SELECT * FROM `post` WHERE (`post`.`id` IN (SELECT `post_id` FROM `lang_post` WHERE `language`='en')) AND (`id`=33)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,466) [4]=> array(0) { } [5]=> int(19109824) } [323]=> array(6) { [0]=> string(115) "SELECT * FROM `post` WHERE (`post`.`id` IN (SELECT `post_id` FROM `lang_post` WHERE `language`='en')) AND (`id`=33)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4708) [4]=> array(0) { } [5]=> int(19121376) } [324]=> array(6) { [0]=> string(68) "SELECT * FROM `lang_post` WHERE (`language`='en') AND (`post_id`=33)" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4712) [4]=> array(0) { } [5]=> int(19180424) } [325]=> array(6) { [0]=> string(68) "SELECT * FROM `lang_post` WHERE (`language`='en') AND (`post_id`=33)" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4712) [4]=> array(0) { } [5]=> int(19181280) } [326]=> array(6) { [0]=> string(68) "SELECT * FROM `lang_post` WHERE (`language`='en') AND (`post_id`=33)" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4714) [4]=> array(0) { } [5]=> int(19192048) } [327]=> array(6) { [0]=> string(106) "SELECT COUNT(*) FROM `post` WHERE `post`.`id` IN (SELECT `post_id` FROM `lang_post` WHERE `language`='en')" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4716) [4]=> array(0) { } [5]=> int(19218464) } [328]=> array(6) { [0]=> string(106) "SELECT COUNT(*) FROM `post` WHERE `post`.`id` IN (SELECT `post_id` FROM `lang_post` WHERE `language`='en')" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4717) [4]=> array(0) { } [5]=> int(19219680) } [329]=> array(6) { [0]=> string(106) "SELECT COUNT(*) FROM `post` WHERE `post`.`id` IN (SELECT `post_id` FROM `lang_post` WHERE `language`='en')" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,472) [4]=> array(0) { } [5]=> int(19220272) } [330]=> array(6) { [0]=> string(80) "SELECT * FROM `country` WHERE `id` IN (5, 11, 6, 8, 9, 10) ORDER BY `sort_order`" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4724) [4]=> array(0) { } [5]=> int(19295040) } [331]=> array(6) { [0]=> string(80) "SELECT * FROM `country` WHERE `id` IN (5, 11, 6, 8, 9, 10) ORDER BY `sort_order`" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4724) [4]=> array(0) { } [5]=> int(19294904) } [332]=> array(6) { [0]=> string(80) "SELECT * FROM `country` WHERE `id` IN (5, 11, 6, 8, 9, 10) ORDER BY `sort_order`" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4726) [4]=> array(0) { } [5]=> int(19416528) } [333]=> array(6) { [0]=> string(95) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id` IN (5, 11, 6, 8, 9, 10))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4728) [4]=> array(0) { } [5]=> int(19505672) } [334]=> array(6) { [0]=> string(95) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id` IN (5, 11, 6, 8, 9, 10))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4728) [4]=> array(0) { } [5]=> int(19505304) } [335]=> array(6) { [0]=> string(95) "SELECT * FROM `lang_country` WHERE (`language`='en') AND (`country_id` IN (5, 11, 6, 8, 9, 10))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,473) [4]=> array(0) { } [5]=> int(19536216) } [336]=> array(6) { [0]=> string(93) "SELECT * FROM `country_to_branch` WHERE (`main`=1) AND (`country_id` IN (5, 11, 6, 8, 9, 10))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4731) [4]=> array(0) { } [5]=> int(19541968) } [337]=> array(6) { [0]=> string(93) "SELECT * FROM `country_to_branch` WHERE (`main`=1) AND (`country_id` IN (5, 11, 6, 8, 9, 10))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4731) [4]=> array(0) { } [5]=> int(19541616) } [338]=> array(6) { [0]=> string(93) "SELECT * FROM `country_to_branch` WHERE (`main`=1) AND (`country_id` IN (5, 11, 6, 8, 9, 10))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4742) [4]=> array(0) { } [5]=> int(20059544) } [339]=> array(6) { [0]=> string(302) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`public`=1) AND (`id` IN ('22', '27', '8', '40', '13', '29', '62', '68', '14', '39', '33', '26', '16', '36', '9', '17', '18', '46', '57', '52', '61', '58')) ORDER BY `branch`.`sort_order`" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4743) [4]=> array(0) { } [5]=> int(20077120) } [340]=> array(6) { [0]=> string(302) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`public`=1) AND (`id` IN ('22', '27', '8', '40', '13', '29', '62', '68', '14', '39', '33', '26', '16', '36', '9', '17', '18', '46', '57', '52', '61', '58')) ORDER BY `branch`.`sort_order`" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4743) [4]=> array(0) { } [5]=> int(20072440) } [341]=> array(6) { [0]=> string(302) "SELECT * FROM `branch` WHERE (`branch`.`id` IN (SELECT `branch_id` FROM `lang_branch` WHERE `language`='en')) AND (`public`=1) AND (`id` IN ('22', '27', '8', '40', '13', '29', '62', '68', '14', '39', '33', '26', '16', '36', '9', '17', '18', '46', '57', '52', '61', '58')) ORDER BY `branch`.`sort_order`" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4777) [4]=> array(0) { } [5]=> int(20282016) } [342]=> array(6) { [0]=> string(159) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (68, 8, 9, 13, 16, 29, 18, 14, 17, 22, 26, 27, 33, 36, 39, 40, 46, 52, 57, 58, 61, 62))" [1]=> int(4) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4781) [4]=> array(0) { } [5]=> int(20562232) } [343]=> array(6) { [0]=> string(159) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (68, 8, 9, 13, 16, 29, 18, 14, 17, 22, 26, 27, 33, 36, 39, 40, 46, 52, 57, 58, 61, 62))" [1]=> int(80) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4781) [4]=> array(0) { } [5]=> int(20557528) } [344]=> array(6) { [0]=> string(159) "SELECT * FROM `lang_branch` WHERE (`language`='en') AND (`branch_id` IN (68, 8, 9, 13, 16, 29, 18, 14, 17, 22, 26, 27, 33, 36, 39, 40, 46, 52, 57, 58, 61, 62))" [1]=> int(96) [2]=> string(21) "yii\db\Command::query" [3]=> float(1717216918,4784) [4]=> array(0) { } [5]=> int(20609888) } [345]=> array(6) { [0]=> string(15) "Session started" [1]=> int(4) [2]=> string(21) "yii\web\Session::open" [3]=> float(1717216918,4796) [4]=> array(0) { } [5]=> int(20248688) } } ["flushInterval"]=> int(1000) ["traceLevel"]=> int(0) ["dispatcher"]=> *RECURSION* ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> NULL } ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> NULL } ["seo"]=> object(app\components\seo\SeoManager)#18 (5) { ["providers":protected]=> array(1) { [0]=> object(app\components\seo\DiseasePage)#250 (6) { ["country"]=> object(app\models\Country)#86 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["public"]=> int(1) ["doctors_description"]=> string(0) "" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["request_published_default"]=> int(0) ["request_price"]=> string(3) "700" ["external_id"]=> int(2524) ["request_price_qualitative"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(18) "Швейцария" ["link"]=> string(12) "shvejtsarija" ["genitive_title"]=> string(18) "Швейцарии" ["adj_genitive_plural_title"]=> string(22) "швейцарских" ["prepositional_title"]=> string(18) "Швейцарии" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(923) "В многопрофильных клиниках Швейцарии, предоставляющих услуги иностранным пациентам, большое внимание уделяют качеству оказываемых услуг. Помимо качественного лечения, соответствующего лучшим мировым стандартам, здесь отличный сервис. Для удобства пациентов их размещают в комфортабельных одноместных палатах, за ними ведется круглосуточное медицинское наблюдение. Больной может выбирать меню. Пациенты также высоко оценивают тактичность медперсонала, строгое соблюдение конфиденциальности.
" ["advantage"]=> string(4382) "Лечение и оздоровление в клиниках Швейцарии является одним из наиболее качественных вариантов избавления от болезни. В этой стране существуют высокие требования к профессиональной подготовке врачей, а также оснащению клиник. Используются наиболее современные методики терапии различных заболеваний, от рака до бесплодия, от неврологических болезней до проблем с костями и суставами. Большое внимание уделяется также комфортности пребывания пациентов: любой человек, приезжающий из-за границы, может рассчитывать на самый высокий уровень сервиса, внимательность медицинского персонала и соблюдение конфиденциальности.
ВОЗ, проводящая ежегодно итоги работы систем медучреждений в разных странах, постоянно причисляет швейцарскую медицину в число лучших в мире. И, хотя принятые за лечение в Швейцарии цены могут быть выше, чем в странах с менее развитой медициной, отзывы о лечении в Швейцарии показывают: те, кто хотят добиться максимального результата терапии, едут в эту страну.
Цены на лечение в клиниках этой страны нельзя назвать низкими, однако его качество вполне оправдывает затраты. По уровню цен клиники в Швейцарии дешевле, чем в США, но дороже, чем в Израиле. Стоимость лечения в Швейцарии по сравнению с Германией приблизительно одинакова. Приблизительные цены на лечение таковы:
Медицинский туризм в Швейцарии – это отрасль, которая работает как часы. Для организации поездки пациент может воспользоваться услугами компании-посредника или же организовать поездку самостоятельно. Медицинские посредники помогают выбрать клинику для лечения, составить и согласовать с медиками график пребывания, помочь с оформлением визы и приобретением билетов. Также компании-посредники позаботятся о наличии переводчика и могут составить культурную или развлекательную программу на время пребывания в стране. Поскольку санатории Швейцарии так же популярны, как и лечебные клиники, многие пациенты объединяют отдых в санаториях с лечением. Компании-посредники берут на себя хлопоты по организации пребывания в санатории.
" ["specialization"]=> string(0) "" ["accessibility"]=> string(2068) "Официальный язык – немецкий (швейцарский немецкий), французский (швейцарский французский), итальянский, ретороманский
Государственная валюта - швейцарский франк.
Возможные способы оплаты: наличными (швейцарский франк, евро)
кредитные карты: VISA, MASTERCARD
банковский перевод, необходимо провести за 3 дня до начала обследования / лечения.
перевод Western Union или Money Gram.
Время полета (Моcква - Вена) – 3 часа 3 минуты
При организации лечения за границей у людей может возникнуть ряд вопросов. Как правило, они однотипные, и в первую очередь пациентов волнуют две проблемы:
Как попасть на лечение?
Как оплатить лечение?
Самый простой способ поехать на лечение в Швейцарию – обратиться к услугам надежных специализированных компаний, которые помогут подобрать подходящую клинику и оформить необходимые документы.
Иностранцы в швейцарские клиники принимаются только после полной предоплаты лечения. Если по каким-либо причинам необходимость в предоплаченных процедурах отпадает, их стоимость затем пациенту возвращается." ["prices"]=> string(223) "Helvetic Airways 18 931 р.
Easyjet 42 503 р.
Аэрофлот 61 214 р.
" ["service_advantage"]=> string(293) "Наиболее современные и успешные способы лечения; Высочайший уровень квалификации врачей; Возможность санаторно-курортного лечения; Высокий уровень сервиса." ["public"]=> int(1) ["doctors_description"]=> string(1056) "Медицинский персонал, осуществляющий лечение иностранных пациентов в клиниках Швейцарии, отличается высоким профессионализмом и тактичностью. Для медицины Швейцарии характерны доверительно-дружеские отношения между персоналом клиники и пациентом. Здесь считают, что только по достижении полного взаимопонимания можно получить по-настоящему хороший результат. Обратившись за помощью, вы можете рассчитывать не только на качественное лечение по самым современным методикам, использование лекарств нового поколения, но и на возможность соединить отдых и лечение.
" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(500) "Швейцарская медицина считается одной из самых прогрессивных в мире. Особенно развиты направления терапии онкопатологий и бесплодия, ортопедия, пластическая хирургия, нейрохирургия и офтальмология. Высокий профессионализм врачей, безупречный сервис, полная анонимность." 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array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [1]=> object(app\models\City)#615 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(14) "Женолье" ["link"]=> string(7) "zhenole" ["genitive_title"]=> string(14) "Женолье" ["adj_genitive_plural_title"]=> string(14) "Женолье" ["prepositional_title"]=> string(14) "Женолье" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#621 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [2]=> object(app\models\City)#617 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(14) "Лозанна" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(14) "Лозанны" ["adj_genitive_plural_title"]=> string(14) "Лозанна" ["prepositional_title"]=> string(14) "Лозанне" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#622 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" 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["id"]=> int(344) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3230) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["genitive_title"]=> string(51) "Клиники Хирсланден в Цюрихе" ["link"]=> string(29) "klinika-hirslanden-v-tsjurihe" ["about"]=> string(1234) "Клиника Хирсланден располагается в Цюрихе — одном из крупных городов северо-востока Швейцарии, столице одноименного кантона. Это современный частный медицинский центр с инновационной инфраструктурой и высочайшими стандартами предоставления медицинской помощи. Центр известен в стране, как один из наиболее передовых. Тут граждане Швейцарии и иностранные гости проходят диагностику и лечение на новейшей аппаратуре, в центре работают современные операционные, проводятся конвенциональные и малоинвазивные операции, процедуры радиотерапии, физиотерапии. В клинике работает более 1000 специалистов, а количество отделений и институтов составляет несколько десятков. " ["description"]=> string(11458) "Территориально клиника находится неподалеку от Цюрихского озера, в районе Хирсланден. Сюда можно легко добраться на общественном или частном транспорте. Многие пациенты предпочитают приезжать сюда на бесплатном автобусе клиники. Центр предлагает своим пациентам полный спектр медицинских услуг, начиная от экстренных процедур и заканчивая плановой госпитализацией.
Лечение в клинике Хирсланден основано на использовании самых передовых методов медицины — тут работают современные лаборатории, оснащенные высокотехнологичным оборудованием, применяются новейшие лекарственные препараты и методы физиотерапии. Отзывы о клинике Хирсланден можно встретить на различных специализированных интернет-площадках, где пациенты делятся друг с другом своим мнением по поводу того или иного медицинского центра. В большинстве случаев, бывшие пациенты Хирсланден отмечают высокий уровень профессионализма работающих здесь врачей и эффективность применяемых ими методов лечения.
В центре работает более 50 разных подразделений и институтов, основные направления — кардиология, висцеральная хирургия, неврология и нейрохирургия, ортопедия, гинекология и акушерство. Отделение экстренной медицинской помощи в клинике действует 24 часа в сутки 7 дней в неделю.
В отделении проводится полный спектр процедур по диагностике и лечению сердечно-сосудистых заболеваний, начиная от курсов медикаментозной терапии и заканчивая катетерной дилатацией коронарных сосудов, имплантацией сосудистых протезов, установкой сердечных клапанов и шунтированием сердца. Ежегодно тут проводится более 2000 процедур катетерной диагностики, около 800 процедур баллонной дилатации и около 800 открытых операций на сердце.
Врачи, которые работают в центре, обладают многолетней практикой лучевой диагностики заболеваний органов брюшной полости и помогают гастроэнтерологам, гепатологам, урологам, гинекологам и хирургам клиники, проводят ультразвуковую диагностику, компьютерную томографию и МРТ. Здесь проводятся комплексные исследования печени, поджелудочной железы, селезенки, кишечника, почек, мочеполовой системы.
В этом подразделении проводятся высокотехнологичные исследования, основанные на использовании методов ядерной диагностики и гибридной диагностической аппаратуры, позволяющей использовать совместно конвенциональный компьютерный томограф и однофотонную эмиссионную томографию (т. н. SPECT/CT).
В центре проводятся операции на органах брюшной полости, тут работают торакальные хирурги, проводятся вмешательства по удалению опухолей. Здесь преимущественно проводятся хирургические операции на мягких тканях, в центр поступают пациенты, нуждающиеся в комплексных и сложных операциях на брюшной полости и грудной полости. Большая часть хирургов центра имеет профессорские ученые степени.
В центре чек-ап диагностики ежегодно проходят профилактическое обследование тысячи пациентов — как жителей кантона, так и гостей страны. К услугам пациентов Хирсланден — более 1100 квалифицированных специалистов и несколько десятков специализированных центров. Здесь можно пройти стандартную программу чек-ап или программу диагностики, ориентированную на специфические нужды.
Специалисты центра занимаются протезированием коленных, плечевых, тазобедренных и локтевых суставов. Тут применяются современные модели имплантатов, позволяющие гарантировать высокую надежность использования протеза. Применяя малоинвазивные методы замены суставов, врачи обеспечивают сохранение мышечных и других мягких тканей, сокращение периода реабилитации и ускорение восстановления функций сустава. В центре применяются современные навигационные и роботизированные системы. Тут же проводятся артроскопические операции по восстановлению поврежденных структур коленного и плечевого суставов.
В отделении проходят амбулаторное и стационарное лечение пациенты со злокачественными заболеваниями — как солидными опухолями, так и раковыми поражениями крови. Лечение проходит в спокойной и умиротворяющей атмосфере, с использованием самых современных подходов — инновационных методов абляции, малоинвазивной хирургии, радиотерапии, системных химиопрепаратов и средств таргетной терапии. Отделение работает в тесном сотрудничестве со Швейцарским институтом иммунологического лечения опухолей.
В клинике круглосуточно и без выходных проводятся лучевые исследования — рентгенография, томография, комплексные исследования. Тут же осуществляются малоинвазивные интервенционные исследования. Результаты диагностики быстро интерпретируются. Работает курьерская служба, которая доставляет данные лучевой диагностики на CD-дисках в течение двух дней после проведения обследования.
Основные мощности института располагаются на территории другого центра — клиники Männedorf, вскоре их структуры будут объединены в единый комплекс. На данный момент пациенты клиники здесь проходят полный комплекс процедур, связанных с лучевым лечением новообразований на новейших линейных ускорителях TrueBeam и установках стереотаксической хирургии Cyberknife. Также тут проводятся процедуры контактного радиологического лечения опухолей и процедуры интраоперационной радиотерапии.
В центре проходят лечение спортсмены с травмами суставов, связок, сухожилий, мышечных тканей. Тут проводят артроскопические операции, лечат переломы, проводят трансплантацию хрящевых тканей и замену суставов.
Помимо вышеперечисленных подразделений, в клинике действует множество других — центр лечения инсульта, центр травмы, работают отделения урологии, ЛОР-заболеваний, косметической хирургии, ревматологии, физиотерапии, центр лечения заболеваний сосудов, неонатальное отделение и родильный дом, отделения гастроэнтерологии, лечения головной боли, инфекционных заболеваний, подразделение диагностики патологий молочной железы и др.
" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(47) "Witellikerstrasse 40, 8032 Zürich, Switzerland" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["seo_h1"]=> string(118) "Клиника Хирсланден в Цюрихе — современный медицинский комплекс" ["seo_description"]=> string(492) "Клиника Хирсланден в Цюрихе — современный частный медицинский центр, в котором работают опытные врачи и установлено современное оборудование. Пациенты клиники проходят обследование на высокоточной аппаратуре и получают терапию, основанную на эффективных подходах." 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["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-20 12:45:41" ["updated_at"]=> string(19) "2019-05-20 14:14:19" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3250) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(58) "Университетская клиника Цюриха" ["genitive_title"]=> string(58) "Университетской клиники Цюриха" ["link"]=> string(33) "universitetskaja-klinika-tsjuriha" ["about"]=> string(1590) "В клинике работает порядка 8000 сотрудников, из них — более 1300 врачей. Ежегодно в центре около 130 тысяч пациентов проходят амбулаторное лечение и 35 тысяч пациентов пролечиваются в режиме стационара. Общее количество структурных подразделений клиники превышает четыре десятка. Отзывы о Университетской клинике Цюриха по большей части положительные, пациенты отмечают высокое качество предоставленных им медицинских услуг, возможность поучаствовать в клинических испытаниях новейших видов терапии. В клинике постоянно проводятся исследования в области регенеративной и персонализированной медицины. Хотя стоимость лечения в Университетской клинике Цюриха и нельзя назвать невысокой, сюда стремятся попасть пациенты со всех стран мира — ведь качество лечебных процедур и уровень подготовки врачей здесь соответствуют самым высоким международным стандартам. " ["description"]=> string(9155) "Университетская клиника Цюриха в Швейцарии — один из немногих университетских медицинских центров в стране и первая клиника, образованная в городе. Свое начало больница берет с 1204 года. За прошедшие столетия как название, так и местоположение клиники несколько раз менялись. В университетской клинике работали и продолжают работать многие выдающиеся врачи. В 20 веке тут трудился известный немецкий хирург Фердинанд Зауэрбрух, основоположник торакальной хирургии. Сегодня в стенах клиники проводит свои исследования иммунной системы человека профессор Рольф Мартин Цинкернагель — обладатель Нобелевской премии по физиологии и медицине.
Для гостей и пациентов клиники работает Wi-Fi. Действует трехразовая система питания с возможностью выбора блюд и изменения диеты (больше углеводов, больше овощей и т. д.). Доступна специализированная диета для больных диабетом и пациентов со специфическими требованиями к пище. Также в клинике действует несколько кафе и бистро. На территории центра есть банкоматы, работают парикмахерские, имеются комнаты для посетителей и детские комнаты. Гостевой дом клиники состоит из шести однокомнатных и шести двухкомнатных апартаментов, где родственники пациентов могут оставаться на период их госпитализации. Также здесь проживают пациенты перед тем, как лечь в клинику или после госпитализации. Комнаты оборудованы всем необходимым — начиная от стиральных машин и заканчивая телевизионными панелями.
Цены в Университетской клинике Цюриха в большинстве своем соответствуют расценкам остальных западно-европейских клиник. Нельзя сказать, что они слишком уж демократичны. Но и излишне высокими они тоже не являются, о чем свидетельствует хотя бы то, что в центре периодически можно встретить пациентов из России, Украины, других бывших союзных республик. Для медицинских туристов в центре действует международный отдел, сотрудники которого свободно разговаривают на нескольких языках и обеспечивают полную поддержку больного на всех этапах лечения.
В клинике действует несколько десятков структурных подразделений, приведем лишь некоторые из них.
Центр лечения рака работает совместно с Университетской детской клиникой Цюриха и занимается лечением широкого спектра злокачественных заболеваний как у взрослых, так и у маленьких пациентов. Тут можно пройти самые инновационные лечебные процедуры, основанные на междисциплинарном подходе и результатах последних научных исследований. Пациенты центра проходят курсы химиотерапии, лучевую терапию, таргетную и иммунную терапию. Врачи подразделения обладают большим опытом проведения малоинвазивных операций по удалению опухолей. Также специалисты центра предоставляют «второе мнение» пациентам из других стран.
Институт клинической химии — подразделение, специализирующееся на лабораторных методах диагностики. Здесь применяются новейшие химические, физические и биологические методы исследований, разрабатываются новые виды диагностических тестов естественных биологических жидкостей человека (крови, мочи и т. д.).
В Институте невропатологии работают врачи, занимающиеся вопросами диагностики и терапии патологий центральной и периферической нервной системы и скелетной мускулатуры. В тесном сотрудничестве невропатологи и нейрохирурги института проводят лечение самого широкого спектра болезней — от прионных заболеваний до разного рода энцефалопатий.
Сотрудники Института патологии и молекулярной патологии занимаются лабораторной диагностикой, используя образцы тканей пациента. Здесь проводятся гистопатологические, цитопатологические, молекулярные исследования.
В отделении пульмонологии проходят лечение пациенты с различными видами заболеваний дыхательной системы, в частности — хронической обструктивной болезнью легких, апноэ во сне. Сотрудники отделения работают в тесном контакте с врачами отделения трансплантологии, где осуществляется пересадка легких.
Врачи отделения торакальной хирургии проводят операции на грудной клетке, лечат опухоли легких и плевры, эмфизему, проводят малоинвазивные робот-ассистированные операции.
В клинике действует и множество других отделений и специализированных центров.
В составе клиники имеется отделение лучевой диагностики, позволяющее проводить исследование и лечение больных различными болезнями — заболеваниями желудочно-кишечного тракта, неврологическими, гинекологическими, сердечно-сосудистыми заболеваниями. Также здесь проводятся процедуры, связанные с ортопедической и пластической хирургией.
Цены в клинике Женолье выше, чем в среднем по Европе. Это определяется тем, что медицинский центр ориентируется на предоставление инновационных медицинских услуг и сервиса высочайшего качества.
В клинике действует амбулаторное отделение, где врачи дают консультации, а пациенты проходят лечебные процедуры, не требующие госпитализации. Здесь проводится лабораторная диагностика и лучевые исследования. В клинике работает один из самых передовых хирургических центров в Европе, операционные которого оснащены инновационным оборудованием, позволяющим, помимо всего прочего, проводить сеансы телемедицины.
Отзывы о клинике Женолье в целом очень позитивно характеризуют качество полученных лечебных процедур. Многих пациентов совершенно не волнует, сколько стоит лечение в клинике Женолье — их прежде всего интересует результат терапии. И подавляющее большинство пациентов клиники не разочаровываются в своих ожиданиях.
В клинике работает специализированный международный отдел, его сотрудники занимаются приемом заявок и ведением иностранных пациентов, которые прибывают сюда из самых разных точек мира — Среднего Востока, Европы, Азии и других мест. Сервисное обслуживание больного не ограничивается одним лишь предоставлением медицинской помощи, каждый пациент получает персонального медицинского координатора, который помогает подбирать врачей, координирует их, осуществляет функции переводчика и т. д.
В клинике действует почти полсотни отделений и специализированных подразделений. Пациенты могут здесь получить медицинскую помощь, ориентированную на лечение самого широкого спектра заболеваний — от аллергии до язвы желудка.
Специалисты отделения занимаются диагностикой атеросклероза и патологий клапанов сердца, аритмии, инфаркта миокарда, повышенного давления, коронарной недостаточности и других заболеваний сердечно-сосудистой системы. Также здесь проводятся процедуры, связанные с интервенционной кардиологией — пациентам делают катетеризацию, устанавливают коронарные стенты и искусственные клапаны сердца.
Врачи отделения проводят операции на органах грудной клетки, удаляют новообразования бронхов и легких, лечат заболевания плевры. Здесь широко применяется лазерная хирургия, особенно при лечении обструкции дыхательных путей, вызванной ростом новообразований.
Специалисты отделения занимаются терапией изменений и заболеваний, связанных с возрастом. Сюда поступают пациенты в возрасте 65-80 лет и старше. Они получают медицинскую, психологическую и социальную помощь, направленную на коррекцию физических, функциональных, психических и когнитивных расстройств. Здесь пациенты получают помощь как в условиях амбулатории, так и в условиях стационара. Врачи отделения обладают большим опытом терапии острых и хронических заболеваний, а также последующей реабилитации пациентов.
Лечение в онкологическом отделении проводится на междисциплинарной основе — с болезнью пациента борется целая команда специалистов из разных областей. Используя последние достижения в медицине, хирурги и радиологи, специалисты по химиотерапии и биотерапии совместными усилиями уверенно выводят больного на ремиссию. Здесь применяются инновационные таргетные препараты, современные средства гормональной и иммунной терапии.
В отделении предоставляется такая уникальная услуга, как медицинский гипноз — пройдя от 3 до 10 сеансов психотерапии, больной получает возможность находить и мобилизовать собственные силы для поиска решений своих ежедневных проблем.
В отделении работают врачи хирургических специальностей, обладающие большим клиническим опытом оперативного лечения травм и дегенеративных заболеваний опорно-двигательного аппарата. Тут проходят курсы терапии больные с заболеваниями позвоночника, связок, суставов, сухожилий и мышц. Специалисты отделения лечат переломы конечностей и позвоночника, дислокацию суставов, разрывы мышц, опухоли костей и остеоартроз, проводят операции по полному и частичному эндопротезированию.
В отделении трудится более десяти физиотерапевтов, специализирующихся на лечении травм и заболеваний опорно-двигательного аппарата, а также на общей реабилитации пациентов. Отделение оснащено новейшим изокинетическим оборудованием, которое позволяет в сжатые сроки восстанавливать подвижность в коленных, плечевых, локтевых, тазобедренных суставах. Тут получают медицинскую помощь и пациенты после хирургических операций, пока полностью не восстановят свою форму.
Хирурги отделения имеют значительный клинический опыт реконструктивной и эстетической хирургии, коррекции врожденных анатомических аномалий, увеличения и уменьшения груди, подтяжки лица, ринопластики, брефаропластики, омоложения кожи с использованием лазерных процедур.
Отделение радиологического лечения злокачественных заболеваний — одно из самых передовых в Западной Европе. Тут установлено высокоточное оборудование, позволяющее проводить гипер- и гипофракционированную дистанционную радиотерапию, роботизированную стереотаксическую радиохирургию, контактную радиотерапию.
В клинике действуют и другие отделения — гинекологии, дерматологии, общей хирургии, эндокринологии, офтальмологии, нейрохирургии, робот-ассистированной и лапароскопической хирургии, сосудистой хирургии, урологии, неврологии, пульмонологии, психиатрии и др.
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["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#634 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> 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["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(29) "Клиника Леманик" ["genitive_title"]=> string(29) "Клинике Леманик" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(1694) "Клиника Леманик в Швейцарии хорошо известна, как передовой центр эстетической и регенеративной медицины. Своим пациентам клиника предоставляет косметические процедуры и услуги по омоложению, основанные на самых инновационных и высокотехнологичных подходах. Отзывы о клинике Леманик подтверждают высокое качество применяемых процедур — это эстетическая дерматология и хирургические операции на коже, терапия, направленная на омоложение кожи, пластическая и реконструктивная хирургия, регенеративные процедуры. Врачи центра обладают большим опытом лечения заболеваний кожи и слизистых, ногтей и волос, проводят эффективную терапию акне и псориаза, витилиго и гипергидроза, экземы и дерматитов. Хирурги успешно исправляют косметические дефекты, а специалисты по превентивной и функциональной медицине занимаются вопросами общего омоложения организма, восстановления гибкости, силы, улучшения жизненного тонуса. " ["description"]=> string(8752) "Располагается клиника в Лозанне — четвертом по величине городе Швейцарии. Сюда приезжает много женщин из США и Европы, клиника хорошо известна в России, Украине и других бывших государствах СНГ. Это один из наиболее оснащенных медицинских центров, ориентированный на решение вопросов эстетики человеческого тела и борьбы с возрастными изменениями. Тут активно применяется высокотехнологичная аппаратура — лазерные установки, оборудование для эстетической хирургии, фототерапии, криотерапии.
Цены в клинике Леманик вполне приемлемы на взгляд среднестатистического жителя Западной Европы. Хотя стоимость лечения в клинике Леманик для жителей бывших союзных республик может показаться несколько завышенной, это — лишь следствие различия в уровне жизни. Для обычного швейцарца стоимость процедуры омоложения кожи в клинике не выше, чем стоимость ужина в среднем женевском ресторане. Если принять во внимание эффективность предоставляемых процедур и долговременный эстетический эффект, их стоимость выглядит вполне приемлемой.
Специалисты клиники применяют самый широкий спектр современных подходов, позволяющих быстро и эффективно убирать косметические дефекты, улучшать эстетику лица и других частей тела.
Лечение рубцов от акне с помощью синего света — безболезненный метод, который позволяет значительно улучшить внешний вид всего за 2-4 процедуры, каждая из которых длится по 15 минут и состоит в облучении проблемных участков кожи светом длиной волны 400-700 нм и 800-1200 нм с определенной частотой пульсации.
Аквалифтинг — техника регенерации кожи лица, позволяющая восстановить эластичность, убрать мелкие морщины, удалить пигментные пятна, возникающие в результате гормональных и сосудистых аномалий. Одна сессия длится порядка 60 минут, за это время в кожу «впрыскивается» стерильная вода или физраствор, обогащенные антиоксидантами, витаминами, средствами борьбы со свободными радикалами. Такой революционный подход в медицине называют «трансдермальным введением воды и активных молекул».
Блефаропластика — хирургические операции по удалению излишков кожи и подкожного жира на верхних и нижних веках. Практически сразу после процедуры глаза становятся более открытыми, а лицо более молодым и привлекательным. Иногда блефаропластика сочетается с подтяжкой лица, за счет чего обеспечивается еще более выразительный омолаживающий эффект.
Пластические операции по увеличению или уменьшению груди — одни из самых востребованных в клинике. Здесь можно провести коррекцию птоза, асимметрии груди и сосков, установить силиконовые имплантаты. Как правило, после хирургической операции пациентка проводит в клинике всего несколько дней и потом может возвращаться к своей обыденной жизни.
Карбокситерапия — подкожное введение углекислого газа, позволяющее стимулировать процессы регенерации и омоложения кожи. Процедура позволяет убрать небольшое провисание кожи лица, шеи, рук, живота и т. д., убрать мешки под глазами, растяжки кожи. Врач делает микроинъекции углекислого газа в кожу, в ответ на это обработанные участки начинают активно снабжаться кислородом, структура коллагена улучшается, кожа приобретает эластичность. В поверхностных слоях кожи улучшается метаболизм, происходит формирование нового коллагена и эластина, начинается липолиз жировых тканей.
Удаление целлюлита с использованием прибора Cellu M6 Endermolab позволяет безболезненно и аккуратно проводить глубокий LPG массаж, воздействуя на ткани во всех направлениях и стимулируя липолиз.
Криолиполиз — инновационный метод реабсорбции жировых тканей с помощью пониженных температур. Используя специальную аппаратуру, врач «замораживает» жировые клетки в глубоких слоях кожи без повреждения других тканей эпидермиса. Одна процедура длится около двух часов и позволяет вызвать естественный липолиз адипоцитов.
Фракционированный лазер — технология, которая позволяет разглаживать поверхность кожи, удалять морщины, уменьшать рубцы и растяжки. Процедура обладает омолаживающим эффектом, может применяться на коже лица, шеи, рук и т. д. Техника фототермолиза представляет собой одну из наиболее современных разработок в области эстетической медицины. Обычно один курс состоит из четырех сеансов.
В клинике, помимо вышеперечисленных процедур, проводят и другие — лазерное удаление дефектов и татуировок, волос и пигментных пятен, хирургический лифтинг лица, делают липоскульптуру и пластику живота, термаж и пилинг, мезотерапию, инъекции ботокса и гиалуроновой кислоты, фототерапию, нехирургический лифтинг груди и т. д. Сюда приезжает множество женщин из бывших государств СНГ — каждая из них, пройдя комплекс процедур, остается довольна полученным эффектом.
" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(70) "Швейцария, Лозанна 1003, Lausanne, 2 Avenue De La Gare" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(29) "Клиника Леманик" ["seo_h1"]=> string(29) "Клиника Леманик" ["seo_description"]=> string(477) "Клиника Леманик — специализированный швейцарский центр эстетической медицины. Опытные врачи, современная высокотехнологичная аппаратура, самый полный спектр эффективных процедур. Лазерное омоложение, хирургические косметические операции, криотехнологии." 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"genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> 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There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(56) "Рак груди (рак молочной железы)" ["genitive_title"]=> string(19) "Рака груди" ["link"]=> string(19) "lechenie-raka-grudi" ["about"]=> string(1772) "Рак молочной железы является одним из самых изученных в онкологии. Нет повода отчаиваться узнав о диагнозе рак груди, но правильным решением будет понять все доступные возможности современного лечения рака молочной железы в специализированных клиниках России и за пределами нашей страны. Мы рекомендуем для вас лучших маммологов-онкологов, хирургов, радиологов, онкологов-химиотерапевтов, радиологов и специалистов в области генетической-молекулярной диагностики рака. Прежде чем принять решение о лечение рака молочной железы, мы советуем вам убедиться, что технология является наиболее передовой, а лечение наименее инвазивным, насколько это возможно с учетом стадии заболевания. Кроме того, после окончания основного этапа лечения, связанного с удалением опухоли, мы рекомендуем опытных пластических хирургов, предлагающих несколько вариантов реконструкции груди: с использованием жировой ткани, аутотрансплантации кожи и новейших имплантатов груди.
" ["description"]=> string(22096) "Во многом, тактика лечения рака молочной железы базируется на правильной диагностике опухоли. Верификация образца полученной ткани опухоли позволяет определить в злокачественных клетках рака молочной железы специальные рецепторы (белки), чувствительные к новым таргетным лекарствам, гормонам, препаратам химиотерапии. Поэтому персонализированное, а значит более эффективное лечение — возможно проводить только после получения результатов биопсии, которой не нужно бояться. Биопсия в современных клиниках выполняется с помощью очень тонкой иглы и под контролем оборудования визуальной диагностики (рентген, ультразвук). Кроме того, результаты биопсии можно получить в течение 30 минут, это особенно важно когда нет времени ждать и принято решение о хирургическом лечении опухоли. В этом случае, уже во время операции будет известен характер опухоли, а значит и дальнейшая тактика лечения определяется безотлагательно.
Еще раз подчеркнем, что правильное лечение рака молочной железы должно быть персонализированным, когда вам говорят — «что у нас есть протокол лечения рака» — это означает, что он должен быть применен только после цитогенетического исследования полученного образца опухоли. Иначе существует риск общетоксического воздействия препаратов химиотерапии и низкого их избирательного эффекта на опухоль. Мы говорим об этом потому, что сталкивались с подобными случаями в своей практике и считаем своим долгом сказать о правильности современных подходов к диагностике и лечению рака молочной железы.
Кроме биопсии не менее важна визуализация, или говоря иными словами — обнаружение опухоли в тканях груди с помощью современного оборудования. Маммография с томосинтезом — это многомерное исследование тканей молочной железы, проводится как и обычная маммография, только комфортнее для женщины и ценнее для врача. Так как, современная трехмерная томография не пропустит ни одного (даже самого маленького) очага опухоли молочной железы. Этот метод хорош не только для определения опухоли, но и для рутинных проверок, благодаря которым рак груди стал выявляться на ранних стадиях, следовательно, лечение и последствия рака могут быть минимальными.
Для обнаружения возможного распространения раковых клеток в ближайшие лимфатические узлы (при подозрении), проводится биопсия и возможное удаление сторожевых лимфатических узлов, В некоторых западных клиниках и больницах Израиля, а в последнее время в ведущих российских больницах — применяется тактика совмещения удаления опухоли молочной железы и одновременного удаления сторожевых лимфатических узлов (только ближайших к опухоли узлов, в которых обнаружен раковые клетки). Такой подход позволяет избежать опасного и неприятного последствия — лимфостаза рук, а следовательно избежать необходимость длительной реабилитации после хирургического лечения. Всегда важно определить отсутствие метастазов опухоли в других участках тела. Конечно, если обратиться к врачу на ранних стадиях рака, когда вы только пальпаторною обнаружили в молочной железе небольшой узелок и «нашли» полчаса времени на маммографию, то поиск метастазов не нужен.
Но мы сталкиваемся, к большому сожалению, с запущенными формами рака молочной железы, когда необходимо обязательное проведение ПЭТ КТ для поиска отдаленных опухолей. Конечно и в этом случае есть решения, к примеру, в одной из израильских больниц установлено оборудование для мультипланарного обнаружения множественных метастазов рака в головном мозге и возможностью за один сеанс радиотерапии разрушить несколько метастазов.
Мы хорошо знакомы с примерами успешного лечения рака груди на разных стадиях онкологического процесса, однако мы призываем всех женщин к регулярному обследованию, самообследованию молочных желез, особенно это необходимо женщинам имеющим семейную историю рака молочных желез (генетическую предрасположенность). Прежде чем принимать заместительную гормональную терапию мы рекомендуем женщинам из группы риска пройти обследование и получить консультацию квалифицированного эндокринолога и онколога.
В основном определяются две формы рака молочной железы.
Рак возникающий в железистой ткани — является карциномой, которая образуется в клетках молочных протоков. Протоковый рак может быть инвазивным, с потенциалом последующего распространения, или неинвазивным. У любого рака молочной железы достаточно высокие шансы на излечение, но неинвазивные формы карциномы лучше поддаются лечению.
Другая частая фора рака — очаговый рак, возникает в дольках молочной железы.
Менее распространена агрессивная форма рака молочной железы — это воспалительный рак, такая опухоль распространяются быстро и необычно, в большой плоскости. Иногда встречается опухоли независимые от гормонов и не имеющие в своих клетках рецепторов HER2, на которые действуют современные лекарства, блокирующие рост раковых клеток.
Рак молочной железы бывает не только у женщин, крайне редко рак груди обнаруживается у мужчин. Статистика обнаружения рака у сильной половины человечества несоизмерима мала, однако такие случаи встречаются, например в США диагноз рак молочной железы ежегодно устанавливается более 2000 мужчин.
Современная система деления стадий развития рака молочной железы была разработанной отечественными онкологами, а также за своим описанием соответствует полной международной классификации по поводу стадий рака молочной железы TNM. Она состоит из 5 стадий, так как вторая стадия делится на 2А и 2В стадии.
1-я стадия — опухоль не больше двух см в диаметре, без распространения на близлежащие ткани и лимфатические узлы.
2-я А стадия — размер опухоли от 2-х до 5-и см в диаметре, частично спаянна с кожей, метастазы не обнаружены.
2-я В стадия — опухоль имеет размер около 2–5 см в диаметре, от нее отходят не больше чем два метастаза на стороне локализации опухоли.
3-я стадия — опухоль более 5 см в диаметре, имеет прорастания в кожу и окружающую жировую ткань. Присутствует симптом умбиликации — втянутая кожа над опухолью, наличие не более 2 метастазов.
4-я стадия — опухоль распространяется на всю молочную железу, присутствуют обширные изъязвления и отдаленные метастазы.
Если вы обеспокоены семейной историей рака молочной железы, мы рекомендуем вам клиники для прохождения генетического тестирования и точного определения риска. Все, что увеличивает шансы на возникновение рака молочной железы является фактором риска:
Другие факторы риска рака молочной железы включают в себя:
Исследования показывают, что многие виды рака можно предотвратить. Обратитесь к нашим медицинским консультантам за более подробной информацией.
Распространенные симптомы рака груди:
Хирургическое лечение рака молочной железы является одним из приоритетных направлений лечения, как уже было сказано в начале нашей статьи, удаление только сторожевых лимфатических узлов и опухоли — влияет на дальнейшую реабилитацию. Кроме того, по результатам биопсии планируется хирургическое лечение и комплексная терапия. Однако, нужно отметить, что биопсия может показать высокую чувствительность опухоли к гормональному лечению и специфическим таргетным лекарствам, тогда хирургия будет минимальной, а лечение при этом не потеряет своей эффективности. В некоторых случаях бывает достаточно только направленной терапии, химиотерапии, или гормонального лечения.
Мастэктомия — это основная операция по удалению опухоли молочной железы. При мастэктомии удаляется одна или две груди. Во многих клиниках совмещают мастэктомию и реконструктивную хирургию. Щадящие операции с сохранением максимальной структуры груди возможны только на ранних, первой и второй стадии рака, когда процесс имеет относительно ограниченную локализацию в молочной железе. Обследование является решающим фактором при планировании способа операции.
Лучевая терапия на сегодняшний день имеет более точечное облучение, с минимальным риском лучевого поражения здоровых участков. Для принятия решения о возможности лучевой терапии необходимо обследование. В случае выявление хорошей чувствительности опухоли к лечению, возможно ограничится только минимальной хирургией и применением современных лекарств. Несмотря на это, ваш врач может предложить локальную форму лучевой терапии, когда источник облучения располагают вблизи опухоли — это называется брахитерапией, и такая методика часто применяется во время операции для лучшей зачистки от раковых клеток, которые могут остаться после удаления опухоли. Некоторые небольшие локальные очаги опухоли с нестандартной локализацией могут быть уничтожены с помощью современного метода стереотаксической радиохирургии (кибер-нож).
Химиотерапия наиболее часто проводится до или после операции, также является основным методом лечения запущенного рака, распространившегося за пределы молочной железы. Мы предлагаем самые современные и эффективные варианты химиотерапии для рака молочной железы, которые доступны в многих клиниках мира. Мы рекомендуем опытных врачей, которые впервые применили химиотерапию до операции, чтобы уменьшить опухоль молочной железы, с целью минимального повреждение окружающих тканей во время операции.
Гормональная терапия, например лекарство «tamoxifen», помогает блокировать гормоны «подпитывающие» рост рака молочной железы. Но как было отмечено, лечение гормонами проводится в случае выявления гормональной зависимости опухоли.
Целевая терапия (таргетное лечение) рака молочной железы — это введение современных биологических лекарств, например «грцептин» является одним из видов биологической терапии, мишенью для которого служат раковые клетки производящие слишком много белка под названием HER2. Этот белок присутствует у некоторых пациентов с раком молочной железы. «Герцептин» связывается с клетками, прекратив производство HER2 белка необходимого для роста опухоли.
Стоимость лечения рака молочной железы зависит от стадии процесса и может быть минимальной на ранних стадиях рака. Мы рекомендуем лечение рака в лучших клиниках России и за рубежом, при этом в Docland.ru обеспечивается персонализированный подход и экспертный уровень выбора клиники. Мы не увеличиваем стоимость лечения, она остается равной стоимости при прямом обращении в клинику. В отличие от агентств медицинского туризма, мы предоставляем прямой доступ к лучшим онкологам, при более низкой стоимости медицинских услуг.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(3) { ["translation"]=> object(app\models\DiseaseLang)#227 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } ["diseasesInBranch"]=> array(1) { [0]=> object(app\models\DiseaseBranch)#523 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["branches"]=> array(1) { [0]=> object(app\models\Branch)#524 (13) { ["relevance"]=> NULL ["count"]=> NULL ["imageFile"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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string(6) "LRANGE" [95]=> string(4) "LREM" [96]=> string(4) "LSET" [97]=> string(5) "LTRIM" [98]=> string(4) "MGET" [99]=> string(7) "MIGRATE" [100]=> string(7) "MONITOR" [101]=> string(4) "MOVE" [102]=> string(4) "MSET" [103]=> string(6) "MSETNX" [104]=> string(5) "MULTI" [105]=> string(6) "OBJECT" [106]=> string(7) "PERSIST" [107]=> string(7) "PEXPIRE" [108]=> string(9) "PEXPIREAT" [109]=> string(5) "PFADD" [110]=> string(7) "PFCOUNT" [111]=> string(7) "PFMERGE" [112]=> string(4) "PING" [113]=> string(6) "PSETEX" [114]=> string(10) "PSUBSCRIBE" [115]=> string(6) "PUBSUB" [116]=> string(4) "PTTL" [117]=> string(7) "PUBLISH" [118]=> string(12) "PUNSUBSCRIBE" [119]=> string(4) "QUIT" [120]=> string(9) "RANDOMKEY" [121]=> string(8) "READONLY" [122]=> string(9) "READWRITE" [123]=> string(6) "RENAME" [124]=> string(8) "RENAMENX" [125]=> string(7) "RESTORE" [126]=> string(4) "ROLE" [127]=> string(4) "RPOP" [128]=> string(9) "RPOPLPUSH" [129]=> string(5) "RPUSH" [130]=> string(6) "RPUSHX" [131]=> string(4) "SADD" [132]=> string(4) "SAVE" [133]=> string(5) "SCARD" [134]=> string(12) "SCRIPT DEBUG" [135]=> string(13) "SCRIPT EXISTS" [136]=> string(12) "SCRIPT FLUSH" [137]=> string(11) "SCRIPT KILL" [138]=> string(11) "SCRIPT LOAD" [139]=> string(5) "SDIFF" [140]=> string(10) "SDIFFSTORE" [141]=> string(6) "SELECT" [142]=> string(3) "SET" [143]=> string(6) "SETBIT" [144]=> string(5) "SETEX" [145]=> string(5) "SETNX" [146]=> string(8) "SETRANGE" [147]=> string(8) "SHUTDOWN" [148]=> string(6) "SINTER" [149]=> string(11) "SINTERSTORE" [150]=> string(9) "SISMEMBER" [151]=> string(7) "SLAVEOF" [152]=> string(7) "SLOWLOG" [153]=> string(8) "SMEMBERS" [154]=> string(5) "SMOVE" [155]=> string(4) "SORT" [156]=> string(4) "SPOP" [157]=> string(11) "SRANDMEMBER" [158]=> string(4) "SREM" [159]=> string(6) "STRLEN" [160]=> string(9) "SUBSCRIBE" [161]=> string(6) "SUNION" [162]=> string(11) "SUNIONSTORE" [163]=> string(6) "SWAPDB" [164]=> string(4) "SYNC" [165]=> string(4) "TIME" [166]=> string(5) "TOUCH" [167]=> string(3) "TTL" [168]=> string(4) "TYPE" [169]=> string(11) "UNSUBSCRIBE" [170]=> string(6) "UNLINK" [171]=> string(7) "UNWATCH" [172]=> string(4) "WAIT" [173]=> string(5) "WATCH" [174]=> string(4) "ZADD" [175]=> string(5) "ZCARD" [176]=> string(6) "ZCOUNT" [177]=> string(7) "ZINCRBY" [178]=> string(11) "ZINTERSTORE" [179]=> string(9) "ZLEXCOUNT" [180]=> string(6) "ZRANGE" [181]=> string(11) "ZRANGEBYLEX" [182]=> string(14) "ZREVRANGEBYLEX" [183]=> string(13) "ZRANGEBYSCORE" [184]=> string(5) "ZRANK" [185]=> string(4) "ZREM" [186]=> string(14) "ZREMRANGEBYLEX" [187]=> string(15) "ZREMRANGEBYRANK" [188]=> string(16) "ZREMRANGEBYSCORE" [189]=> string(9) "ZREVRANGE" [190]=> string(16) "ZREVRANGEBYSCORE" [191]=> string(8) "ZREVRANK" [192]=> string(6) "ZSCORE" [193]=> string(11) "ZUNIONSTORE" [194]=> string(4) "SCAN" [195]=> string(5) "SSCAN" [196]=> string(5) "HSCAN" [197]=> string(5) "ZSCAN" } ["_socket":"yii\redis\Connection":private]=> resource(57) of type (stream) ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } ["enableReplicas"]=> bool(false) ["replicas"]=> array(0) { } ["_replica":"yii\redis\Cache":private]=> NULL ["keyPrefix"]=> NULL ["serializer"]=> NULL ["defaultDuration"]=> int(0) ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> NULL } ["urlManager"]=> object(app\components\LangUrlManager)#26 (17) { ["enablePrettyUrl"]=> bool(true) ["enableStrictParsing"]=> bool(false) ["rules"]=> array(27) { [0]=> object(yii\web\UrlRule)#29 (16) { ["name"]=> string(28) "manage/В многопрофильных клиниках Швейцарии, предоставляющих услуги иностранным пациентам, большое внимание уделяют качеству оказываемых услуг. Помимо качественного лечения, соответствующего лучшим мировым стандартам, здесь отличный сервис. Для удобства пациентов их размещают в комфортабельных одноместных палатах, за ними ведется круглосуточное медицинское наблюдение. Больной может выбирать меню. Пациенты также высоко оценивают тактичность медперсонала, строгое соблюдение конфиденциальности.
" ["advantage"]=> string(4382) "Лечение и оздоровление в клиниках Швейцарии является одним из наиболее качественных вариантов избавления от болезни. В этой стране существуют высокие требования к профессиональной подготовке врачей, а также оснащению клиник. Используются наиболее современные методики терапии различных заболеваний, от рака до бесплодия, от неврологических болезней до проблем с костями и суставами. Большое внимание уделяется также комфортности пребывания пациентов: любой человек, приезжающий из-за границы, может рассчитывать на самый высокий уровень сервиса, внимательность медицинского персонала и соблюдение конфиденциальности.
ВОЗ, проводящая ежегодно итоги работы систем медучреждений в разных странах, постоянно причисляет швейцарскую медицину в число лучших в мире. И, хотя принятые за лечение в Швейцарии цены могут быть выше, чем в странах с менее развитой медициной, отзывы о лечении в Швейцарии показывают: те, кто хотят добиться максимального результата терапии, едут в эту страну.
Цены на лечение в клиниках этой страны нельзя назвать низкими, однако его качество вполне оправдывает затраты. По уровню цен клиники в Швейцарии дешевле, чем в США, но дороже, чем в Израиле. Стоимость лечения в Швейцарии по сравнению с Германией приблизительно одинакова. Приблизительные цены на лечение таковы:
Медицинский туризм в Швейцарии – это отрасль, которая работает как часы. Для организации поездки пациент может воспользоваться услугами компании-посредника или же организовать поездку самостоятельно. Медицинские посредники помогают выбрать клинику для лечения, составить и согласовать с медиками график пребывания, помочь с оформлением визы и приобретением билетов. Также компании-посредники позаботятся о наличии переводчика и могут составить культурную или развлекательную программу на время пребывания в стране. Поскольку санатории Швейцарии так же популярны, как и лечебные клиники, многие пациенты объединяют отдых в санаториях с лечением. Компании-посредники берут на себя хлопоты по организации пребывания в санатории.
" ["specialization"]=> string(0) "" ["accessibility"]=> string(2068) "Официальный язык – немецкий (швейцарский немецкий), французский (швейцарский французский), итальянский, ретороманский
Государственная валюта - швейцарский франк.
Возможные способы оплаты: наличными (швейцарский франк, евро)
кредитные карты: VISA, MASTERCARD
банковский перевод, необходимо провести за 3 дня до начала обследования / лечения.
перевод Western Union или Money Gram.
Время полета (Моcква - Вена) – 3 часа 3 минуты
При организации лечения за границей у людей может возникнуть ряд вопросов. Как правило, они однотипные, и в первую очередь пациентов волнуют две проблемы:
Как попасть на лечение?
Как оплатить лечение?
Самый простой способ поехать на лечение в Швейцарию – обратиться к услугам надежных специализированных компаний, которые помогут подобрать подходящую клинику и оформить необходимые документы.
Иностранцы в швейцарские клиники принимаются только после полной предоплаты лечения. Если по каким-либо причинам необходимость в предоплаченных процедурах отпадает, их стоимость затем пациенту возвращается." ["prices"]=> string(223) "Helvetic Airways 18 931 р.
Easyjet 42 503 р.
Аэрофлот 61 214 р.
" ["service_advantage"]=> string(293) "Наиболее современные и успешные способы лечения; Высочайший уровень квалификации врачей; Возможность санаторно-курортного лечения; Высокий уровень сервиса." ["public"]=> int(1) ["doctors_description"]=> string(1056) "Медицинский персонал, осуществляющий лечение иностранных пациентов в клиниках Швейцарии, отличается высоким профессионализмом и тактичностью. Для медицины Швейцарии характерны доверительно-дружеские отношения между персоналом клиники и пациентом. Здесь считают, что только по достижении полного взаимопонимания можно получить по-настоящему хороший результат. Обратившись за помощью, вы можете рассчитывать не только на качественное лечение по самым современным методикам, использование лекарств нового поколения, но и на возможность соединить отдых и лечение.
" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(500) "Швейцарская медицина считается одной из самых прогрессивных в мире. Особенно развиты направления терапии онкопатологий и бесплодия, ортопедия, пластическая хирургия, нейрохирургия и офтальмология. Высокий профессионализм врачей, безупречный сервис, полная анонимность." 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["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [1]=> object(app\models\City)#615 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(14) "Женолье" ["link"]=> string(7) "zhenole" ["genitive_title"]=> string(14) "Женолье" ["adj_genitive_plural_title"]=> string(14) "Женолье" ["prepositional_title"]=> string(14) "Женолье" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#621 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [2]=> object(app\models\City)#617 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(14) "Лозанна" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(14) "Лозанны" ["adj_genitive_plural_title"]=> string(14) "Лозанна" ["prepositional_title"]=> string(14) "Лозанне" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#622 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } } ["clinics"]=> array(4) { [0]=> object(app\models\Clinic)#619 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3230) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["genitive_title"]=> string(51) "Клиники Хирсланден в Цюрихе" ["link"]=> string(29) "klinika-hirslanden-v-tsjurihe" ["about"]=> string(1234) "Клиника Хирсланден располагается в Цюрихе — одном из крупных городов северо-востока Швейцарии, столице одноименного кантона. Это современный частный медицинский центр с инновационной инфраструктурой и высочайшими стандартами предоставления медицинской помощи. Центр известен в стране, как один из наиболее передовых. Тут граждане Швейцарии и иностранные гости проходят диагностику и лечение на новейшей аппаратуре, в центре работают современные операционные, проводятся конвенциональные и малоинвазивные операции, процедуры радиотерапии, физиотерапии. В клинике работает более 1000 специалистов, а количество отделений и институтов составляет несколько десятков. " ["description"]=> string(11458) "Территориально клиника находится неподалеку от Цюрихского озера, в районе Хирсланден. Сюда можно легко добраться на общественном или частном транспорте. Многие пациенты предпочитают приезжать сюда на бесплатном автобусе клиники. Центр предлагает своим пациентам полный спектр медицинских услуг, начиная от экстренных процедур и заканчивая плановой госпитализацией.
Лечение в клинике Хирсланден основано на использовании самых передовых методов медицины — тут работают современные лаборатории, оснащенные высокотехнологичным оборудованием, применяются новейшие лекарственные препараты и методы физиотерапии. Отзывы о клинике Хирсланден можно встретить на различных специализированных интернет-площадках, где пациенты делятся друг с другом своим мнением по поводу того или иного медицинского центра. В большинстве случаев, бывшие пациенты Хирсланден отмечают высокий уровень профессионализма работающих здесь врачей и эффективность применяемых ими методов лечения.
В центре работает более 50 разных подразделений и институтов, основные направления — кардиология, висцеральная хирургия, неврология и нейрохирургия, ортопедия, гинекология и акушерство. Отделение экстренной медицинской помощи в клинике действует 24 часа в сутки 7 дней в неделю.
В отделении проводится полный спектр процедур по диагностике и лечению сердечно-сосудистых заболеваний, начиная от курсов медикаментозной терапии и заканчивая катетерной дилатацией коронарных сосудов, имплантацией сосудистых протезов, установкой сердечных клапанов и шунтированием сердца. Ежегодно тут проводится более 2000 процедур катетерной диагностики, около 800 процедур баллонной дилатации и около 800 открытых операций на сердце.
Врачи, которые работают в центре, обладают многолетней практикой лучевой диагностики заболеваний органов брюшной полости и помогают гастроэнтерологам, гепатологам, урологам, гинекологам и хирургам клиники, проводят ультразвуковую диагностику, компьютерную томографию и МРТ. Здесь проводятся комплексные исследования печени, поджелудочной железы, селезенки, кишечника, почек, мочеполовой системы.
В этом подразделении проводятся высокотехнологичные исследования, основанные на использовании методов ядерной диагностики и гибридной диагностической аппаратуры, позволяющей использовать совместно конвенциональный компьютерный томограф и однофотонную эмиссионную томографию (т. н. SPECT/CT).
В центре проводятся операции на органах брюшной полости, тут работают торакальные хирурги, проводятся вмешательства по удалению опухолей. Здесь преимущественно проводятся хирургические операции на мягких тканях, в центр поступают пациенты, нуждающиеся в комплексных и сложных операциях на брюшной полости и грудной полости. Большая часть хирургов центра имеет профессорские ученые степени.
В центре чек-ап диагностики ежегодно проходят профилактическое обследование тысячи пациентов — как жителей кантона, так и гостей страны. К услугам пациентов Хирсланден — более 1100 квалифицированных специалистов и несколько десятков специализированных центров. Здесь можно пройти стандартную программу чек-ап или программу диагностики, ориентированную на специфические нужды.
Специалисты центра занимаются протезированием коленных, плечевых, тазобедренных и локтевых суставов. Тут применяются современные модели имплантатов, позволяющие гарантировать высокую надежность использования протеза. Применяя малоинвазивные методы замены суставов, врачи обеспечивают сохранение мышечных и других мягких тканей, сокращение периода реабилитации и ускорение восстановления функций сустава. В центре применяются современные навигационные и роботизированные системы. Тут же проводятся артроскопические операции по восстановлению поврежденных структур коленного и плечевого суставов.
В отделении проходят амбулаторное и стационарное лечение пациенты со злокачественными заболеваниями — как солидными опухолями, так и раковыми поражениями крови. Лечение проходит в спокойной и умиротворяющей атмосфере, с использованием самых современных подходов — инновационных методов абляции, малоинвазивной хирургии, радиотерапии, системных химиопрепаратов и средств таргетной терапии. Отделение работает в тесном сотрудничестве со Швейцарским институтом иммунологического лечения опухолей.
В клинике круглосуточно и без выходных проводятся лучевые исследования — рентгенография, томография, комплексные исследования. Тут же осуществляются малоинвазивные интервенционные исследования. Результаты диагностики быстро интерпретируются. Работает курьерская служба, которая доставляет данные лучевой диагностики на CD-дисках в течение двух дней после проведения обследования.
Основные мощности института располагаются на территории другого центра — клиники Männedorf, вскоре их структуры будут объединены в единый комплекс. На данный момент пациенты клиники здесь проходят полный комплекс процедур, связанных с лучевым лечением новообразований на новейших линейных ускорителях TrueBeam и установках стереотаксической хирургии Cyberknife. Также тут проводятся процедуры контактного радиологического лечения опухолей и процедуры интраоперационной радиотерапии.
В центре проходят лечение спортсмены с травмами суставов, связок, сухожилий, мышечных тканей. Тут проводят артроскопические операции, лечат переломы, проводят трансплантацию хрящевых тканей и замену суставов.
Помимо вышеперечисленных подразделений, в клинике действует множество других — центр лечения инсульта, центр травмы, работают отделения урологии, ЛОР-заболеваний, косметической хирургии, ревматологии, физиотерапии, центр лечения заболеваний сосудов, неонатальное отделение и родильный дом, отделения гастроэнтерологии, лечения головной боли, инфекционных заболеваний, подразделение диагностики патологий молочной железы и др.
" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(47) "Witellikerstrasse 40, 8032 Zürich, Switzerland" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["seo_h1"]=> string(118) "Клиника Хирсланден в Цюрихе — современный медицинский комплекс" ["seo_description"]=> string(492) "Клиника Хирсланден в Цюрихе — современный частный медицинский центр, в котором работают опытные врачи и установлено современное оборудование. Пациенты клиники проходят обследование на высокоточной аппаратуре и получают терапию, основанную на эффективных подходах." 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["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-20 12:45:41" ["updated_at"]=> string(19) "2019-05-20 14:14:19" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3250) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(58) "Университетская клиника Цюриха" ["genitive_title"]=> string(58) "Университетской клиники Цюриха" ["link"]=> string(33) "universitetskaja-klinika-tsjuriha" ["about"]=> string(1590) "В клинике работает порядка 8000 сотрудников, из них — более 1300 врачей. Ежегодно в центре около 130 тысяч пациентов проходят амбулаторное лечение и 35 тысяч пациентов пролечиваются в режиме стационара. Общее количество структурных подразделений клиники превышает четыре десятка. Отзывы о Университетской клинике Цюриха по большей части положительные, пациенты отмечают высокое качество предоставленных им медицинских услуг, возможность поучаствовать в клинических испытаниях новейших видов терапии. В клинике постоянно проводятся исследования в области регенеративной и персонализированной медицины. Хотя стоимость лечения в Университетской клинике Цюриха и нельзя назвать невысокой, сюда стремятся попасть пациенты со всех стран мира — ведь качество лечебных процедур и уровень подготовки врачей здесь соответствуют самым высоким международным стандартам. " ["description"]=> string(9155) "Университетская клиника Цюриха в Швейцарии — один из немногих университетских медицинских центров в стране и первая клиника, образованная в городе. Свое начало больница берет с 1204 года. За прошедшие столетия как название, так и местоположение клиники несколько раз менялись. В университетской клинике работали и продолжают работать многие выдающиеся врачи. В 20 веке тут трудился известный немецкий хирург Фердинанд Зауэрбрух, основоположник торакальной хирургии. Сегодня в стенах клиники проводит свои исследования иммунной системы человека профессор Рольф Мартин Цинкернагель — обладатель Нобелевской премии по физиологии и медицине.
Для гостей и пациентов клиники работает Wi-Fi. Действует трехразовая система питания с возможностью выбора блюд и изменения диеты (больше углеводов, больше овощей и т. д.). Доступна специализированная диета для больных диабетом и пациентов со специфическими требованиями к пище. Также в клинике действует несколько кафе и бистро. На территории центра есть банкоматы, работают парикмахерские, имеются комнаты для посетителей и детские комнаты. Гостевой дом клиники состоит из шести однокомнатных и шести двухкомнатных апартаментов, где родственники пациентов могут оставаться на период их госпитализации. Также здесь проживают пациенты перед тем, как лечь в клинику или после госпитализации. Комнаты оборудованы всем необходимым — начиная от стиральных машин и заканчивая телевизионными панелями.
Цены в Университетской клинике Цюриха в большинстве своем соответствуют расценкам остальных западно-европейских клиник. Нельзя сказать, что они слишком уж демократичны. Но и излишне высокими они тоже не являются, о чем свидетельствует хотя бы то, что в центре периодически можно встретить пациентов из России, Украины, других бывших союзных республик. Для медицинских туристов в центре действует международный отдел, сотрудники которого свободно разговаривают на нескольких языках и обеспечивают полную поддержку больного на всех этапах лечения.
В клинике действует несколько десятков структурных подразделений, приведем лишь некоторые из них.
Центр лечения рака работает совместно с Университетской детской клиникой Цюриха и занимается лечением широкого спектра злокачественных заболеваний как у взрослых, так и у маленьких пациентов. Тут можно пройти самые инновационные лечебные процедуры, основанные на междисциплинарном подходе и результатах последних научных исследований. Пациенты центра проходят курсы химиотерапии, лучевую терапию, таргетную и иммунную терапию. Врачи подразделения обладают большим опытом проведения малоинвазивных операций по удалению опухолей. Также специалисты центра предоставляют «второе мнение» пациентам из других стран.
Институт клинической химии — подразделение, специализирующееся на лабораторных методах диагностики. Здесь применяются новейшие химические, физические и биологические методы исследований, разрабатываются новые виды диагностических тестов естественных биологических жидкостей человека (крови, мочи и т. д.).
В Институте невропатологии работают врачи, занимающиеся вопросами диагностики и терапии патологий центральной и периферической нервной системы и скелетной мускулатуры. В тесном сотрудничестве невропатологи и нейрохирурги института проводят лечение самого широкого спектра болезней — от прионных заболеваний до разного рода энцефалопатий.
Сотрудники Института патологии и молекулярной патологии занимаются лабораторной диагностикой, используя образцы тканей пациента. Здесь проводятся гистопатологические, цитопатологические, молекулярные исследования.
В отделении пульмонологии проходят лечение пациенты с различными видами заболеваний дыхательной системы, в частности — хронической обструктивной болезнью легких, апноэ во сне. Сотрудники отделения работают в тесном контакте с врачами отделения трансплантологии, где осуществляется пересадка легких.
Врачи отделения торакальной хирургии проводят операции на грудной клетке, лечат опухоли легких и плевры, эмфизему, проводят малоинвазивные робот-ассистированные операции.
В клинике действует и множество других отделений и специализированных центров.
В составе клиники имеется отделение лучевой диагностики, позволяющее проводить исследование и лечение больных различными болезнями — заболеваниями желудочно-кишечного тракта, неврологическими, гинекологическими, сердечно-сосудистыми заболеваниями. Также здесь проводятся процедуры, связанные с ортопедической и пластической хирургией.
Цены в клинике Женолье выше, чем в среднем по Европе. Это определяется тем, что медицинский центр ориентируется на предоставление инновационных медицинских услуг и сервиса высочайшего качества.
В клинике действует амбулаторное отделение, где врачи дают консультации, а пациенты проходят лечебные процедуры, не требующие госпитализации. Здесь проводится лабораторная диагностика и лучевые исследования. В клинике работает один из самых передовых хирургических центров в Европе, операционные которого оснащены инновационным оборудованием, позволяющим, помимо всего прочего, проводить сеансы телемедицины.
Отзывы о клинике Женолье в целом очень позитивно характеризуют качество полученных лечебных процедур. Многих пациентов совершенно не волнует, сколько стоит лечение в клинике Женолье — их прежде всего интересует результат терапии. И подавляющее большинство пациентов клиники не разочаровываются в своих ожиданиях.
В клинике работает специализированный международный отдел, его сотрудники занимаются приемом заявок и ведением иностранных пациентов, которые прибывают сюда из самых разных точек мира — Среднего Востока, Европы, Азии и других мест. Сервисное обслуживание больного не ограничивается одним лишь предоставлением медицинской помощи, каждый пациент получает персонального медицинского координатора, который помогает подбирать врачей, координирует их, осуществляет функции переводчика и т. д.
В клинике действует почти полсотни отделений и специализированных подразделений. Пациенты могут здесь получить медицинскую помощь, ориентированную на лечение самого широкого спектра заболеваний — от аллергии до язвы желудка.
Специалисты отделения занимаются диагностикой атеросклероза и патологий клапанов сердца, аритмии, инфаркта миокарда, повышенного давления, коронарной недостаточности и других заболеваний сердечно-сосудистой системы. Также здесь проводятся процедуры, связанные с интервенционной кардиологией — пациентам делают катетеризацию, устанавливают коронарные стенты и искусственные клапаны сердца.
Врачи отделения проводят операции на органах грудной клетки, удаляют новообразования бронхов и легких, лечат заболевания плевры. Здесь широко применяется лазерная хирургия, особенно при лечении обструкции дыхательных путей, вызванной ростом новообразований.
Специалисты отделения занимаются терапией изменений и заболеваний, связанных с возрастом. Сюда поступают пациенты в возрасте 65-80 лет и старше. Они получают медицинскую, психологическую и социальную помощь, направленную на коррекцию физических, функциональных, психических и когнитивных расстройств. Здесь пациенты получают помощь как в условиях амбулатории, так и в условиях стационара. Врачи отделения обладают большим опытом терапии острых и хронических заболеваний, а также последующей реабилитации пациентов.
Лечение в онкологическом отделении проводится на междисциплинарной основе — с болезнью пациента борется целая команда специалистов из разных областей. Используя последние достижения в медицине, хирурги и радиологи, специалисты по химиотерапии и биотерапии совместными усилиями уверенно выводят больного на ремиссию. Здесь применяются инновационные таргетные препараты, современные средства гормональной и иммунной терапии.
В отделении предоставляется такая уникальная услуга, как медицинский гипноз — пройдя от 3 до 10 сеансов психотерапии, больной получает возможность находить и мобилизовать собственные силы для поиска решений своих ежедневных проблем.
В отделении работают врачи хирургических специальностей, обладающие большим клиническим опытом оперативного лечения травм и дегенеративных заболеваний опорно-двигательного аппарата. Тут проходят курсы терапии больные с заболеваниями позвоночника, связок, суставов, сухожилий и мышц. Специалисты отделения лечат переломы конечностей и позвоночника, дислокацию суставов, разрывы мышц, опухоли костей и остеоартроз, проводят операции по полному и частичному эндопротезированию.
В отделении трудится более десяти физиотерапевтов, специализирующихся на лечении травм и заболеваний опорно-двигательного аппарата, а также на общей реабилитации пациентов. Отделение оснащено новейшим изокинетическим оборудованием, которое позволяет в сжатые сроки восстанавливать подвижность в коленных, плечевых, локтевых, тазобедренных суставах. Тут получают медицинскую помощь и пациенты после хирургических операций, пока полностью не восстановят свою форму.
Хирурги отделения имеют значительный клинический опыт реконструктивной и эстетической хирургии, коррекции врожденных анатомических аномалий, увеличения и уменьшения груди, подтяжки лица, ринопластики, брефаропластики, омоложения кожи с использованием лазерных процедур.
Отделение радиологического лечения злокачественных заболеваний — одно из самых передовых в Западной Европе. Тут установлено высокоточное оборудование, позволяющее проводить гипер- и гипофракционированную дистанционную радиотерапию, роботизированную стереотаксическую радиохирургию, контактную радиотерапию.
В клинике действуют и другие отделения — гинекологии, дерматологии, общей хирургии, эндокринологии, офтальмологии, нейрохирургии, робот-ассистированной и лапароскопической хирургии, сосудистой хирургии, урологии, неврологии, пульмонологии, психиатрии и др.
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["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#634 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-zhenole" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#634 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-zhenole" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" 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["value"]=> object(Closure)#633 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#636 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#635 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#633 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#634 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-zhenole" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#635 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#633 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#636 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } [3]=> object(app\models\Clinic)#637 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(0) "" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(29) "Клиника Леманик" ["genitive_title"]=> string(29) "Клинике Леманик" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(1694) "Клиника Леманик в Швейцарии хорошо известна, как передовой центр эстетической и регенеративной медицины. Своим пациентам клиника предоставляет косметические процедуры и услуги по омоложению, основанные на самых инновационных и высокотехнологичных подходах. Отзывы о клинике Леманик подтверждают высокое качество применяемых процедур — это эстетическая дерматология и хирургические операции на коже, терапия, направленная на омоложение кожи, пластическая и реконструктивная хирургия, регенеративные процедуры. Врачи центра обладают большим опытом лечения заболеваний кожи и слизистых, ногтей и волос, проводят эффективную терапию акне и псориаза, витилиго и гипергидроза, экземы и дерматитов. Хирурги успешно исправляют косметические дефекты, а специалисты по превентивной и функциональной медицине занимаются вопросами общего омоложения организма, восстановления гибкости, силы, улучшения жизненного тонуса. " ["description"]=> string(8752) "Располагается клиника в Лозанне — четвертом по величине городе Швейцарии. Сюда приезжает много женщин из США и Европы, клиника хорошо известна в России, Украине и других бывших государствах СНГ. Это один из наиболее оснащенных медицинских центров, ориентированный на решение вопросов эстетики человеческого тела и борьбы с возрастными изменениями. Тут активно применяется высокотехнологичная аппаратура — лазерные установки, оборудование для эстетической хирургии, фототерапии, криотерапии.
Цены в клинике Леманик вполне приемлемы на взгляд среднестатистического жителя Западной Европы. Хотя стоимость лечения в клинике Леманик для жителей бывших союзных республик может показаться несколько завышенной, это — лишь следствие различия в уровне жизни. Для обычного швейцарца стоимость процедуры омоложения кожи в клинике не выше, чем стоимость ужина в среднем женевском ресторане. Если принять во внимание эффективность предоставляемых процедур и долговременный эстетический эффект, их стоимость выглядит вполне приемлемой.
Специалисты клиники применяют самый широкий спектр современных подходов, позволяющих быстро и эффективно убирать косметические дефекты, улучшать эстетику лица и других частей тела.
Лечение рубцов от акне с помощью синего света — безболезненный метод, который позволяет значительно улучшить внешний вид всего за 2-4 процедуры, каждая из которых длится по 15 минут и состоит в облучении проблемных участков кожи светом длиной волны 400-700 нм и 800-1200 нм с определенной частотой пульсации.
Аквалифтинг — техника регенерации кожи лица, позволяющая восстановить эластичность, убрать мелкие морщины, удалить пигментные пятна, возникающие в результате гормональных и сосудистых аномалий. Одна сессия длится порядка 60 минут, за это время в кожу «впрыскивается» стерильная вода или физраствор, обогащенные антиоксидантами, витаминами, средствами борьбы со свободными радикалами. Такой революционный подход в медицине называют «трансдермальным введением воды и активных молекул».
Блефаропластика — хирургические операции по удалению излишков кожи и подкожного жира на верхних и нижних веках. Практически сразу после процедуры глаза становятся более открытыми, а лицо более молодым и привлекательным. Иногда блефаропластика сочетается с подтяжкой лица, за счет чего обеспечивается еще более выразительный омолаживающий эффект.
Пластические операции по увеличению или уменьшению груди — одни из самых востребованных в клинике. Здесь можно провести коррекцию птоза, асимметрии груди и сосков, установить силиконовые имплантаты. Как правило, после хирургической операции пациентка проводит в клинике всего несколько дней и потом может возвращаться к своей обыденной жизни.
Карбокситерапия — подкожное введение углекислого газа, позволяющее стимулировать процессы регенерации и омоложения кожи. Процедура позволяет убрать небольшое провисание кожи лица, шеи, рук, живота и т. д., убрать мешки под глазами, растяжки кожи. Врач делает микроинъекции углекислого газа в кожу, в ответ на это обработанные участки начинают активно снабжаться кислородом, структура коллагена улучшается, кожа приобретает эластичность. В поверхностных слоях кожи улучшается метаболизм, происходит формирование нового коллагена и эластина, начинается липолиз жировых тканей.
Удаление целлюлита с использованием прибора Cellu M6 Endermolab позволяет безболезненно и аккуратно проводить глубокий LPG массаж, воздействуя на ткани во всех направлениях и стимулируя липолиз.
Криолиполиз — инновационный метод реабсорбции жировых тканей с помощью пониженных температур. Используя специальную аппаратуру, врач «замораживает» жировые клетки в глубоких слоях кожи без повреждения других тканей эпидермиса. Одна процедура длится около двух часов и позволяет вызвать естественный липолиз адипоцитов.
Фракционированный лазер — технология, которая позволяет разглаживать поверхность кожи, удалять морщины, уменьшать рубцы и растяжки. Процедура обладает омолаживающим эффектом, может применяться на коже лица, шеи, рук и т. д. Техника фототермолиза представляет собой одну из наиболее современных разработок в области эстетической медицины. Обычно один курс состоит из четырех сеансов.
В клинике, помимо вышеперечисленных процедур, проводят и другие — лазерное удаление дефектов и татуировок, волос и пигментных пятен, хирургический лифтинг лица, делают липоскульптуру и пластику живота, термаж и пилинг, мезотерапию, инъекции ботокса и гиалуроновой кислоты, фототерапию, нехирургический лифтинг груди и т. д. Сюда приезжает множество женщин из бывших государств СНГ — каждая из них, пройдя комплекс процедур, остается довольна полученным эффектом.
" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(70) "Швейцария, Лозанна 1003, Lausanne, 2 Avenue De La Gare" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(29) "Клиника Леманик" ["seo_h1"]=> string(29) "Клиника Леманик" ["seo_description"]=> string(477) "Клиника Леманик — специализированный швейцарский центр эстетической медицины. Опытные врачи, современная высокотехнологичная аппаратура, самый полный спектр эффективных процедур. Лазерное омоложение, хирургические косметические операции, криотехнологии." ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\ClinicLang)#646 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(16) { ["id"]=> int(334) ["clinic_id"]=> int(350) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["public"]=> int(0) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(16) { ["id"]=> int(334) ["clinic_id"]=> int(350) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["public"]=> int(0) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } 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There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(56) "Рак груди (рак молочной железы)" ["genitive_title"]=> string(19) "Рака груди" ["link"]=> string(19) "lechenie-raka-grudi" ["about"]=> string(1772) "Рак молочной железы является одним из самых изученных в онкологии. Нет повода отчаиваться узнав о диагнозе рак груди, но правильным решением будет понять все доступные возможности современного лечения рака молочной железы в специализированных клиниках России и за пределами нашей страны. Мы рекомендуем для вас лучших маммологов-онкологов, хирургов, радиологов, онкологов-химиотерапевтов, радиологов и специалистов в области генетической-молекулярной диагностики рака. Прежде чем принять решение о лечение рака молочной железы, мы советуем вам убедиться, что технология является наиболее передовой, а лечение наименее инвазивным, насколько это возможно с учетом стадии заболевания. Кроме того, после окончания основного этапа лечения, связанного с удалением опухоли, мы рекомендуем опытных пластических хирургов, предлагающих несколько вариантов реконструкции груди: с использованием жировой ткани, аутотрансплантации кожи и новейших имплантатов груди.
" ["description"]=> string(22096) "Во многом, тактика лечения рака молочной железы базируется на правильной диагностике опухоли. Верификация образца полученной ткани опухоли позволяет определить в злокачественных клетках рака молочной железы специальные рецепторы (белки), чувствительные к новым таргетным лекарствам, гормонам, препаратам химиотерапии. Поэтому персонализированное, а значит более эффективное лечение — возможно проводить только после получения результатов биопсии, которой не нужно бояться. Биопсия в современных клиниках выполняется с помощью очень тонкой иглы и под контролем оборудования визуальной диагностики (рентген, ультразвук). Кроме того, результаты биопсии можно получить в течение 30 минут, это особенно важно когда нет времени ждать и принято решение о хирургическом лечении опухоли. В этом случае, уже во время операции будет известен характер опухоли, а значит и дальнейшая тактика лечения определяется безотлагательно.
Еще раз подчеркнем, что правильное лечение рака молочной железы должно быть персонализированным, когда вам говорят — «что у нас есть протокол лечения рака» — это означает, что он должен быть применен только после цитогенетического исследования полученного образца опухоли. Иначе существует риск общетоксического воздействия препаратов химиотерапии и низкого их избирательного эффекта на опухоль. Мы говорим об этом потому, что сталкивались с подобными случаями в своей практике и считаем своим долгом сказать о правильности современных подходов к диагностике и лечению рака молочной железы.
Кроме биопсии не менее важна визуализация, или говоря иными словами — обнаружение опухоли в тканях груди с помощью современного оборудования. Маммография с томосинтезом — это многомерное исследование тканей молочной железы, проводится как и обычная маммография, только комфортнее для женщины и ценнее для врача. Так как, современная трехмерная томография не пропустит ни одного (даже самого маленького) очага опухоли молочной железы. Этот метод хорош не только для определения опухоли, но и для рутинных проверок, благодаря которым рак груди стал выявляться на ранних стадиях, следовательно, лечение и последствия рака могут быть минимальными.
Для обнаружения возможного распространения раковых клеток в ближайшие лимфатические узлы (при подозрении), проводится биопсия и возможное удаление сторожевых лимфатических узлов, В некоторых западных клиниках и больницах Израиля, а в последнее время в ведущих российских больницах — применяется тактика совмещения удаления опухоли молочной железы и одновременного удаления сторожевых лимфатических узлов (только ближайших к опухоли узлов, в которых обнаружен раковые клетки). Такой подход позволяет избежать опасного и неприятного последствия — лимфостаза рук, а следовательно избежать необходимость длительной реабилитации после хирургического лечения. Всегда важно определить отсутствие метастазов опухоли в других участках тела. Конечно, если обратиться к врачу на ранних стадиях рака, когда вы только пальпаторною обнаружили в молочной железе небольшой узелок и «нашли» полчаса времени на маммографию, то поиск метастазов не нужен.
Но мы сталкиваемся, к большому сожалению, с запущенными формами рака молочной железы, когда необходимо обязательное проведение ПЭТ КТ для поиска отдаленных опухолей. Конечно и в этом случае есть решения, к примеру, в одной из израильских больниц установлено оборудование для мультипланарного обнаружения множественных метастазов рака в головном мозге и возможностью за один сеанс радиотерапии разрушить несколько метастазов.
Мы хорошо знакомы с примерами успешного лечения рака груди на разных стадиях онкологического процесса, однако мы призываем всех женщин к регулярному обследованию, самообследованию молочных желез, особенно это необходимо женщинам имеющим семейную историю рака молочных желез (генетическую предрасположенность). Прежде чем принимать заместительную гормональную терапию мы рекомендуем женщинам из группы риска пройти обследование и получить консультацию квалифицированного эндокринолога и онколога.
В основном определяются две формы рака молочной железы.
Рак возникающий в железистой ткани — является карциномой, которая образуется в клетках молочных протоков. Протоковый рак может быть инвазивным, с потенциалом последующего распространения, или неинвазивным. У любого рака молочной железы достаточно высокие шансы на излечение, но неинвазивные формы карциномы лучше поддаются лечению.
Другая частая фора рака — очаговый рак, возникает в дольках молочной железы.
Менее распространена агрессивная форма рака молочной железы — это воспалительный рак, такая опухоль распространяются быстро и необычно, в большой плоскости. Иногда встречается опухоли независимые от гормонов и не имеющие в своих клетках рецепторов HER2, на которые действуют современные лекарства, блокирующие рост раковых клеток.
Рак молочной железы бывает не только у женщин, крайне редко рак груди обнаруживается у мужчин. Статистика обнаружения рака у сильной половины человечества несоизмерима мала, однако такие случаи встречаются, например в США диагноз рак молочной железы ежегодно устанавливается более 2000 мужчин.
Современная система деления стадий развития рака молочной железы была разработанной отечественными онкологами, а также за своим описанием соответствует полной международной классификации по поводу стадий рака молочной железы TNM. Она состоит из 5 стадий, так как вторая стадия делится на 2А и 2В стадии.
1-я стадия — опухоль не больше двух см в диаметре, без распространения на близлежащие ткани и лимфатические узлы.
2-я А стадия — размер опухоли от 2-х до 5-и см в диаметре, частично спаянна с кожей, метастазы не обнаружены.
2-я В стадия — опухоль имеет размер около 2–5 см в диаметре, от нее отходят не больше чем два метастаза на стороне локализации опухоли.
3-я стадия — опухоль более 5 см в диаметре, имеет прорастания в кожу и окружающую жировую ткань. Присутствует симптом умбиликации — втянутая кожа над опухолью, наличие не более 2 метастазов.
4-я стадия — опухоль распространяется на всю молочную железу, присутствуют обширные изъязвления и отдаленные метастазы.
Если вы обеспокоены семейной историей рака молочной железы, мы рекомендуем вам клиники для прохождения генетического тестирования и точного определения риска. Все, что увеличивает шансы на возникновение рака молочной железы является фактором риска:
Другие факторы риска рака молочной железы включают в себя:
Исследования показывают, что многие виды рака можно предотвратить. Обратитесь к нашим медицинским консультантам за более подробной информацией.
Распространенные симптомы рака груди:
Хирургическое лечение рака молочной железы является одним из приоритетных направлений лечения, как уже было сказано в начале нашей статьи, удаление только сторожевых лимфатических узлов и опухоли — влияет на дальнейшую реабилитацию. Кроме того, по результатам биопсии планируется хирургическое лечение и комплексная терапия. Однако, нужно отметить, что биопсия может показать высокую чувствительность опухоли к гормональному лечению и специфическим таргетным лекарствам, тогда хирургия будет минимальной, а лечение при этом не потеряет своей эффективности. В некоторых случаях бывает достаточно только направленной терапии, химиотерапии, или гормонального лечения.
Мастэктомия — это основная операция по удалению опухоли молочной железы. При мастэктомии удаляется одна или две груди. Во многих клиниках совмещают мастэктомию и реконструктивную хирургию. Щадящие операции с сохранением максимальной структуры груди возможны только на ранних, первой и второй стадии рака, когда процесс имеет относительно ограниченную локализацию в молочной железе. Обследование является решающим фактором при планировании способа операции.
Лучевая терапия на сегодняшний день имеет более точечное облучение, с минимальным риском лучевого поражения здоровых участков. Для принятия решения о возможности лучевой терапии необходимо обследование. В случае выявление хорошей чувствительности опухоли к лечению, возможно ограничится только минимальной хирургией и применением современных лекарств. Несмотря на это, ваш врач может предложить локальную форму лучевой терапии, когда источник облучения располагают вблизи опухоли — это называется брахитерапией, и такая методика часто применяется во время операции для лучшей зачистки от раковых клеток, которые могут остаться после удаления опухоли. Некоторые небольшие локальные очаги опухоли с нестандартной локализацией могут быть уничтожены с помощью современного метода стереотаксической радиохирургии (кибер-нож).
Химиотерапия наиболее часто проводится до или после операции, также является основным методом лечения запущенного рака, распространившегося за пределы молочной железы. Мы предлагаем самые современные и эффективные варианты химиотерапии для рака молочной железы, которые доступны в многих клиниках мира. Мы рекомендуем опытных врачей, которые впервые применили химиотерапию до операции, чтобы уменьшить опухоль молочной железы, с целью минимального повреждение окружающих тканей во время операции.
Гормональная терапия, например лекарство «tamoxifen», помогает блокировать гормоны «подпитывающие» рост рака молочной железы. Но как было отмечено, лечение гормонами проводится в случае выявления гормональной зависимости опухоли.
Целевая терапия (таргетное лечение) рака молочной железы — это введение современных биологических лекарств, например «грцептин» является одним из видов биологической терапии, мишенью для которого служат раковые клетки производящие слишком много белка под названием HER2. Этот белок присутствует у некоторых пациентов с раком молочной железы. «Герцептин» связывается с клетками, прекратив производство HER2 белка необходимого для роста опухоли.
Стоимость лечения рака молочной железы зависит от стадии процесса и может быть минимальной на ранних стадиях рака. Мы рекомендуем лечение рака в лучших клиниках России и за рубежом, при этом в Docland.ru обеспечивается персонализированный подход и экспертный уровень выбора клиники. Мы не увеличиваем стоимость лечения, она остается равной стоимости при прямом обращении в клинику. В отличие от агентств медицинского туризма, мы предоставляем прямой доступ к лучшим онкологам, при более низкой стоимости медицинских услуг.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } ["diseasesInBranch"]=> array(1) { [0]=> object(app\models\DiseaseBranch)#523 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["branches"]=> array(1) { [0]=> object(app\models\Branch)#524 (13) { ["relevance"]=> NULL ["count"]=> NULL ["imageFile"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(179) "Лечение онкологии за границей без посредников, цены зарубежных клиник, отзывы пациентов - Докланд" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(574) "лечение онкологии за границей, лечение онкологии за рубежом, лечение за рубежом рака, лечение рака за границей, лечение рака за границей стоимость, лечение рака в европе, лечение рака за границей отзывы, отзывы лечение рака легких за границей, онкологическая хирургия в европе, лечение онкозаболеваний за границей" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\BranchLang)#529 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#209 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#207 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } } } ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> NULL } ["clinicSearch"]=> object(app\components\search\ClinicSearch)#317 (3) { ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> NULL } ["i18n"]=> object(yii\i18n\I18N)#516 (5) { ["translations"]=> array(5) { ["app*"]=> object(app\components\CustomMessageSource)#518 (8) { ["basePath"]=> string(13) "@app/messages" ["fileMap"]=> NULL ["forceTranslation"]=> bool(false) ["sourceLanguage"]=> string(2) "ru" ["_messages":"yii\i18n\MessageSource":private]=> array(1) { ["en/app"]=> array(296) { ["Наши цены"]=> string(6) "Prices" ["О нас"]=> string(8) "About us" ["E-mail успешно изменен!"]=> string(24) "E-mail success modified!" 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["Введите, например, клиника, врач или заболевание"]=> string(40) "Enter required clinic, doctor or disease" ["Ведущие врачи"]=> string(15) "Leading doctors" ["Ведущие врачи, лучшие специалисты"]=> string(36) "Leading doctors and best specialists" ["Ведущие клиники в {country}"]=> string(28) "Leading clinics in {country}" ["Ведущие клиники в городе {city}"]=> string(25) "Leading clinics in {city}" ["Ведущие направления"]=> string(13) "Main branches" ["Вопросы и ответы"]=> string(20) "Question and answers" ["Врачи"]=> string(7) "Doctors" ["Врач"]=> string(6) "Doctor" ["Врач {doctor} - Контакты, запись на консультацию"]=> string(50) "Doctor {doctor} - Contacts, record on consultation" ["Время"]=> string(4) "Time" ["Все заболевания"]=> string(14) "All treatments" ["Все клиники сертифицированные {certificate}"]=> string(34) "Clinics certified by {certificate}" ["Все клиники, работающие в направлении {branch}"]=> string(35) "All clinics specialized in {branch}" ["Все отзывы о лечении за рубежом"]=> string(52) "All feedbacks and reviews regarding treatment abroad" ["Ведущие специалисты зарубежных клиник"]=> string(37) "Leading specialists of clinics abroad" ["Ведущие специалисты зарубежных клиник {country}"]=> string(43) "Leading specialists of clinics in {country}" ["Вы не выбрали ни одной клиники."]=> string(19) "0 clinics selected." ["Выберите заболевание"]=> string(14) "Select disease" ["Представитель клиники свяжется с вамиbreast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(56) "Рак груди (рак молочной железы)" ["genitive_title"]=> string(19) "Рака груди" ["link"]=> string(19) "lechenie-raka-grudi" ["about"]=> string(1772) "Рак молочной железы является одним из самых изученных в онкологии. Нет повода отчаиваться узнав о диагнозе рак груди, но правильным решением будет понять все доступные возможности современного лечения рака молочной железы в специализированных клиниках России и за пределами нашей страны. Мы рекомендуем для вас лучших маммологов-онкологов, хирургов, радиологов, онкологов-химиотерапевтов, радиологов и специалистов в области генетической-молекулярной диагностики рака. Прежде чем принять решение о лечение рака молочной железы, мы советуем вам убедиться, что технология является наиболее передовой, а лечение наименее инвазивным, насколько это возможно с учетом стадии заболевания. Кроме того, после окончания основного этапа лечения, связанного с удалением опухоли, мы рекомендуем опытных пластических хирургов, предлагающих несколько вариантов реконструкции груди: с использованием жировой ткани, аутотрансплантации кожи и новейших имплантатов груди.
" ["description"]=> string(22096) "Во многом, тактика лечения рака молочной железы базируется на правильной диагностике опухоли. Верификация образца полученной ткани опухоли позволяет определить в злокачественных клетках рака молочной железы специальные рецепторы (белки), чувствительные к новым таргетным лекарствам, гормонам, препаратам химиотерапии. Поэтому персонализированное, а значит более эффективное лечение — возможно проводить только после получения результатов биопсии, которой не нужно бояться. Биопсия в современных клиниках выполняется с помощью очень тонкой иглы и под контролем оборудования визуальной диагностики (рентген, ультразвук). Кроме того, результаты биопсии можно получить в течение 30 минут, это особенно важно когда нет времени ждать и принято решение о хирургическом лечении опухоли. В этом случае, уже во время операции будет известен характер опухоли, а значит и дальнейшая тактика лечения определяется безотлагательно.
Еще раз подчеркнем, что правильное лечение рака молочной железы должно быть персонализированным, когда вам говорят — «что у нас есть протокол лечения рака» — это означает, что он должен быть применен только после цитогенетического исследования полученного образца опухоли. Иначе существует риск общетоксического воздействия препаратов химиотерапии и низкого их избирательного эффекта на опухоль. Мы говорим об этом потому, что сталкивались с подобными случаями в своей практике и считаем своим долгом сказать о правильности современных подходов к диагностике и лечению рака молочной железы.
Кроме биопсии не менее важна визуализация, или говоря иными словами — обнаружение опухоли в тканях груди с помощью современного оборудования. Маммография с томосинтезом — это многомерное исследование тканей молочной железы, проводится как и обычная маммография, только комфортнее для женщины и ценнее для врача. Так как, современная трехмерная томография не пропустит ни одного (даже самого маленького) очага опухоли молочной железы. Этот метод хорош не только для определения опухоли, но и для рутинных проверок, благодаря которым рак груди стал выявляться на ранних стадиях, следовательно, лечение и последствия рака могут быть минимальными.
Для обнаружения возможного распространения раковых клеток в ближайшие лимфатические узлы (при подозрении), проводится биопсия и возможное удаление сторожевых лимфатических узлов, В некоторых западных клиниках и больницах Израиля, а в последнее время в ведущих российских больницах — применяется тактика совмещения удаления опухоли молочной железы и одновременного удаления сторожевых лимфатических узлов (только ближайших к опухоли узлов, в которых обнаружен раковые клетки). Такой подход позволяет избежать опасного и неприятного последствия — лимфостаза рук, а следовательно избежать необходимость длительной реабилитации после хирургического лечения. Всегда важно определить отсутствие метастазов опухоли в других участках тела. Конечно, если обратиться к врачу на ранних стадиях рака, когда вы только пальпаторною обнаружили в молочной железе небольшой узелок и «нашли» полчаса времени на маммографию, то поиск метастазов не нужен.
Но мы сталкиваемся, к большому сожалению, с запущенными формами рака молочной железы, когда необходимо обязательное проведение ПЭТ КТ для поиска отдаленных опухолей. Конечно и в этом случае есть решения, к примеру, в одной из израильских больниц установлено оборудование для мультипланарного обнаружения множественных метастазов рака в головном мозге и возможностью за один сеанс радиотерапии разрушить несколько метастазов.
Мы хорошо знакомы с примерами успешного лечения рака груди на разных стадиях онкологического процесса, однако мы призываем всех женщин к регулярному обследованию, самообследованию молочных желез, особенно это необходимо женщинам имеющим семейную историю рака молочных желез (генетическую предрасположенность). Прежде чем принимать заместительную гормональную терапию мы рекомендуем женщинам из группы риска пройти обследование и получить консультацию квалифицированного эндокринолога и онколога.
В основном определяются две формы рака молочной железы.
Рак возникающий в железистой ткани — является карциномой, которая образуется в клетках молочных протоков. Протоковый рак может быть инвазивным, с потенциалом последующего распространения, или неинвазивным. У любого рака молочной железы достаточно высокие шансы на излечение, но неинвазивные формы карциномы лучше поддаются лечению.
Другая частая фора рака — очаговый рак, возникает в дольках молочной железы.
Менее распространена агрессивная форма рака молочной железы — это воспалительный рак, такая опухоль распространяются быстро и необычно, в большой плоскости. Иногда встречается опухоли независимые от гормонов и не имеющие в своих клетках рецепторов HER2, на которые действуют современные лекарства, блокирующие рост раковых клеток.
Рак молочной железы бывает не только у женщин, крайне редко рак груди обнаруживается у мужчин. Статистика обнаружения рака у сильной половины человечества несоизмерима мала, однако такие случаи встречаются, например в США диагноз рак молочной железы ежегодно устанавливается более 2000 мужчин.
Современная система деления стадий развития рака молочной железы была разработанной отечественными онкологами, а также за своим описанием соответствует полной международной классификации по поводу стадий рака молочной железы TNM. Она состоит из 5 стадий, так как вторая стадия делится на 2А и 2В стадии.
1-я стадия — опухоль не больше двух см в диаметре, без распространения на близлежащие ткани и лимфатические узлы.
2-я А стадия — размер опухоли от 2-х до 5-и см в диаметре, частично спаянна с кожей, метастазы не обнаружены.
2-я В стадия — опухоль имеет размер около 2–5 см в диаметре, от нее отходят не больше чем два метастаза на стороне локализации опухоли.
3-я стадия — опухоль более 5 см в диаметре, имеет прорастания в кожу и окружающую жировую ткань. Присутствует симптом умбиликации — втянутая кожа над опухолью, наличие не более 2 метастазов.
4-я стадия — опухоль распространяется на всю молочную железу, присутствуют обширные изъязвления и отдаленные метастазы.
Если вы обеспокоены семейной историей рака молочной железы, мы рекомендуем вам клиники для прохождения генетического тестирования и точного определения риска. Все, что увеличивает шансы на возникновение рака молочной железы является фактором риска:
Другие факторы риска рака молочной железы включают в себя:
Исследования показывают, что многие виды рака можно предотвратить. Обратитесь к нашим медицинским консультантам за более подробной информацией.
Распространенные симптомы рака груди:
Хирургическое лечение рака молочной железы является одним из приоритетных направлений лечения, как уже было сказано в начале нашей статьи, удаление только сторожевых лимфатических узлов и опухоли — влияет на дальнейшую реабилитацию. Кроме того, по результатам биопсии планируется хирургическое лечение и комплексная терапия. Однако, нужно отметить, что биопсия может показать высокую чувствительность опухоли к гормональному лечению и специфическим таргетным лекарствам, тогда хирургия будет минимальной, а лечение при этом не потеряет своей эффективности. В некоторых случаях бывает достаточно только направленной терапии, химиотерапии, или гормонального лечения.
Мастэктомия — это основная операция по удалению опухоли молочной железы. При мастэктомии удаляется одна или две груди. Во многих клиниках совмещают мастэктомию и реконструктивную хирургию. Щадящие операции с сохранением максимальной структуры груди возможны только на ранних, первой и второй стадии рака, когда процесс имеет относительно ограниченную локализацию в молочной железе. Обследование является решающим фактором при планировании способа операции.
Лучевая терапия на сегодняшний день имеет более точечное облучение, с минимальным риском лучевого поражения здоровых участков. Для принятия решения о возможности лучевой терапии необходимо обследование. В случае выявление хорошей чувствительности опухоли к лечению, возможно ограничится только минимальной хирургией и применением современных лекарств. Несмотря на это, ваш врач может предложить локальную форму лучевой терапии, когда источник облучения располагают вблизи опухоли — это называется брахитерапией, и такая методика часто применяется во время операции для лучшей зачистки от раковых клеток, которые могут остаться после удаления опухоли. Некоторые небольшие локальные очаги опухоли с нестандартной локализацией могут быть уничтожены с помощью современного метода стереотаксической радиохирургии (кибер-нож).
Химиотерапия наиболее часто проводится до или после операции, также является основным методом лечения запущенного рака, распространившегося за пределы молочной железы. Мы предлагаем самые современные и эффективные варианты химиотерапии для рака молочной железы, которые доступны в многих клиниках мира. Мы рекомендуем опытных врачей, которые впервые применили химиотерапию до операции, чтобы уменьшить опухоль молочной железы, с целью минимального повреждение окружающих тканей во время операции.
Гормональная терапия, например лекарство «tamoxifen», помогает блокировать гормоны «подпитывающие» рост рака молочной железы. Но как было отмечено, лечение гормонами проводится в случае выявления гормональной зависимости опухоли.
Целевая терапия (таргетное лечение) рака молочной железы — это введение современных биологических лекарств, например «грцептин» является одним из видов биологической терапии, мишенью для которого служат раковые клетки производящие слишком много белка под названием HER2. Этот белок присутствует у некоторых пациентов с раком молочной железы. «Герцептин» связывается с клетками, прекратив производство HER2 белка необходимого для роста опухоли.
Стоимость лечения рака молочной железы зависит от стадии процесса и может быть минимальной на ранних стадиях рака. Мы рекомендуем лечение рака в лучших клиниках России и за рубежом, при этом в Docland.ru обеспечивается персонализированный подход и экспертный уровень выбора клиники. Мы не увеличиваем стоимость лечения, она остается равной стоимости при прямом обращении в клинику. В отличие от агентств медицинского туризма, мы предоставляем прямой доступ к лучшим онкологам, при более низкой стоимости медицинских услуг.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(179) "Лечение онкологии за границей без посредников, цены зарубежных клиник, отзывы пациентов - Докланд" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(574) "лечение онкологии за границей, лечение онкологии за рубежом, лечение за рубежом рака, лечение рака за границей, лечение рака за границей стоимость, лечение рака в европе, лечение рака за границей отзывы, отзывы лечение рака легких за границей, онкологическая хирургия в европе, лечение онкозаболеваний за границей" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\BranchLang)#529 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(23) ["branch_id"]=> int(8) ["language"]=> string(2) "en" ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#209 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#207 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } } } ["country"]=> object(app\models\Country)#86 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["public"]=> int(1) ["doctors_description"]=> string(0) "" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["request_published_default"]=> int(0) ["request_price"]=> string(3) "700" ["external_id"]=> int(2524) ["request_price_qualitative"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(29) { ["id"]=> int(22) ["title"]=> string(18) "Швейцария" ["link"]=> string(12) "shvejtsarija" ["genitive_title"]=> string(18) "Швейцарии" ["adj_genitive_plural_title"]=> string(22) "швейцарских" ["prepositional_title"]=> string(18) "Швейцарии" ["phone"]=> string(0) "" ["flag"]=> NULL ["about"]=> string(923) "В многопрофильных клиниках Швейцарии, предоставляющих услуги иностранным пациентам, большое внимание уделяют качеству оказываемых услуг. Помимо качественного лечения, соответствующего лучшим мировым стандартам, здесь отличный сервис. Для удобства пациентов их размещают в комфортабельных одноместных палатах, за ними ведется круглосуточное медицинское наблюдение. Больной может выбирать меню. Пациенты также высоко оценивают тактичность медперсонала, строгое соблюдение конфиденциальности.
" ["advantage"]=> string(4382) "Лечение и оздоровление в клиниках Швейцарии является одним из наиболее качественных вариантов избавления от болезни. В этой стране существуют высокие требования к профессиональной подготовке врачей, а также оснащению клиник. Используются наиболее современные методики терапии различных заболеваний, от рака до бесплодия, от неврологических болезней до проблем с костями и суставами. Большое внимание уделяется также комфортности пребывания пациентов: любой человек, приезжающий из-за границы, может рассчитывать на самый высокий уровень сервиса, внимательность медицинского персонала и соблюдение конфиденциальности.
ВОЗ, проводящая ежегодно итоги работы систем медучреждений в разных странах, постоянно причисляет швейцарскую медицину в число лучших в мире. И, хотя принятые за лечение в Швейцарии цены могут быть выше, чем в странах с менее развитой медициной, отзывы о лечении в Швейцарии показывают: те, кто хотят добиться максимального результата терапии, едут в эту страну.
Цены на лечение в клиниках этой страны нельзя назвать низкими, однако его качество вполне оправдывает затраты. По уровню цен клиники в Швейцарии дешевле, чем в США, но дороже, чем в Израиле. Стоимость лечения в Швейцарии по сравнению с Германией приблизительно одинакова. Приблизительные цены на лечение таковы:
Медицинский туризм в Швейцарии – это отрасль, которая работает как часы. Для организации поездки пациент может воспользоваться услугами компании-посредника или же организовать поездку самостоятельно. Медицинские посредники помогают выбрать клинику для лечения, составить и согласовать с медиками график пребывания, помочь с оформлением визы и приобретением билетов. Также компании-посредники позаботятся о наличии переводчика и могут составить культурную или развлекательную программу на время пребывания в стране. Поскольку санатории Швейцарии так же популярны, как и лечебные клиники, многие пациенты объединяют отдых в санаториях с лечением. Компании-посредники берут на себя хлопоты по организации пребывания в санатории.
" ["specialization"]=> string(0) "" ["accessibility"]=> string(2068) "Официальный язык – немецкий (швейцарский немецкий), французский (швейцарский французский), итальянский, ретороманский
Государственная валюта - швейцарский франк.
Возможные способы оплаты: наличными (швейцарский франк, евро)
кредитные карты: VISA, MASTERCARD
банковский перевод, необходимо провести за 3 дня до начала обследования / лечения.
перевод Western Union или Money Gram.
Время полета (Моcква - Вена) – 3 часа 3 минуты
При организации лечения за границей у людей может возникнуть ряд вопросов. Как правило, они однотипные, и в первую очередь пациентов волнуют две проблемы:
Как попасть на лечение?
Как оплатить лечение?
Самый простой способ поехать на лечение в Швейцарию – обратиться к услугам надежных специализированных компаний, которые помогут подобрать подходящую клинику и оформить необходимые документы.
Иностранцы в швейцарские клиники принимаются только после полной предоплаты лечения. Если по каким-либо причинам необходимость в предоплаченных процедурах отпадает, их стоимость затем пациенту возвращается." ["prices"]=> string(223) "Helvetic Airways 18 931 р.
Easyjet 42 503 р.
Аэрофлот 61 214 р.
" ["service_advantage"]=> string(293) "Наиболее современные и успешные способы лечения; Высочайший уровень квалификации врачей; Возможность санаторно-курортного лечения; Высокий уровень сервиса." ["public"]=> int(1) ["doctors_description"]=> string(1056) "Медицинский персонал, осуществляющий лечение иностранных пациентов в клиниках Швейцарии, отличается высоким профессионализмом и тактичностью. Для медицины Швейцарии характерны доверительно-дружеские отношения между персоналом клиники и пациентом. Здесь считают, что только по достижении полного взаимопонимания можно получить по-настоящему хороший результат. Обратившись за помощью, вы можете рассчитывать не только на качественное лечение по самым современным методикам, использование лекарств нового поколения, но и на возможность соединить отдых и лечение.
" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(500) "Швейцарская медицина считается одной из самых прогрессивных в мире. Особенно развиты направления терапии онкопатологий и бесплодия, ортопедия, пластическая хирургия, нейрохирургия и офтальмология. Высокий профессионализм врачей, безупречный сервис, полная анонимность." 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array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [1]=> object(app\models\City)#615 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(14) "Женолье" ["link"]=> string(7) "zhenole" ["genitive_title"]=> string(14) "Женолье" ["adj_genitive_plural_title"]=> string(14) "Женолье" ["prepositional_title"]=> string(14) "Женолье" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#621 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [2]=> object(app\models\City)#617 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(14) "Лозанна" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(14) "Лозанны" ["adj_genitive_plural_title"]=> string(14) "Лозанна" ["prepositional_title"]=> string(14) "Лозанне" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#622 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#618 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" 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["id"]=> int(344) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3230) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["genitive_title"]=> string(51) "Клиники Хирсланден в Цюрихе" ["link"]=> string(29) "klinika-hirslanden-v-tsjurihe" ["about"]=> string(1234) "Клиника Хирсланден располагается в Цюрихе — одном из крупных городов северо-востока Швейцарии, столице одноименного кантона. Это современный частный медицинский центр с инновационной инфраструктурой и высочайшими стандартами предоставления медицинской помощи. Центр известен в стране, как один из наиболее передовых. Тут граждане Швейцарии и иностранные гости проходят диагностику и лечение на новейшей аппаратуре, в центре работают современные операционные, проводятся конвенциональные и малоинвазивные операции, процедуры радиотерапии, физиотерапии. В клинике работает более 1000 специалистов, а количество отделений и институтов составляет несколько десятков. " ["description"]=> string(11458) "Территориально клиника находится неподалеку от Цюрихского озера, в районе Хирсланден. Сюда можно легко добраться на общественном или частном транспорте. Многие пациенты предпочитают приезжать сюда на бесплатном автобусе клиники. Центр предлагает своим пациентам полный спектр медицинских услуг, начиная от экстренных процедур и заканчивая плановой госпитализацией.
Лечение в клинике Хирсланден основано на использовании самых передовых методов медицины — тут работают современные лаборатории, оснащенные высокотехнологичным оборудованием, применяются новейшие лекарственные препараты и методы физиотерапии. Отзывы о клинике Хирсланден можно встретить на различных специализированных интернет-площадках, где пациенты делятся друг с другом своим мнением по поводу того или иного медицинского центра. В большинстве случаев, бывшие пациенты Хирсланден отмечают высокий уровень профессионализма работающих здесь врачей и эффективность применяемых ими методов лечения.
В центре работает более 50 разных подразделений и институтов, основные направления — кардиология, висцеральная хирургия, неврология и нейрохирургия, ортопедия, гинекология и акушерство. Отделение экстренной медицинской помощи в клинике действует 24 часа в сутки 7 дней в неделю.
В отделении проводится полный спектр процедур по диагностике и лечению сердечно-сосудистых заболеваний, начиная от курсов медикаментозной терапии и заканчивая катетерной дилатацией коронарных сосудов, имплантацией сосудистых протезов, установкой сердечных клапанов и шунтированием сердца. Ежегодно тут проводится более 2000 процедур катетерной диагностики, около 800 процедур баллонной дилатации и около 800 открытых операций на сердце.
Врачи, которые работают в центре, обладают многолетней практикой лучевой диагностики заболеваний органов брюшной полости и помогают гастроэнтерологам, гепатологам, урологам, гинекологам и хирургам клиники, проводят ультразвуковую диагностику, компьютерную томографию и МРТ. Здесь проводятся комплексные исследования печени, поджелудочной железы, селезенки, кишечника, почек, мочеполовой системы.
В этом подразделении проводятся высокотехнологичные исследования, основанные на использовании методов ядерной диагностики и гибридной диагностической аппаратуры, позволяющей использовать совместно конвенциональный компьютерный томограф и однофотонную эмиссионную томографию (т. н. SPECT/CT).
В центре проводятся операции на органах брюшной полости, тут работают торакальные хирурги, проводятся вмешательства по удалению опухолей. Здесь преимущественно проводятся хирургические операции на мягких тканях, в центр поступают пациенты, нуждающиеся в комплексных и сложных операциях на брюшной полости и грудной полости. Большая часть хирургов центра имеет профессорские ученые степени.
В центре чек-ап диагностики ежегодно проходят профилактическое обследование тысячи пациентов — как жителей кантона, так и гостей страны. К услугам пациентов Хирсланден — более 1100 квалифицированных специалистов и несколько десятков специализированных центров. Здесь можно пройти стандартную программу чек-ап или программу диагностики, ориентированную на специфические нужды.
Специалисты центра занимаются протезированием коленных, плечевых, тазобедренных и локтевых суставов. Тут применяются современные модели имплантатов, позволяющие гарантировать высокую надежность использования протеза. Применяя малоинвазивные методы замены суставов, врачи обеспечивают сохранение мышечных и других мягких тканей, сокращение периода реабилитации и ускорение восстановления функций сустава. В центре применяются современные навигационные и роботизированные системы. Тут же проводятся артроскопические операции по восстановлению поврежденных структур коленного и плечевого суставов.
В отделении проходят амбулаторное и стационарное лечение пациенты со злокачественными заболеваниями — как солидными опухолями, так и раковыми поражениями крови. Лечение проходит в спокойной и умиротворяющей атмосфере, с использованием самых современных подходов — инновационных методов абляции, малоинвазивной хирургии, радиотерапии, системных химиопрепаратов и средств таргетной терапии. Отделение работает в тесном сотрудничестве со Швейцарским институтом иммунологического лечения опухолей.
В клинике круглосуточно и без выходных проводятся лучевые исследования — рентгенография, томография, комплексные исследования. Тут же осуществляются малоинвазивные интервенционные исследования. Результаты диагностики быстро интерпретируются. Работает курьерская служба, которая доставляет данные лучевой диагностики на CD-дисках в течение двух дней после проведения обследования.
Основные мощности института располагаются на территории другого центра — клиники Männedorf, вскоре их структуры будут объединены в единый комплекс. На данный момент пациенты клиники здесь проходят полный комплекс процедур, связанных с лучевым лечением новообразований на новейших линейных ускорителях TrueBeam и установках стереотаксической хирургии Cyberknife. Также тут проводятся процедуры контактного радиологического лечения опухолей и процедуры интраоперационной радиотерапии.
В центре проходят лечение спортсмены с травмами суставов, связок, сухожилий, мышечных тканей. Тут проводят артроскопические операции, лечат переломы, проводят трансплантацию хрящевых тканей и замену суставов.
Помимо вышеперечисленных подразделений, в клинике действует множество других — центр лечения инсульта, центр травмы, работают отделения урологии, ЛОР-заболеваний, косметической хирургии, ревматологии, физиотерапии, центр лечения заболеваний сосудов, неонатальное отделение и родильный дом, отделения гастроэнтерологии, лечения головной боли, инфекционных заболеваний, подразделение диагностики патологий молочной железы и др.
" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(47) "Witellikerstrasse 40, 8032 Zürich, Switzerland" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["seo_h1"]=> string(118) "Клиника Хирсланден в Цюрихе — современный медицинский комплекс" ["seo_description"]=> string(492) "Клиника Хирсланден в Цюрихе — современный частный медицинский центр, в котором работают опытные врачи и установлено современное оборудование. Пациенты клиники проходят обследование на высокоточной аппаратуре и получают терапию, основанную на эффективных подходах." 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["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-20 12:45:41" ["updated_at"]=> string(19) "2019-05-20 14:14:19" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3250) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(58) "Университетская клиника Цюриха" ["genitive_title"]=> string(58) "Университетской клиники Цюриха" ["link"]=> string(33) "universitetskaja-klinika-tsjuriha" ["about"]=> string(1590) "В клинике работает порядка 8000 сотрудников, из них — более 1300 врачей. Ежегодно в центре около 130 тысяч пациентов проходят амбулаторное лечение и 35 тысяч пациентов пролечиваются в режиме стационара. Общее количество структурных подразделений клиники превышает четыре десятка. Отзывы о Университетской клинике Цюриха по большей части положительные, пациенты отмечают высокое качество предоставленных им медицинских услуг, возможность поучаствовать в клинических испытаниях новейших видов терапии. В клинике постоянно проводятся исследования в области регенеративной и персонализированной медицины. Хотя стоимость лечения в Университетской клинике Цюриха и нельзя назвать невысокой, сюда стремятся попасть пациенты со всех стран мира — ведь качество лечебных процедур и уровень подготовки врачей здесь соответствуют самым высоким международным стандартам. " ["description"]=> string(9155) "Университетская клиника Цюриха в Швейцарии — один из немногих университетских медицинских центров в стране и первая клиника, образованная в городе. Свое начало больница берет с 1204 года. За прошедшие столетия как название, так и местоположение клиники несколько раз менялись. В университетской клинике работали и продолжают работать многие выдающиеся врачи. В 20 веке тут трудился известный немецкий хирург Фердинанд Зауэрбрух, основоположник торакальной хирургии. Сегодня в стенах клиники проводит свои исследования иммунной системы человека профессор Рольф Мартин Цинкернагель — обладатель Нобелевской премии по физиологии и медицине.
Для гостей и пациентов клиники работает Wi-Fi. Действует трехразовая система питания с возможностью выбора блюд и изменения диеты (больше углеводов, больше овощей и т. д.). Доступна специализированная диета для больных диабетом и пациентов со специфическими требованиями к пище. Также в клинике действует несколько кафе и бистро. На территории центра есть банкоматы, работают парикмахерские, имеются комнаты для посетителей и детские комнаты. Гостевой дом клиники состоит из шести однокомнатных и шести двухкомнатных апартаментов, где родственники пациентов могут оставаться на период их госпитализации. Также здесь проживают пациенты перед тем, как лечь в клинику или после госпитализации. Комнаты оборудованы всем необходимым — начиная от стиральных машин и заканчивая телевизионными панелями.
Цены в Университетской клинике Цюриха в большинстве своем соответствуют расценкам остальных западно-европейских клиник. Нельзя сказать, что они слишком уж демократичны. Но и излишне высокими они тоже не являются, о чем свидетельствует хотя бы то, что в центре периодически можно встретить пациентов из России, Украины, других бывших союзных республик. Для медицинских туристов в центре действует международный отдел, сотрудники которого свободно разговаривают на нескольких языках и обеспечивают полную поддержку больного на всех этапах лечения.
В клинике действует несколько десятков структурных подразделений, приведем лишь некоторые из них.
Центр лечения рака работает совместно с Университетской детской клиникой Цюриха и занимается лечением широкого спектра злокачественных заболеваний как у взрослых, так и у маленьких пациентов. Тут можно пройти самые инновационные лечебные процедуры, основанные на междисциплинарном подходе и результатах последних научных исследований. Пациенты центра проходят курсы химиотерапии, лучевую терапию, таргетную и иммунную терапию. Врачи подразделения обладают большим опытом проведения малоинвазивных операций по удалению опухолей. Также специалисты центра предоставляют «второе мнение» пациентам из других стран.
Институт клинической химии — подразделение, специализирующееся на лабораторных методах диагностики. Здесь применяются новейшие химические, физические и биологические методы исследований, разрабатываются новые виды диагностических тестов естественных биологических жидкостей человека (крови, мочи и т. д.).
В Институте невропатологии работают врачи, занимающиеся вопросами диагностики и терапии патологий центральной и периферической нервной системы и скелетной мускулатуры. В тесном сотрудничестве невропатологи и нейрохирурги института проводят лечение самого широкого спектра болезней — от прионных заболеваний до разного рода энцефалопатий.
Сотрудники Института патологии и молекулярной патологии занимаются лабораторной диагностикой, используя образцы тканей пациента. Здесь проводятся гистопатологические, цитопатологические, молекулярные исследования.
В отделении пульмонологии проходят лечение пациенты с различными видами заболеваний дыхательной системы, в частности — хронической обструктивной болезнью легких, апноэ во сне. Сотрудники отделения работают в тесном контакте с врачами отделения трансплантологии, где осуществляется пересадка легких.
Врачи отделения торакальной хирургии проводят операции на грудной клетке, лечат опухоли легких и плевры, эмфизему, проводят малоинвазивные робот-ассистированные операции.
В клинике действует и множество других отделений и специализированных центров.
В составе клиники имеется отделение лучевой диагностики, позволяющее проводить исследование и лечение больных различными болезнями — заболеваниями желудочно-кишечного тракта, неврологическими, гинекологическими, сердечно-сосудистыми заболеваниями. Также здесь проводятся процедуры, связанные с ортопедической и пластической хирургией.
Цены в клинике Женолье выше, чем в среднем по Европе. Это определяется тем, что медицинский центр ориентируется на предоставление инновационных медицинских услуг и сервиса высочайшего качества.
В клинике действует амбулаторное отделение, где врачи дают консультации, а пациенты проходят лечебные процедуры, не требующие госпитализации. Здесь проводится лабораторная диагностика и лучевые исследования. В клинике работает один из самых передовых хирургических центров в Европе, операционные которого оснащены инновационным оборудованием, позволяющим, помимо всего прочего, проводить сеансы телемедицины.
Отзывы о клинике Женолье в целом очень позитивно характеризуют качество полученных лечебных процедур. Многих пациентов совершенно не волнует, сколько стоит лечение в клинике Женолье — их прежде всего интересует результат терапии. И подавляющее большинство пациентов клиники не разочаровываются в своих ожиданиях.
В клинике работает специализированный международный отдел, его сотрудники занимаются приемом заявок и ведением иностранных пациентов, которые прибывают сюда из самых разных точек мира — Среднего Востока, Европы, Азии и других мест. Сервисное обслуживание больного не ограничивается одним лишь предоставлением медицинской помощи, каждый пациент получает персонального медицинского координатора, который помогает подбирать врачей, координирует их, осуществляет функции переводчика и т. д.
В клинике действует почти полсотни отделений и специализированных подразделений. Пациенты могут здесь получить медицинскую помощь, ориентированную на лечение самого широкого спектра заболеваний — от аллергии до язвы желудка.
Специалисты отделения занимаются диагностикой атеросклероза и патологий клапанов сердца, аритмии, инфаркта миокарда, повышенного давления, коронарной недостаточности и других заболеваний сердечно-сосудистой системы. Также здесь проводятся процедуры, связанные с интервенционной кардиологией — пациентам делают катетеризацию, устанавливают коронарные стенты и искусственные клапаны сердца.
Врачи отделения проводят операции на органах грудной клетки, удаляют новообразования бронхов и легких, лечат заболевания плевры. Здесь широко применяется лазерная хирургия, особенно при лечении обструкции дыхательных путей, вызванной ростом новообразований.
Специалисты отделения занимаются терапией изменений и заболеваний, связанных с возрастом. Сюда поступают пациенты в возрасте 65-80 лет и старше. Они получают медицинскую, психологическую и социальную помощь, направленную на коррекцию физических, функциональных, психических и когнитивных расстройств. Здесь пациенты получают помощь как в условиях амбулатории, так и в условиях стационара. Врачи отделения обладают большим опытом терапии острых и хронических заболеваний, а также последующей реабилитации пациентов.
Лечение в онкологическом отделении проводится на междисциплинарной основе — с болезнью пациента борется целая команда специалистов из разных областей. Используя последние достижения в медицине, хирурги и радиологи, специалисты по химиотерапии и биотерапии совместными усилиями уверенно выводят больного на ремиссию. Здесь применяются инновационные таргетные препараты, современные средства гормональной и иммунной терапии.
В отделении предоставляется такая уникальная услуга, как медицинский гипноз — пройдя от 3 до 10 сеансов психотерапии, больной получает возможность находить и мобилизовать собственные силы для поиска решений своих ежедневных проблем.
В отделении работают врачи хирургических специальностей, обладающие большим клиническим опытом оперативного лечения травм и дегенеративных заболеваний опорно-двигательного аппарата. Тут проходят курсы терапии больные с заболеваниями позвоночника, связок, суставов, сухожилий и мышц. Специалисты отделения лечат переломы конечностей и позвоночника, дислокацию суставов, разрывы мышц, опухоли костей и остеоартроз, проводят операции по полному и частичному эндопротезированию.
В отделении трудится более десяти физиотерапевтов, специализирующихся на лечении травм и заболеваний опорно-двигательного аппарата, а также на общей реабилитации пациентов. Отделение оснащено новейшим изокинетическим оборудованием, которое позволяет в сжатые сроки восстанавливать подвижность в коленных, плечевых, локтевых, тазобедренных суставах. Тут получают медицинскую помощь и пациенты после хирургических операций, пока полностью не восстановят свою форму.
Хирурги отделения имеют значительный клинический опыт реконструктивной и эстетической хирургии, коррекции врожденных анатомических аномалий, увеличения и уменьшения груди, подтяжки лица, ринопластики, брефаропластики, омоложения кожи с использованием лазерных процедур.
Отделение радиологического лечения злокачественных заболеваний — одно из самых передовых в Западной Европе. Тут установлено высокоточное оборудование, позволяющее проводить гипер- и гипофракционированную дистанционную радиотерапию, роботизированную стереотаксическую радиохирургию, контактную радиотерапию.
В клинике действуют и другие отделения — гинекологии, дерматологии, общей хирургии, эндокринологии, офтальмологии, нейрохирургии, робот-ассистированной и лапароскопической хирургии, сосудистой хирургии, урологии, неврологии, пульмонологии, психиатрии и др.
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["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#634 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> 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["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(29) "Клиника Леманик" ["genitive_title"]=> string(29) "Клинике Леманик" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(1694) "Клиника Леманик в Швейцарии хорошо известна, как передовой центр эстетической и регенеративной медицины. Своим пациентам клиника предоставляет косметические процедуры и услуги по омоложению, основанные на самых инновационных и высокотехнологичных подходах. Отзывы о клинике Леманик подтверждают высокое качество применяемых процедур — это эстетическая дерматология и хирургические операции на коже, терапия, направленная на омоложение кожи, пластическая и реконструктивная хирургия, регенеративные процедуры. Врачи центра обладают большим опытом лечения заболеваний кожи и слизистых, ногтей и волос, проводят эффективную терапию акне и псориаза, витилиго и гипергидроза, экземы и дерматитов. Хирурги успешно исправляют косметические дефекты, а специалисты по превентивной и функциональной медицине занимаются вопросами общего омоложения организма, восстановления гибкости, силы, улучшения жизненного тонуса. " ["description"]=> string(8752) "Располагается клиника в Лозанне — четвертом по величине городе Швейцарии. Сюда приезжает много женщин из США и Европы, клиника хорошо известна в России, Украине и других бывших государствах СНГ. Это один из наиболее оснащенных медицинских центров, ориентированный на решение вопросов эстетики человеческого тела и борьбы с возрастными изменениями. Тут активно применяется высокотехнологичная аппаратура — лазерные установки, оборудование для эстетической хирургии, фототерапии, криотерапии.
Цены в клинике Леманик вполне приемлемы на взгляд среднестатистического жителя Западной Европы. Хотя стоимость лечения в клинике Леманик для жителей бывших союзных республик может показаться несколько завышенной, это — лишь следствие различия в уровне жизни. Для обычного швейцарца стоимость процедуры омоложения кожи в клинике не выше, чем стоимость ужина в среднем женевском ресторане. Если принять во внимание эффективность предоставляемых процедур и долговременный эстетический эффект, их стоимость выглядит вполне приемлемой.
Специалисты клиники применяют самый широкий спектр современных подходов, позволяющих быстро и эффективно убирать косметические дефекты, улучшать эстетику лица и других частей тела.
Лечение рубцов от акне с помощью синего света — безболезненный метод, который позволяет значительно улучшить внешний вид всего за 2-4 процедуры, каждая из которых длится по 15 минут и состоит в облучении проблемных участков кожи светом длиной волны 400-700 нм и 800-1200 нм с определенной частотой пульсации.
Аквалифтинг — техника регенерации кожи лица, позволяющая восстановить эластичность, убрать мелкие морщины, удалить пигментные пятна, возникающие в результате гормональных и сосудистых аномалий. Одна сессия длится порядка 60 минут, за это время в кожу «впрыскивается» стерильная вода или физраствор, обогащенные антиоксидантами, витаминами, средствами борьбы со свободными радикалами. Такой революционный подход в медицине называют «трансдермальным введением воды и активных молекул».
Блефаропластика — хирургические операции по удалению излишков кожи и подкожного жира на верхних и нижних веках. Практически сразу после процедуры глаза становятся более открытыми, а лицо более молодым и привлекательным. Иногда блефаропластика сочетается с подтяжкой лица, за счет чего обеспечивается еще более выразительный омолаживающий эффект.
Пластические операции по увеличению или уменьшению груди — одни из самых востребованных в клинике. Здесь можно провести коррекцию птоза, асимметрии груди и сосков, установить силиконовые имплантаты. Как правило, после хирургической операции пациентка проводит в клинике всего несколько дней и потом может возвращаться к своей обыденной жизни.
Карбокситерапия — подкожное введение углекислого газа, позволяющее стимулировать процессы регенерации и омоложения кожи. Процедура позволяет убрать небольшое провисание кожи лица, шеи, рук, живота и т. д., убрать мешки под глазами, растяжки кожи. Врач делает микроинъекции углекислого газа в кожу, в ответ на это обработанные участки начинают активно снабжаться кислородом, структура коллагена улучшается, кожа приобретает эластичность. В поверхностных слоях кожи улучшается метаболизм, происходит формирование нового коллагена и эластина, начинается липолиз жировых тканей.
Удаление целлюлита с использованием прибора Cellu M6 Endermolab позволяет безболезненно и аккуратно проводить глубокий LPG массаж, воздействуя на ткани во всех направлениях и стимулируя липолиз.
Криолиполиз — инновационный метод реабсорбции жировых тканей с помощью пониженных температур. Используя специальную аппаратуру, врач «замораживает» жировые клетки в глубоких слоях кожи без повреждения других тканей эпидермиса. Одна процедура длится около двух часов и позволяет вызвать естественный липолиз адипоцитов.
Фракционированный лазер — технология, которая позволяет разглаживать поверхность кожи, удалять морщины, уменьшать рубцы и растяжки. Процедура обладает омолаживающим эффектом, может применяться на коже лица, шеи, рук и т. д. Техника фототермолиза представляет собой одну из наиболее современных разработок в области эстетической медицины. Обычно один курс состоит из четырех сеансов.
В клинике, помимо вышеперечисленных процедур, проводят и другие — лазерное удаление дефектов и татуировок, волос и пигментных пятен, хирургический лифтинг лица, делают липоскульптуру и пластику живота, термаж и пилинг, мезотерапию, инъекции ботокса и гиалуроновой кислоты, фототерапию, нехирургический лифтинг груди и т. д. Сюда приезжает множество женщин из бывших государств СНГ — каждая из них, пройдя комплекс процедур, остается довольна полученным эффектом.
" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(70) "Швейцария, Лозанна 1003, Lausanne, 2 Avenue De La Gare" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(29) "Клиника Леманик" ["seo_h1"]=> string(29) "Клиника Леманик" ["seo_description"]=> string(477) "Клиника Леманик — специализированный швейцарский центр эстетической медицины. Опытные врачи, современная высокотехнологичная аппаратура, самый полный спектр эффективных процедур. Лазерное омоложение, хирургические косметические операции, криотехнологии." 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"genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> 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многопрофильных клиниках Швейцарии, предоставляющих услуги иностранным пациентам, большое внимание уделяют качеству оказываемых услуг. Помимо качественного лечения, соответствующего лучшим мировым стандартам, здесь отличный сервис. Для удобства пациентов их размещают в комфортабельных одноместных палатах, за ними ведется круглосуточное медицинское наблюдение. Больной может выбирать меню. Пациенты также высоко оценивают тактичность медперсонала, строгое соблюдение конфиденциальности.
" ["advantage"]=> string(4382) "Лечение и оздоровление в клиниках Швейцарии является одним из наиболее качественных вариантов избавления от болезни. В этой стране существуют высокие требования к профессиональной подготовке врачей, а также оснащению клиник. Используются наиболее современные методики терапии различных заболеваний, от рака до бесплодия, от неврологических болезней до проблем с костями и суставами. Большое внимание уделяется также комфортности пребывания пациентов: любой человек, приезжающий из-за границы, может рассчитывать на самый высокий уровень сервиса, внимательность медицинского персонала и соблюдение конфиденциальности.
ВОЗ, проводящая ежегодно итоги работы систем медучреждений в разных странах, постоянно причисляет швейцарскую медицину в число лучших в мире. И, хотя принятые за лечение в Швейцарии цены могут быть выше, чем в странах с менее развитой медициной, отзывы о лечении в Швейцарии показывают: те, кто хотят добиться максимального результата терапии, едут в эту страну.
Цены на лечение в клиниках этой страны нельзя назвать низкими, однако его качество вполне оправдывает затраты. По уровню цен клиники в Швейцарии дешевле, чем в США, но дороже, чем в Израиле. Стоимость лечения в Швейцарии по сравнению с Германией приблизительно одинакова. Приблизительные цены на лечение таковы:
Медицинский туризм в Швейцарии – это отрасль, которая работает как часы. Для организации поездки пациент может воспользоваться услугами компании-посредника или же организовать поездку самостоятельно. Медицинские посредники помогают выбрать клинику для лечения, составить и согласовать с медиками график пребывания, помочь с оформлением визы и приобретением билетов. Также компании-посредники позаботятся о наличии переводчика и могут составить культурную или развлекательную программу на время пребывания в стране. Поскольку санатории Швейцарии так же популярны, как и лечебные клиники, многие пациенты объединяют отдых в санаториях с лечением. Компании-посредники берут на себя хлопоты по организации пребывания в санатории.
" ["specialization"]=> string(0) "" ["accessibility"]=> string(2068) "Официальный язык – немецкий (швейцарский немецкий), французский (швейцарский французский), итальянский, ретороманский
Государственная валюта - швейцарский франк.
Возможные способы оплаты: наличными (швейцарский франк, евро)
кредитные карты: VISA, MASTERCARD
банковский перевод, необходимо провести за 3 дня до начала обследования / лечения.
перевод Western Union или Money Gram.
Время полета (Моcква - Вена) – 3 часа 3 минуты
При организации лечения за границей у людей может возникнуть ряд вопросов. Как правило, они однотипные, и в первую очередь пациентов волнуют две проблемы:
Как попасть на лечение?
Как оплатить лечение?
Самый простой способ поехать на лечение в Швейцарию – обратиться к услугам надежных специализированных компаний, которые помогут подобрать подходящую клинику и оформить необходимые документы.
Иностранцы в швейцарские клиники принимаются только после полной предоплаты лечения. Если по каким-либо причинам необходимость в предоплаченных процедурах отпадает, их стоимость затем пациенту возвращается." ["prices"]=> string(223) "Helvetic Airways 18 931 р.
Easyjet 42 503 р.
Аэрофлот 61 214 р.
" ["service_advantage"]=> string(293) "Наиболее современные и успешные способы лечения; Высочайший уровень квалификации врачей; Возможность санаторно-курортного лечения; Высокий уровень сервиса." ["public"]=> int(1) ["doctors_description"]=> string(1056) "Медицинский персонал, осуществляющий лечение иностранных пациентов в клиниках Швейцарии, отличается высоким профессионализмом и тактичностью. Для медицины Швейцарии характерны доверительно-дружеские отношения между персоналом клиники и пациентом. Здесь считают, что только по достижении полного взаимопонимания можно получить по-настоящему хороший результат. Обратившись за помощью, вы можете рассчитывать не только на качественное лечение по самым современным методикам, использование лекарств нового поколения, но и на возможность соединить отдых и лечение.
" ["badge"]=> NULL ["created_at"]=> string(19) "2018-03-21 16:02:30" ["updated_at"]=> string(19) "2020-03-12 14:48:56" ["sort_order"]=> int(160) ["image"]=> NULL ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(500) "Швейцарская медицина считается одной из самых прогрессивных в мире. Особенно развиты направления терапии онкопатологий и бесплодия, ортопедия, пластическая хирургия, нейрохирургия и офтальмология. Высокий профессионализм врачей, безупречный сервис, полная анонимность." 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["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#614 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(0) "" ["link"]=> string(6) "cyurih" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [1]=> object(app\models\City)#615 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(157) ["title"]=> string(14) "Женолье" ["link"]=> string(7) "zhenole" ["genitive_title"]=> string(14) "Женолье" ["adj_genitive_plural_title"]=> string(14) "Женолье" ["prepositional_title"]=> string(14) "Женолье" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-20 11:07:15" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#621 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(133) ["city_id"]=> int(157) ["language"]=> string(2) "en" ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(5) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(1) { [0]=> object(app\components\MultilingualBehavior)#616 (12) { ["attributes"]=> array(12) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "about" [6]=> string(9) "advantage" [7]=> string(19) "doctors_description" [8]=> string(6) "seo_h1" [9]=> string(9) "seo_title" [10]=> string(12) "seo_keywords" [11]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(9) "lang_city" ["langClassName"]=> string(19) "app\models\CityLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(7) "city_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(12) { ["title"]=> string(8) "Genolier" ["link"]=> string(8) "Genolier" ["genitive_title"]=> string(8) "Genolier" ["adj_genitive_plural_title"]=> string(8) "Genolier" ["prepositional_title"]=> string(8) "Genolier" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } } } [2]=> object(app\models\City)#617 (12) { ["relevance"]=> NULL ["count"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(17) { ["id"]=> int(162) ["title"]=> string(14) "Лозанна" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(14) "Лозанны" ["adj_genitive_plural_title"]=> string(14) "Лозанна" ["prepositional_title"]=> string(14) "Лозанне" ["country_id"]=> int(22) ["public"]=> int(1) ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2019-05-23 14:07:59" } ["_related":"yii\db\BaseActiveRecord":private]=> array(1) { ["translation"]=> object(app\models\CityLang)#622 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" ["adj_genitive_plural_title"]=> string(0) "" ["prepositional_title"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["doctors_description"]=> string(0) "" ["advantage"]=> string(0) "" ["about"]=> string(0) "" } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(15) { ["id"]=> int(138) ["city_id"]=> int(162) ["language"]=> string(2) "en" ["title"]=> string(0) "" ["link"]=> string(7) "lozanna" ["genitive_title"]=> string(0) "" 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["id"]=> int(344) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(28) "klinika-hirslanden-v-cyurihe" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(0) "" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3230) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(344) ["title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["genitive_title"]=> string(51) "Клиники Хирсланден в Цюрихе" ["link"]=> string(29) "klinika-hirslanden-v-tsjurihe" ["about"]=> string(1234) "Клиника Хирсланден располагается в Цюрихе — одном из крупных городов северо-востока Швейцарии, столице одноименного кантона. Это современный частный медицинский центр с инновационной инфраструктурой и высочайшими стандартами предоставления медицинской помощи. Центр известен в стране, как один из наиболее передовых. Тут граждане Швейцарии и иностранные гости проходят диагностику и лечение на новейшей аппаратуре, в центре работают современные операционные, проводятся конвенциональные и малоинвазивные операции, процедуры радиотерапии, физиотерапии. В клинике работает более 1000 специалистов, а количество отделений и институтов составляет несколько десятков. " ["description"]=> string(11458) "Территориально клиника находится неподалеку от Цюрихского озера, в районе Хирсланден. Сюда можно легко добраться на общественном или частном транспорте. Многие пациенты предпочитают приезжать сюда на бесплатном автобусе клиники. Центр предлагает своим пациентам полный спектр медицинских услуг, начиная от экстренных процедур и заканчивая плановой госпитализацией.
Лечение в клинике Хирсланден основано на использовании самых передовых методов медицины — тут работают современные лаборатории, оснащенные высокотехнологичным оборудованием, применяются новейшие лекарственные препараты и методы физиотерапии. Отзывы о клинике Хирсланден можно встретить на различных специализированных интернет-площадках, где пациенты делятся друг с другом своим мнением по поводу того или иного медицинского центра. В большинстве случаев, бывшие пациенты Хирсланден отмечают высокий уровень профессионализма работающих здесь врачей и эффективность применяемых ими методов лечения.
В центре работает более 50 разных подразделений и институтов, основные направления — кардиология, висцеральная хирургия, неврология и нейрохирургия, ортопедия, гинекология и акушерство. Отделение экстренной медицинской помощи в клинике действует 24 часа в сутки 7 дней в неделю.
В отделении проводится полный спектр процедур по диагностике и лечению сердечно-сосудистых заболеваний, начиная от курсов медикаментозной терапии и заканчивая катетерной дилатацией коронарных сосудов, имплантацией сосудистых протезов, установкой сердечных клапанов и шунтированием сердца. Ежегодно тут проводится более 2000 процедур катетерной диагностики, около 800 процедур баллонной дилатации и около 800 открытых операций на сердце.
Врачи, которые работают в центре, обладают многолетней практикой лучевой диагностики заболеваний органов брюшной полости и помогают гастроэнтерологам, гепатологам, урологам, гинекологам и хирургам клиники, проводят ультразвуковую диагностику, компьютерную томографию и МРТ. Здесь проводятся комплексные исследования печени, поджелудочной железы, селезенки, кишечника, почек, мочеполовой системы.
В этом подразделении проводятся высокотехнологичные исследования, основанные на использовании методов ядерной диагностики и гибридной диагностической аппаратуры, позволяющей использовать совместно конвенциональный компьютерный томограф и однофотонную эмиссионную томографию (т. н. SPECT/CT).
В центре проводятся операции на органах брюшной полости, тут работают торакальные хирурги, проводятся вмешательства по удалению опухолей. Здесь преимущественно проводятся хирургические операции на мягких тканях, в центр поступают пациенты, нуждающиеся в комплексных и сложных операциях на брюшной полости и грудной полости. Большая часть хирургов центра имеет профессорские ученые степени.
В центре чек-ап диагностики ежегодно проходят профилактическое обследование тысячи пациентов — как жителей кантона, так и гостей страны. К услугам пациентов Хирсланден — более 1100 квалифицированных специалистов и несколько десятков специализированных центров. Здесь можно пройти стандартную программу чек-ап или программу диагностики, ориентированную на специфические нужды.
Специалисты центра занимаются протезированием коленных, плечевых, тазобедренных и локтевых суставов. Тут применяются современные модели имплантатов, позволяющие гарантировать высокую надежность использования протеза. Применяя малоинвазивные методы замены суставов, врачи обеспечивают сохранение мышечных и других мягких тканей, сокращение периода реабилитации и ускорение восстановления функций сустава. В центре применяются современные навигационные и роботизированные системы. Тут же проводятся артроскопические операции по восстановлению поврежденных структур коленного и плечевого суставов.
В отделении проходят амбулаторное и стационарное лечение пациенты со злокачественными заболеваниями — как солидными опухолями, так и раковыми поражениями крови. Лечение проходит в спокойной и умиротворяющей атмосфере, с использованием самых современных подходов — инновационных методов абляции, малоинвазивной хирургии, радиотерапии, системных химиопрепаратов и средств таргетной терапии. Отделение работает в тесном сотрудничестве со Швейцарским институтом иммунологического лечения опухолей.
В клинике круглосуточно и без выходных проводятся лучевые исследования — рентгенография, томография, комплексные исследования. Тут же осуществляются малоинвазивные интервенционные исследования. Результаты диагностики быстро интерпретируются. Работает курьерская служба, которая доставляет данные лучевой диагностики на CD-дисках в течение двух дней после проведения обследования.
Основные мощности института располагаются на территории другого центра — клиники Männedorf, вскоре их структуры будут объединены в единый комплекс. На данный момент пациенты клиники здесь проходят полный комплекс процедур, связанных с лучевым лечением новообразований на новейших линейных ускорителях TrueBeam и установках стереотаксической хирургии Cyberknife. Также тут проводятся процедуры контактного радиологического лечения опухолей и процедуры интраоперационной радиотерапии.
В центре проходят лечение спортсмены с травмами суставов, связок, сухожилий, мышечных тканей. Тут проводят артроскопические операции, лечат переломы, проводят трансплантацию хрящевых тканей и замену суставов.
Помимо вышеперечисленных подразделений, в клинике действует множество других — центр лечения инсульта, центр травмы, работают отделения урологии, ЛОР-заболеваний, косметической хирургии, ревматологии, физиотерапии, центр лечения заболеваний сосудов, неонатальное отделение и родильный дом, отделения гастроэнтерологии, лечения головной боли, инфекционных заболеваний, подразделение диагностики патологий молочной железы и др.
" ["logo"]=> string(36) "e997ee3dc885c92325c3d5569cb9581a.png" ["photo"]=> string(36) "f30afa2407fee19c31518b44398bf448.jpg" ["city_id"]=> int(156) ["address"]=> string(47) "Witellikerstrasse 40, 8032 Zürich, Switzerland" ["latitude"]=> string(17) "47.35104159999999" ["longitude"]=> string(17) "8.575709999999958" ["rating"]=> float(5) ["phone"]=> string(0) "" ["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-17 11:00:19" ["updated_at"]=> string(19) "2019-05-17 11:58:43" ["seo_title"]=> string(51) "Клиника Хирсланден в Цюрихе" ["seo_h1"]=> string(118) "Клиника Хирсланден в Цюрихе — современный медицинский комплекс" ["seo_description"]=> string(492) "Клиника Хирсланден в Цюрихе — современный частный медицинский центр, в котором работают опытные врачи и установлено современное оборудование. Пациенты клиники проходят обследование на высокоточной аппаратуре и получают терапию, основанную на эффективных подходах." 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["counter"]=> int(17) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-20 12:45:41" ["updated_at"]=> string(19) "2019-05-20 14:14:19" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3250) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(346) ["title"]=> string(58) "Университетская клиника Цюриха" ["genitive_title"]=> string(58) "Университетской клиники Цюриха" ["link"]=> string(33) "universitetskaja-klinika-tsjuriha" ["about"]=> string(1590) "В клинике работает порядка 8000 сотрудников, из них — более 1300 врачей. Ежегодно в центре около 130 тысяч пациентов проходят амбулаторное лечение и 35 тысяч пациентов пролечиваются в режиме стационара. Общее количество структурных подразделений клиники превышает четыре десятка. Отзывы о Университетской клинике Цюриха по большей части положительные, пациенты отмечают высокое качество предоставленных им медицинских услуг, возможность поучаствовать в клинических испытаниях новейших видов терапии. В клинике постоянно проводятся исследования в области регенеративной и персонализированной медицины. Хотя стоимость лечения в Университетской клинике Цюриха и нельзя назвать невысокой, сюда стремятся попасть пациенты со всех стран мира — ведь качество лечебных процедур и уровень подготовки врачей здесь соответствуют самым высоким международным стандартам. " ["description"]=> string(9155) "Университетская клиника Цюриха в Швейцарии — один из немногих университетских медицинских центров в стране и первая клиника, образованная в городе. Свое начало больница берет с 1204 года. За прошедшие столетия как название, так и местоположение клиники несколько раз менялись. В университетской клинике работали и продолжают работать многие выдающиеся врачи. В 20 веке тут трудился известный немецкий хирург Фердинанд Зауэрбрух, основоположник торакальной хирургии. Сегодня в стенах клиники проводит свои исследования иммунной системы человека профессор Рольф Мартин Цинкернагель — обладатель Нобелевской премии по физиологии и медицине.
Для гостей и пациентов клиники работает Wi-Fi. Действует трехразовая система питания с возможностью выбора блюд и изменения диеты (больше углеводов, больше овощей и т. д.). Доступна специализированная диета для больных диабетом и пациентов со специфическими требованиями к пище. Также в клинике действует несколько кафе и бистро. На территории центра есть банкоматы, работают парикмахерские, имеются комнаты для посетителей и детские комнаты. Гостевой дом клиники состоит из шести однокомнатных и шести двухкомнатных апартаментов, где родственники пациентов могут оставаться на период их госпитализации. Также здесь проживают пациенты перед тем, как лечь в клинику или после госпитализации. Комнаты оборудованы всем необходимым — начиная от стиральных машин и заканчивая телевизионными панелями.
Цены в Университетской клинике Цюриха в большинстве своем соответствуют расценкам остальных западно-европейских клиник. Нельзя сказать, что они слишком уж демократичны. Но и излишне высокими они тоже не являются, о чем свидетельствует хотя бы то, что в центре периодически можно встретить пациентов из России, Украины, других бывших союзных республик. Для медицинских туристов в центре действует международный отдел, сотрудники которого свободно разговаривают на нескольких языках и обеспечивают полную поддержку больного на всех этапах лечения.
В клинике действует несколько десятков структурных подразделений, приведем лишь некоторые из них.
Центр лечения рака работает совместно с Университетской детской клиникой Цюриха и занимается лечением широкого спектра злокачественных заболеваний как у взрослых, так и у маленьких пациентов. Тут можно пройти самые инновационные лечебные процедуры, основанные на междисциплинарном подходе и результатах последних научных исследований. Пациенты центра проходят курсы химиотерапии, лучевую терапию, таргетную и иммунную терапию. Врачи подразделения обладают большим опытом проведения малоинвазивных операций по удалению опухолей. Также специалисты центра предоставляют «второе мнение» пациентам из других стран.
Институт клинической химии — подразделение, специализирующееся на лабораторных методах диагностики. Здесь применяются новейшие химические, физические и биологические методы исследований, разрабатываются новые виды диагностических тестов естественных биологических жидкостей человека (крови, мочи и т. д.).
В Институте невропатологии работают врачи, занимающиеся вопросами диагностики и терапии патологий центральной и периферической нервной системы и скелетной мускулатуры. В тесном сотрудничестве невропатологи и нейрохирурги института проводят лечение самого широкого спектра болезней — от прионных заболеваний до разного рода энцефалопатий.
Сотрудники Института патологии и молекулярной патологии занимаются лабораторной диагностикой, используя образцы тканей пациента. Здесь проводятся гистопатологические, цитопатологические, молекулярные исследования.
В отделении пульмонологии проходят лечение пациенты с различными видами заболеваний дыхательной системы, в частности — хронической обструктивной болезнью легких, апноэ во сне. Сотрудники отделения работают в тесном контакте с врачами отделения трансплантологии, где осуществляется пересадка легких.
Врачи отделения торакальной хирургии проводят операции на грудной клетке, лечат опухоли легких и плевры, эмфизему, проводят малоинвазивные робот-ассистированные операции.
В клинике действует и множество других отделений и специализированных центров.
В составе клиники имеется отделение лучевой диагностики, позволяющее проводить исследование и лечение больных различными болезнями — заболеваниями желудочно-кишечного тракта, неврологическими, гинекологическими, сердечно-сосудистыми заболеваниями. Также здесь проводятся процедуры, связанные с ортопедической и пластической хирургией.
Цены в клинике Женолье выше, чем в среднем по Европе. Это определяется тем, что медицинский центр ориентируется на предоставление инновационных медицинских услуг и сервиса высочайшего качества.
В клинике действует амбулаторное отделение, где врачи дают консультации, а пациенты проходят лечебные процедуры, не требующие госпитализации. Здесь проводится лабораторная диагностика и лучевые исследования. В клинике работает один из самых передовых хирургических центров в Европе, операционные которого оснащены инновационным оборудованием, позволяющим, помимо всего прочего, проводить сеансы телемедицины.
Отзывы о клинике Женолье в целом очень позитивно характеризуют качество полученных лечебных процедур. Многих пациентов совершенно не волнует, сколько стоит лечение в клинике Женолье — их прежде всего интересует результат терапии. И подавляющее большинство пациентов клиники не разочаровываются в своих ожиданиях.
В клинике работает специализированный международный отдел, его сотрудники занимаются приемом заявок и ведением иностранных пациентов, которые прибывают сюда из самых разных точек мира — Среднего Востока, Европы, Азии и других мест. Сервисное обслуживание больного не ограничивается одним лишь предоставлением медицинской помощи, каждый пациент получает персонального медицинского координатора, который помогает подбирать врачей, координирует их, осуществляет функции переводчика и т. д.
В клинике действует почти полсотни отделений и специализированных подразделений. Пациенты могут здесь получить медицинскую помощь, ориентированную на лечение самого широкого спектра заболеваний — от аллергии до язвы желудка.
Специалисты отделения занимаются диагностикой атеросклероза и патологий клапанов сердца, аритмии, инфаркта миокарда, повышенного давления, коронарной недостаточности и других заболеваний сердечно-сосудистой системы. Также здесь проводятся процедуры, связанные с интервенционной кардиологией — пациентам делают катетеризацию, устанавливают коронарные стенты и искусственные клапаны сердца.
Врачи отделения проводят операции на органах грудной клетки, удаляют новообразования бронхов и легких, лечат заболевания плевры. Здесь широко применяется лазерная хирургия, особенно при лечении обструкции дыхательных путей, вызванной ростом новообразований.
Специалисты отделения занимаются терапией изменений и заболеваний, связанных с возрастом. Сюда поступают пациенты в возрасте 65-80 лет и старше. Они получают медицинскую, психологическую и социальную помощь, направленную на коррекцию физических, функциональных, психических и когнитивных расстройств. Здесь пациенты получают помощь как в условиях амбулатории, так и в условиях стационара. Врачи отделения обладают большим опытом терапии острых и хронических заболеваний, а также последующей реабилитации пациентов.
Лечение в онкологическом отделении проводится на междисциплинарной основе — с болезнью пациента борется целая команда специалистов из разных областей. Используя последние достижения в медицине, хирурги и радиологи, специалисты по химиотерапии и биотерапии совместными усилиями уверенно выводят больного на ремиссию. Здесь применяются инновационные таргетные препараты, современные средства гормональной и иммунной терапии.
В отделении предоставляется такая уникальная услуга, как медицинский гипноз — пройдя от 3 до 10 сеансов психотерапии, больной получает возможность находить и мобилизовать собственные силы для поиска решений своих ежедневных проблем.
В отделении работают врачи хирургических специальностей, обладающие большим клиническим опытом оперативного лечения травм и дегенеративных заболеваний опорно-двигательного аппарата. Тут проходят курсы терапии больные с заболеваниями позвоночника, связок, суставов, сухожилий и мышц. Специалисты отделения лечат переломы конечностей и позвоночника, дислокацию суставов, разрывы мышц, опухоли костей и остеоартроз, проводят операции по полному и частичному эндопротезированию.
В отделении трудится более десяти физиотерапевтов, специализирующихся на лечении травм и заболеваний опорно-двигательного аппарата, а также на общей реабилитации пациентов. Отделение оснащено новейшим изокинетическим оборудованием, которое позволяет в сжатые сроки восстанавливать подвижность в коленных, плечевых, локтевых, тазобедренных суставах. Тут получают медицинскую помощь и пациенты после хирургических операций, пока полностью не восстановят свою форму.
Хирурги отделения имеют значительный клинический опыт реконструктивной и эстетической хирургии, коррекции врожденных анатомических аномалий, увеличения и уменьшения груди, подтяжки лица, ринопластики, брефаропластики, омоложения кожи с использованием лазерных процедур.
Отделение радиологического лечения злокачественных заболеваний — одно из самых передовых в Западной Европе. Тут установлено высокоточное оборудование, позволяющее проводить гипер- и гипофракционированную дистанционную радиотерапию, роботизированную стереотаксическую радиохирургию, контактную радиотерапию.
В клинике действуют и другие отделения — гинекологии, дерматологии, общей хирургии, эндокринологии, офтальмологии, нейрохирургии, робот-ассистированной и лапароскопической хирургии, сосудистой хирургии, урологии, неврологии, пульмонологии, психиатрии и др.
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["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#634 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-zhenole" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#635 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#633 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#636 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } [3]=> object(app\models\Clinic)#637 (11) { ["relevance"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(0) "" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(0) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["recommend_text"]=> string(0) "" ["sort_order"]=> int(3290) ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" ["is_representative"]=> int(1) ["price_min"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(28) { ["id"]=> int(350) ["title"]=> string(29) "Клиника Леманик" ["genitive_title"]=> string(29) "Клинике Леманик" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(1694) "Клиника Леманик в Швейцарии хорошо известна, как передовой центр эстетической и регенеративной медицины. Своим пациентам клиника предоставляет косметические процедуры и услуги по омоложению, основанные на самых инновационных и высокотехнологичных подходах. Отзывы о клинике Леманик подтверждают высокое качество применяемых процедур — это эстетическая дерматология и хирургические операции на коже, терапия, направленная на омоложение кожи, пластическая и реконструктивная хирургия, регенеративные процедуры. Врачи центра обладают большим опытом лечения заболеваний кожи и слизистых, ногтей и волос, проводят эффективную терапию акне и псориаза, витилиго и гипергидроза, экземы и дерматитов. Хирурги успешно исправляют косметические дефекты, а специалисты по превентивной и функциональной медицине занимаются вопросами общего омоложения организма, восстановления гибкости, силы, улучшения жизненного тонуса. " ["description"]=> string(8752) "Располагается клиника в Лозанне — четвертом по величине городе Швейцарии. Сюда приезжает много женщин из США и Европы, клиника хорошо известна в России, Украине и других бывших государствах СНГ. Это один из наиболее оснащенных медицинских центров, ориентированный на решение вопросов эстетики человеческого тела и борьбы с возрастными изменениями. Тут активно применяется высокотехнологичная аппаратура — лазерные установки, оборудование для эстетической хирургии, фототерапии, криотерапии.
Цены в клинике Леманик вполне приемлемы на взгляд среднестатистического жителя Западной Европы. Хотя стоимость лечения в клинике Леманик для жителей бывших союзных республик может показаться несколько завышенной, это — лишь следствие различия в уровне жизни. Для обычного швейцарца стоимость процедуры омоложения кожи в клинике не выше, чем стоимость ужина в среднем женевском ресторане. Если принять во внимание эффективность предоставляемых процедур и долговременный эстетический эффект, их стоимость выглядит вполне приемлемой.
Специалисты клиники применяют самый широкий спектр современных подходов, позволяющих быстро и эффективно убирать косметические дефекты, улучшать эстетику лица и других частей тела.
Лечение рубцов от акне с помощью синего света — безболезненный метод, который позволяет значительно улучшить внешний вид всего за 2-4 процедуры, каждая из которых длится по 15 минут и состоит в облучении проблемных участков кожи светом длиной волны 400-700 нм и 800-1200 нм с определенной частотой пульсации.
Аквалифтинг — техника регенерации кожи лица, позволяющая восстановить эластичность, убрать мелкие морщины, удалить пигментные пятна, возникающие в результате гормональных и сосудистых аномалий. Одна сессия длится порядка 60 минут, за это время в кожу «впрыскивается» стерильная вода или физраствор, обогащенные антиоксидантами, витаминами, средствами борьбы со свободными радикалами. Такой революционный подход в медицине называют «трансдермальным введением воды и активных молекул».
Блефаропластика — хирургические операции по удалению излишков кожи и подкожного жира на верхних и нижних веках. Практически сразу после процедуры глаза становятся более открытыми, а лицо более молодым и привлекательным. Иногда блефаропластика сочетается с подтяжкой лица, за счет чего обеспечивается еще более выразительный омолаживающий эффект.
Пластические операции по увеличению или уменьшению груди — одни из самых востребованных в клинике. Здесь можно провести коррекцию птоза, асимметрии груди и сосков, установить силиконовые имплантаты. Как правило, после хирургической операции пациентка проводит в клинике всего несколько дней и потом может возвращаться к своей обыденной жизни.
Карбокситерапия — подкожное введение углекислого газа, позволяющее стимулировать процессы регенерации и омоложения кожи. Процедура позволяет убрать небольшое провисание кожи лица, шеи, рук, живота и т. д., убрать мешки под глазами, растяжки кожи. Врач делает микроинъекции углекислого газа в кожу, в ответ на это обработанные участки начинают активно снабжаться кислородом, структура коллагена улучшается, кожа приобретает эластичность. В поверхностных слоях кожи улучшается метаболизм, происходит формирование нового коллагена и эластина, начинается липолиз жировых тканей.
Удаление целлюлита с использованием прибора Cellu M6 Endermolab позволяет безболезненно и аккуратно проводить глубокий LPG массаж, воздействуя на ткани во всех направлениях и стимулируя липолиз.
Криолиполиз — инновационный метод реабсорбции жировых тканей с помощью пониженных температур. Используя специальную аппаратуру, врач «замораживает» жировые клетки в глубоких слоях кожи без повреждения других тканей эпидермиса. Одна процедура длится около двух часов и позволяет вызвать естественный липолиз адипоцитов.
Фракционированный лазер — технология, которая позволяет разглаживать поверхность кожи, удалять морщины, уменьшать рубцы и растяжки. Процедура обладает омолаживающим эффектом, может применяться на коже лица, шеи, рук и т. д. Техника фототермолиза представляет собой одну из наиболее современных разработок в области эстетической медицины. Обычно один курс состоит из четырех сеансов.
В клинике, помимо вышеперечисленных процедур, проводят и другие — лазерное удаление дефектов и татуировок, волос и пигментных пятен, хирургический лифтинг лица, делают липоскульптуру и пластику живота, термаж и пилинг, мезотерапию, инъекции ботокса и гиалуроновой кислоты, фототерапию, нехирургический лифтинг груди и т. д. Сюда приезжает множество женщин из бывших государств СНГ — каждая из них, пройдя комплекс процедур, остается довольна полученным эффектом.
" ["logo"]=> string(36) "867ed34da1075ecfa20ac928e8129a8f.jpg" ["photo"]=> string(36) "e7a025567117b40197f53d41b5cc7e72.jpg" ["city_id"]=> int(162) ["address"]=> string(70) "Швейцария, Лозанна 1003, Lausanne, 2 Avenue De La Gare" ["latitude"]=> string(10) "46.5170164" ["longitude"]=> string(17) "6.637168599999995" ["rating"]=> float(4) ["phone"]=> string(0) "" ["counter"]=> int(16) ["price_level"]=> int(4) ["public"]=> int(1) ["created_at"]=> string(19) "2019-05-23 14:19:05" ["updated_at"]=> string(19) "2019-05-23 15:44:07" ["seo_title"]=> string(29) "Клиника Леманик" ["seo_h1"]=> string(29) "Клиника Леманик" ["seo_description"]=> string(477) "Клиника Леманик — специализированный швейцарский центр эстетической медицины. Опытные врачи, современная высокотехнологичная аппаратура, самый полный спектр эффективных процедур. Лазерное омоложение, хирургические косметические операции, криотехнологии." 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["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#639 (12) { ["attributes"]=> array(13) { [0]=> string(6) "public" [1]=> string(5) "title" [2]=> string(14) "genitive_title" [3]=> string(4) "link" [4]=> string(5) "about" [5]=> string(11) "description" [6]=> string(7) "address" [7]=> string(6) "seo_h1" [8]=> string(9) "seo_title" [9]=> string(12) "seo_keywords" [10]=> string(15) "seo_description" [11]=> string(14) "recommend_text" [12]=> string(12) "request_form" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(11) "lang_clinic" ["langClassName"]=> string(21) "app\models\ClinicLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(9) "clinic_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(13) { ["public"]=> int(0) ["title"]=> string(0) "" ["genitive_title"]=> string(0) "" ["link"]=> string(15) "klinika-lemanik" ["about"]=> string(0) "" ["description"]=> string(0) "" ["address"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" ["recommend_text"]=> string(0) "" ["request_form"]=> string(37) "{"title":"","comment_placeholder":""}" } ["owner"]=> *RECURSION* } [1]=> object(yii\behaviors\TimestampBehavior)#640 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#638 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [2]=> object(app\components\SortBehavior)#641 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } } } } } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(7) { ["afterFind"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(9) "afterFind" } [1]=> NULL } } ["afterUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterUpdate" } [1]=> NULL } } ["afterInsert"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterInsert" } [1]=> NULL } } ["afterDelete"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(11) "afterDelete" } [1]=> NULL } } ["beforeValidate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" ["tableName"]=> string(12) "lang_country" ["langClassName"]=> string(22) "app\models\CountryLang" ["langClassSuffix"]=> string(4) "Lang" ["langForeignKey"]=> string(10) "country_id" ["languageField"]=> string(8) "language" ["forceDelete"]=> bool(true) ["currentLanguage"]=> string(2) "en" ["langAttributes":"app\components\MultilingualBehavior":private]=> array(17) { ["title"]=> string(11) "Switzerland" ["link"]=> string(11) "shvejcariya" ["genitive_title"]=> string(11) "Switzerland" ["adj_genitive_plural_title"]=> string(5) "Swiss" ["prepositional_title"]=> string(11) "Switzerland" ["phone"]=> string(0) "" ["about"]=> string(0) "" ["advantage"]=> string(0) "" ["specialization"]=> string(0) "" ["accessibility"]=> string(0) "" ["prices"]=> string(0) "" ["service_advantage"]=> string(0) "" ["doctors_description"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_title"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["seo_description"]=> string(0) "" } ["owner"]=> *RECURSION* } [1]=> string(14) "beforeValidate" } [1]=> NULL } } ["beforeInsert"]=> array(2) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } [1]=> array(2) { [0]=> array(2) { [0]=> object(app\components\SortBehavior)#93 (2) { ["sortAttribute"]=> string(10) "sort_order" ["owner"]=> *RECURSION* } [1]=> string(12) "beforeInsert" } [1]=> NULL } } ["beforeUpdate"]=> array(1) { [0]=> array(2) { [0]=> array(2) { [0]=> object(yii\behaviors\TimestampBehavior)#92 (7) { ["createdAtAttribute"]=> string(10) "created_at" ["updatedAtAttribute"]=> string(10) "updated_at" ["value"]=> object(Closure)#89 (1) { ["this"]=> *RECURSION* } ["attributes"]=> array(2) { ["beforeInsert"]=> array(2) { [0]=> string(10) "created_at" [1]=> string(10) "updated_at" } ["beforeUpdate"]=> string(10) "updated_at" } ["skipUpdateOnClean"]=> bool(true) ["preserveNonEmptyValues"]=> bool(false) ["owner"]=> *RECURSION* } [1]=> string(18) "evaluateAttributes" } [1]=> NULL } } } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(3) { [0]=> object(app\components\MultilingualBehavior)#91 (12) { ["attributes"]=> array(17) { [0]=> string(5) "title" [1]=> string(4) "link" [2]=> string(14) "genitive_title" [3]=> string(25) "adj_genitive_plural_title" [4]=> string(19) "prepositional_title" [5]=> string(5) "phone" [6]=> string(5) "about" [7]=> string(9) "advantage" [8]=> string(14) "specialization" [9]=> string(13) "accessibility" [10]=> string(6) "prices" [11]=> string(17) "service_advantage" [12]=> string(19) "doctors_description" [13]=> string(6) "seo_h1" [14]=> string(9) "seo_title" [15]=> string(12) "seo_keywords" [16]=> string(15) "seo_description" } ["languages"]=> array(1) { [0]=> string(2) "en" } ["defaultLanguage"]=> string(2) "ru" 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There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(14) { ["id"]=> int(44) ["title"]=> string(56) "Рак груди (рак молочной железы)" ["genitive_title"]=> string(19) "Рака груди" ["link"]=> string(19) "lechenie-raka-grudi" ["about"]=> string(1772) "Рак молочной железы является одним из самых изученных в онкологии. Нет повода отчаиваться узнав о диагнозе рак груди, но правильным решением будет понять все доступные возможности современного лечения рака молочной железы в специализированных клиниках России и за пределами нашей страны. Мы рекомендуем для вас лучших маммологов-онкологов, хирургов, радиологов, онкологов-химиотерапевтов, радиологов и специалистов в области генетической-молекулярной диагностики рака. Прежде чем принять решение о лечение рака молочной железы, мы советуем вам убедиться, что технология является наиболее передовой, а лечение наименее инвазивным, насколько это возможно с учетом стадии заболевания. Кроме того, после окончания основного этапа лечения, связанного с удалением опухоли, мы рекомендуем опытных пластических хирургов, предлагающих несколько вариантов реконструкции груди: с использованием жировой ткани, аутотрансплантации кожи и новейших имплантатов груди.
" ["description"]=> string(22096) "Во многом, тактика лечения рака молочной железы базируется на правильной диагностике опухоли. Верификация образца полученной ткани опухоли позволяет определить в злокачественных клетках рака молочной железы специальные рецепторы (белки), чувствительные к новым таргетным лекарствам, гормонам, препаратам химиотерапии. Поэтому персонализированное, а значит более эффективное лечение — возможно проводить только после получения результатов биопсии, которой не нужно бояться. Биопсия в современных клиниках выполняется с помощью очень тонкой иглы и под контролем оборудования визуальной диагностики (рентген, ультразвук). Кроме того, результаты биопсии можно получить в течение 30 минут, это особенно важно когда нет времени ждать и принято решение о хирургическом лечении опухоли. В этом случае, уже во время операции будет известен характер опухоли, а значит и дальнейшая тактика лечения определяется безотлагательно.
Еще раз подчеркнем, что правильное лечение рака молочной железы должно быть персонализированным, когда вам говорят — «что у нас есть протокол лечения рака» — это означает, что он должен быть применен только после цитогенетического исследования полученного образца опухоли. Иначе существует риск общетоксического воздействия препаратов химиотерапии и низкого их избирательного эффекта на опухоль. Мы говорим об этом потому, что сталкивались с подобными случаями в своей практике и считаем своим долгом сказать о правильности современных подходов к диагностике и лечению рака молочной железы.
Кроме биопсии не менее важна визуализация, или говоря иными словами — обнаружение опухоли в тканях груди с помощью современного оборудования. Маммография с томосинтезом — это многомерное исследование тканей молочной железы, проводится как и обычная маммография, только комфортнее для женщины и ценнее для врача. Так как, современная трехмерная томография не пропустит ни одного (даже самого маленького) очага опухоли молочной железы. Этот метод хорош не только для определения опухоли, но и для рутинных проверок, благодаря которым рак груди стал выявляться на ранних стадиях, следовательно, лечение и последствия рака могут быть минимальными.
Для обнаружения возможного распространения раковых клеток в ближайшие лимфатические узлы (при подозрении), проводится биопсия и возможное удаление сторожевых лимфатических узлов, В некоторых западных клиниках и больницах Израиля, а в последнее время в ведущих российских больницах — применяется тактика совмещения удаления опухоли молочной железы и одновременного удаления сторожевых лимфатических узлов (только ближайших к опухоли узлов, в которых обнаружен раковые клетки). Такой подход позволяет избежать опасного и неприятного последствия — лимфостаза рук, а следовательно избежать необходимость длительной реабилитации после хирургического лечения. Всегда важно определить отсутствие метастазов опухоли в других участках тела. Конечно, если обратиться к врачу на ранних стадиях рака, когда вы только пальпаторною обнаружили в молочной железе небольшой узелок и «нашли» полчаса времени на маммографию, то поиск метастазов не нужен.
Но мы сталкиваемся, к большому сожалению, с запущенными формами рака молочной железы, когда необходимо обязательное проведение ПЭТ КТ для поиска отдаленных опухолей. Конечно и в этом случае есть решения, к примеру, в одной из израильских больниц установлено оборудование для мультипланарного обнаружения множественных метастазов рака в головном мозге и возможностью за один сеанс радиотерапии разрушить несколько метастазов.
Мы хорошо знакомы с примерами успешного лечения рака груди на разных стадиях онкологического процесса, однако мы призываем всех женщин к регулярному обследованию, самообследованию молочных желез, особенно это необходимо женщинам имеющим семейную историю рака молочных желез (генетическую предрасположенность). Прежде чем принимать заместительную гормональную терапию мы рекомендуем женщинам из группы риска пройти обследование и получить консультацию квалифицированного эндокринолога и онколога.
В основном определяются две формы рака молочной железы.
Рак возникающий в железистой ткани — является карциномой, которая образуется в клетках молочных протоков. Протоковый рак может быть инвазивным, с потенциалом последующего распространения, или неинвазивным. У любого рака молочной железы достаточно высокие шансы на излечение, но неинвазивные формы карциномы лучше поддаются лечению.
Другая частая фора рака — очаговый рак, возникает в дольках молочной железы.
Менее распространена агрессивная форма рака молочной железы — это воспалительный рак, такая опухоль распространяются быстро и необычно, в большой плоскости. Иногда встречается опухоли независимые от гормонов и не имеющие в своих клетках рецепторов HER2, на которые действуют современные лекарства, блокирующие рост раковых клеток.
Рак молочной железы бывает не только у женщин, крайне редко рак груди обнаруживается у мужчин. Статистика обнаружения рака у сильной половины человечества несоизмерима мала, однако такие случаи встречаются, например в США диагноз рак молочной железы ежегодно устанавливается более 2000 мужчин.
Современная система деления стадий развития рака молочной железы была разработанной отечественными онкологами, а также за своим описанием соответствует полной международной классификации по поводу стадий рака молочной железы TNM. Она состоит из 5 стадий, так как вторая стадия делится на 2А и 2В стадии.
1-я стадия — опухоль не больше двух см в диаметре, без распространения на близлежащие ткани и лимфатические узлы.
2-я А стадия — размер опухоли от 2-х до 5-и см в диаметре, частично спаянна с кожей, метастазы не обнаружены.
2-я В стадия — опухоль имеет размер около 2–5 см в диаметре, от нее отходят не больше чем два метастаза на стороне локализации опухоли.
3-я стадия — опухоль более 5 см в диаметре, имеет прорастания в кожу и окружающую жировую ткань. Присутствует симптом умбиликации — втянутая кожа над опухолью, наличие не более 2 метастазов.
4-я стадия — опухоль распространяется на всю молочную железу, присутствуют обширные изъязвления и отдаленные метастазы.
Если вы обеспокоены семейной историей рака молочной железы, мы рекомендуем вам клиники для прохождения генетического тестирования и точного определения риска. Все, что увеличивает шансы на возникновение рака молочной железы является фактором риска:
Другие факторы риска рака молочной железы включают в себя:
Исследования показывают, что многие виды рака можно предотвратить. Обратитесь к нашим медицинским консультантам за более подробной информацией.
Распространенные симптомы рака груди:
Хирургическое лечение рака молочной железы является одним из приоритетных направлений лечения, как уже было сказано в начале нашей статьи, удаление только сторожевых лимфатических узлов и опухоли — влияет на дальнейшую реабилитацию. Кроме того, по результатам биопсии планируется хирургическое лечение и комплексная терапия. Однако, нужно отметить, что биопсия может показать высокую чувствительность опухоли к гормональному лечению и специфическим таргетным лекарствам, тогда хирургия будет минимальной, а лечение при этом не потеряет своей эффективности. В некоторых случаях бывает достаточно только направленной терапии, химиотерапии, или гормонального лечения.
Мастэктомия — это основная операция по удалению опухоли молочной железы. При мастэктомии удаляется одна или две груди. Во многих клиниках совмещают мастэктомию и реконструктивную хирургию. Щадящие операции с сохранением максимальной структуры груди возможны только на ранних, первой и второй стадии рака, когда процесс имеет относительно ограниченную локализацию в молочной железе. Обследование является решающим фактором при планировании способа операции.
Лучевая терапия на сегодняшний день имеет более точечное облучение, с минимальным риском лучевого поражения здоровых участков. Для принятия решения о возможности лучевой терапии необходимо обследование. В случае выявление хорошей чувствительности опухоли к лечению, возможно ограничится только минимальной хирургией и применением современных лекарств. Несмотря на это, ваш врач может предложить локальную форму лучевой терапии, когда источник облучения располагают вблизи опухоли — это называется брахитерапией, и такая методика часто применяется во время операции для лучшей зачистки от раковых клеток, которые могут остаться после удаления опухоли. Некоторые небольшие локальные очаги опухоли с нестандартной локализацией могут быть уничтожены с помощью современного метода стереотаксической радиохирургии (кибер-нож).
Химиотерапия наиболее часто проводится до или после операции, также является основным методом лечения запущенного рака, распространившегося за пределы молочной железы. Мы предлагаем самые современные и эффективные варианты химиотерапии для рака молочной железы, которые доступны в многих клиниках мира. Мы рекомендуем опытных врачей, которые впервые применили химиотерапию до операции, чтобы уменьшить опухоль молочной железы, с целью минимального повреждение окружающих тканей во время операции.
Гормональная терапия, например лекарство «tamoxifen», помогает блокировать гормоны «подпитывающие» рост рака молочной железы. Но как было отмечено, лечение гормонами проводится в случае выявления гормональной зависимости опухоли.
Целевая терапия (таргетное лечение) рака молочной железы — это введение современных биологических лекарств, например «грцептин» является одним из видов биологической терапии, мишенью для которого служат раковые клетки производящие слишком много белка под названием HER2. Этот белок присутствует у некоторых пациентов с раком молочной железы. «Герцептин» связывается с клетками, прекратив производство HER2 белка необходимого для роста опухоли.
Стоимость лечения рака молочной железы зависит от стадии процесса и может быть минимальной на ранних стадиях рака. Мы рекомендуем лечение рака в лучших клиниках России и за рубежом, при этом в Docland.ru обеспечивается персонализированный подход и экспертный уровень выбора клиники. Мы не увеличиваем стоимость лечения, она остается равной стоимости при прямом обращении в клинику. В отличие от агентств медицинского туризма, мы предоставляем прямой доступ к лучшим онкологам, при более низкой стоимости медицинских услуг.
" ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-03-31 15:51:09" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["use_cure_word"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(3) { ["translation"]=> object(app\models\DiseaseLang)#227 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(13) { ["id"]=> int(2) ["disease_id"]=> int(44) ["language"]=> string(2) "en" ["title"]=> string(13) "Breast cancer" ["genitive_title"]=> string(13) "Breast cancer" ["link"]=> string(13) "breast-cancer" ["about"]=> string(1030) "breast Cancer is one of the most studied in Oncology. There is no reason to despair after learning about the diagnosis of breast cancer, but the correct solution is to understand all the available features of modern breast cancer treatment in specialized clinics all over the world. We recommend you the best mammologists-oncologists, surgeons, radiologists, oncologists-chemioterapico, radiologists and specialists in the field of genetic-molecular diagnosis of cancer. Before you make a decision about the treatment of breast cancer, we suggest you make sure that technology is the most advanced, and least invasive treatment as possible given the stage of the disease. In addition, after the main stage of treatment associated with removal of the tumor, we recommend an experienced plastic surgeons offering several options for breast reconstruction using adipose tissue, skin graft and new breast implants.
Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["public"]=> int(1) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } ["diseasesInBranch"]=> array(1) { [0]=> object(app\models\DiseaseBranch)#523 (10) { ["_attributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(3) { ["id"]=> int(70) ["disease_id"]=> int(44) ["branch_id"]=> int(8) } ["_related":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_relationsDependencies":"yii\db\BaseActiveRecord":private]=> array(0) { } ["_errors":"yii\base\Model":private]=> NULL ["_validators":"yii\base\Model":private]=> NULL ["_scenario":"yii\base\Model":private]=> string(7) "default" ["_events":"yii\base\Component":private]=> array(0) { } ["_eventWildcards":"yii\base\Component":private]=> array(0) { } ["_behaviors":"yii\base\Component":private]=> array(0) { } } } ["branches"]=> array(1) { [0]=> object(app\models\Branch)#524 (13) { ["relevance"]=> NULL ["count"]=> NULL ["imageFile"]=> NULL ["_attributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(8) "Oncology" ["link"]=> string(8) "oncology" ["genitive_title"]=> string(8) "Oncology" ["full_title"]=> string(0) "" ["about"]=> string(2633) "Efficiency of treatment of oncological diseases is abroad repeatedly proved. Foreign oncologists develop individual schemes of fight against cancer thanks to what they guarantee bystry elimination of symptomatology and decrease in risk of a recurrence in the future. The cost of treatment of oncology abroad, certainly, is higher, than in Russia, however, so far as concerns preservation of life, the price passes into the background.
For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
" ["description"]=> string(0) "" ["sort_order"]=> int(80) ["on_main"]=> int(1) ["public"]=> int(1) ["created_at"]=> string(19) "0000-00-00 00:00:00" ["updated_at"]=> string(19) "2020-04-09 16:41:38" ["seo_title"]=> string(0) "" ["seo_h1"]=> string(0) "" ["seo_description"]=> string(0) "" ["seo_keywords"]=> string(0) "" ["is_disease"]=> int(1) ["speciality_id"]=> int(5) ["image"]=> NULL } ["_oldAttributes":"yii\db\BaseActiveRecord":private]=> array(19) { ["id"]=> int(8) ["title"]=> string(18) "Онкология" ["link"]=> string(24) "onkologija-lechenie-raka" ["genitive_title"]=> string(18) "Онкологии" ["full_title"]=> string(18) "Онкология" ["about"]=> string(4548) "Эффективность лечения онкологических заболеваний за рубежом многократно доказана. Зарубежные онкологи разрабатывают индивидуальные схемы борьбы с раком, благодаря чему гарантируют быстрое устранение симптоматики и снижение риска рецидивов в будущем. Стоимость лечения онкологии за рубежом, безусловно, выше, чем в России, однако, когда речь идет о сохранении жизни, цена уходит на второй план.
На диагностику за рубежом, как правило, затрачивается от 1 до 3 дней. Сначала онколог проводит физический осмотр пациента и изучает его историю болезни. На основе полученных данных назначает углубленное обследование, которое может включать в себя:
• компьютерную томографию,
• позитронно-эмиссионную компьютерную томографию (ПЭТ КТ),
• магнитно-резонансную томографию (МРТ),
• биопсию пораженных участков (при возможности),
• определение уровня онкомаркеров (анализ крови),
• генетическую диагностику.
Ведущие мировые клиники по лечению рака, стремясь помочь своим пациентам и вернуть их к полноценной жизни, применяют в работе:
• хирургические методы с использованием современных лазерных скальпелей, мгновенно уничтожающих раковые клетки и препятствующих их распространению (если опухоль выявлена на ранней стадии, гарантировано полное выздоровление);
• химиотерапию (больным вводятся моноклональные антитела, препараты-блокаторы);
• радиотерапию (лечение опухоли проводится на расстоянии с помощью кибер-ножа, радио-ножа и др. оборудования);
• гормонотерапию;
• метод фокусированного ультразвука HIFU,
• трансплантацию костного мозга.
Обычно врачи лучших зарубежных онкологических клиник комбинируют разные лечебные методы, достигая тем самым отличных результатов.
Если у вас диагностирован рак, и вы хотите проконсультироваться с зарубежными специалистами либо уже твердо намерены пройти лечение заболевания именно в определенной стране, консультанты информационного сервиса DocLand.ru помогут вам определиться с клиникой, предоставят ориентировочные цены на разные виды процедур, оказываемых в местных центрах. Оставьте заявку и мы перезвоним вам.
И главное, помните, онкология сегодня – это не смертельный приговор, а болезнь, которую можно победить, заручившись поддержкой лучших мировых онкологов!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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For diagnostics abroad it is, as a rule, spent from 1 to 3 days. At first the oncologist performs physical inspection of the patient and studies his clinical record. On the basis of the obtained data appoints profound inspection which can include:
The leading world clinics on cancer therapy, seeking to help the patients and to return them to full-fledged life, apply in work:
Usually doctors of the best foreign oncological clinics combine different medical methods, achieving thereby excellent results.
If cancer is diagnosed for you, and you want to consult with foreign experts or already strongly intend to undergo treatment of a disease in a certain country, consultants of information DocLand.ru service will help you to decide on clinic, will provide estimated prices for different types of the procedures rendered in the local centers. Leave the application and we will call back to you.
And the main thing, remember, the oncology is today not death sentence, but a disease against which it is possible to win, having secured with support of the best world oncologists!
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
" ["description"]=> string(10543) "the
In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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In many respects, the tactics of treatment of breast cancer is based on correct diagnosis of the tumor. Verification of the obtained sample of tumor tissue can identify malignant breast cancer cells special receptors (proteins) that are sensitive to new targeted drugs, hormones, chemotherapy. the So personalized, and therefore more effective treatment may be carried out only after receiving the biopsy results, which do not need to be afraid. Biopsy in modern clinics is performed using a very fine needle and under the control of imaging equipment (x-ray, ultrasound). In addition, the results of the biopsy can be obtained within 30 minutes, this is especially important when there is no time to wait and decided on the surgical treatment of the tumor. In this case, already during the operation will be known the nature of the tumor, and hence further treatment is determined without delay.
we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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Doclandmed.com recommends only those doctors and technology, which are recognized as best in the world.
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we emphasize again that the correct treatment of breast cancer must be personalized, when you say — "we have the cancer Protocol" — this means that it should be applied only after the cytogenetic studies of the obtained sample of the tumor. Otherwise there is a risk of General toxic effects of chemotherapy drugs and low their selective effect on the tumor. We say this because, faced with such cases in their practice and it is our duty to tell about the correctness of modern approaches to the diagnosis and treatment of breast cancer.
in addition to the biopsy, not least the visualization, or in other words — the discovery of the tumor in the breast tissue with the help of modern equipment. Mammography with tomosynthesis is a multi — dimensional study of the tissues of the breast, is like conventional mammography, only more comfortable for women and more valuable to a doctor. As modern three-dimensional imaging will not miss any (even the smallest) tumor of the breast. This method is good not only to detect tumor, but also for routine checks due to which breast cancer was detected in its early stages, therefore, treatment and consequences of cancer may be minimal.
To detect a possible spread of cancer cells in the nearest lymph nodes (suspected), biopsy and possible removal of sentinel lymph nodes In some Western hospitals and Israeli hospitals, and more recently in leading Russian hospitals used tactics of combining tumor removal of the breast and simultaneous removal of sentinel lymph nodes (only next to tumor nodes, which detected the cancer cells). This approach allows us to avoid dangerous and unpleasant consequences of lymphedema of hands and therefore avoid the need for long-term rehabilitation after surgical treatment. It is always important to determine the absence of tumor metastases in other parts of the body. Of course, if you consult a doctor at early stages of cancer, when you only palpation detected in the breast a small nodule "found" a half-hour of time on mammography, the search for metastases is not needed.
But we are faced, unfortunately, with advanced forms of breast cancer, when should the requirement for PET CT scan to search for distant tumors. Of course in this case there are solutions, for example, in one of the Israeli hospitals with the detection followed by multiplanar multiple cancer metastases in the brain and opportunity for one session of radiotherapy to destroy multiple metastases.
We are familiar with examples of successful treatment of breast cancer at different stages of oncological process, but we encourage all women to regular screening, breast self is a must, especially to women with family history of breast cancer (genetic predisposition). Before taking hormone replacement therapy we recommend that women from the risk group to be screened and consult a qualified endocrinologist and oncologist.
basically there are two forms of breast cancer.
Cancer arises in the glandular tissue is a carcinoma, which is formed in the cells of the milk ducts. Ductal carcinoma can be invasive with the potential of further distribution, or non-invasive. Any breast cancer is quite high, the chances of a cure, but a non-invasive form of carcinoma may be more amenable to treatment.
Another frequent fora cancer — lobular cancer occurs in the lobules of the breast.
Less common aggressive form of breast cancer is inflammatory cancer, the cancer spread rapidly and unusually, in a large plane. Sometimes the tumor occurs independent of hormones and are not having their cell receptor HER2, which are modern drugs that block the growth of cancer cells.
breast Cancer is not only women, are extremely rare breast cancer found in men. Statistics the detection of cancer in a strong half of mankind is incommensurable small, but such cases are, for example, in U.S. diagnosed with breast cancer annually placed more than 2,000 men.
the Modern system of dividing the stages of development of breast cancer was developed by local oncologists, but also for its description corresponds to the full international classification about the stages of breast cancer TNM. It consists of 5 stages, since the second stage is divided into 2A and 2B phases.
1st stage — the tumor more than two cm in diameter without spread to nearby tissues and lymph nodes.
2-I And stage — tumor size from 2 to 5 cm in diameter, partially spanna with the skin metastases were not detected.
2-I In stage — the tumor has a size of about 2-5 cm in diameter, moving away from her not more than two metastases on the side of tumor localization.
stage-3 — tumor more than 5 cm in diameter, is sprouting in the skin and surrounding fat tissue. There is a symptom of umbilical is drawn into the skin over the tumor, the presence of not more than 2 metastases.
stage 4 — the cancer has spread to the entire mammary gland, the presence of extensive ulceration and distant metastases.
If you are concerned about a family history of breast cancer, we recommend that you clinic to undergo genetic testing and accurate determination of risk. Anything that increases the chances of occurrence of breast cancer is a risk factor:
Other risk factors of breast cancer include:
Research shows that many cancers can be prevented. Contact our medical advisers for more detailed information.
Common symptoms of breast cancer:
Surgical treatment of breast cancer is one of the priority areas of treatment, as mentioned in the beginning of our article, removing only the sentinel lymph nodes and tumors affect further rehabilitation. Furthermore, the biopsy is planned surgical treatment and combined therapy. However, it should be noted that the biopsy may show a high sensitivity of the tumor to hormonal treatment and specific targeted drugs, then surgery will be minimal, and the treatment will not lose its effectiveness. In some cases it is sufficient only targeted therapy, chemotherapy, or hormonal treatment.
the Mastectomy is a major operation to remove a breast tumor. While a mastectomy removes one or two Breasts. In many clinics combine mastectomy and reconstructive surgery. Sparing surgery with preservation of the maximum of the structure of the breast is possible only in the early, first and second stage of cancer, when the process has a relatively limited localization in the breast. A survey is a decisive factor when planning the method of operation.
the Hormone therapy, for example, the drug "tamoxifen", helps to block hormones "feed" the growth of breast cancer. But as noted, hormone treatment is carried out in case of detection of hormone dependence of the tumor.Targeted therapy (targeted therapy) breast cancer is the introduction of modern biological drugs such as "Herceptin" is a type of biological therapy, the target of which are cancer cells that produce too much protein called HER2. This protein is present in some patients with breast cancer. "Herceptin" is associated with the cell by discontinuing the production of the HER2 protein needed for tumor growth.
the Cost of treatment of breast cancer depends on the stage of the process and may be minimal in the early stages of cancer. We recommend that cancer treatment in the best clinics of Russia and abroad, with Docland.ru provided a personalized approach and expert choice of the clinic. We are not increasing the cost of treatment, it remains equal to the value with a direct appeal to the clinic. In contrast to the agencies of medical tourism, we provide a direct access to the best oncologists, at a lower cost medical services.
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