Wyniki wyszukiwania - Biblioteka Nauki

1

Evaluation of Occurence and Characteristics of Thyroid Nodules in Patients after Surgical Treatment - Long-Term One Surgical Center's Experience

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Dadan J. , Nowacka A. , Nowacka-Ejsmont J.

Polish Journal of Surgery

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2010

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tom 82

|

nr 2

59-62

EN

The aim of the study was the evaluation of the occurrence and type of nodular lesions of thyroid gland in the materials of the 1st Department of General and Endocrinological Surgery of Medical University in Białystok from 1993 to 2006.Material and methods. The clinical material was based on 3477 patients that underwent thyreoidectomy for nodular disease in above-mentioned period. Four periods and research groups were established with regard to the character of the goiter according to histopathological examination.Results. The number of thyroidectomies was significantly decreased. There was a increase in the percentage of patients operated for multinodular non-toxic goiter and a significant decrease in the number of patients with multinodular toxic goiter in the whole research group. The percentage of patients that underwent thyroidectomy for mononodular non-toxic goiter was increased as well in women as in men. Mononodular toxic goiter rarely occurred and there was no case of it in men. With a passage of time there was a significant increase in the number of patients operated for papillary cancer as well as for follicular cancer. Medullary cancer and non-differentiated cancer rarely occurred in analyzed material.Conclusions. There was a distinct decrease in the frequency of the occurrence of nodular lesions as well as in the number of thyroidectomies. The profile of thyroid nodules underwent changes in given periods pointing out the lower frequency of toxic goiter and the higher frequency of neoplasmatic lesions in the third and particularly in the fourth research period.

2

Surgical treatment of rynophyma – own observation

100%

Kamiński B.

Polski Przegląd Otorynolaryngologiczny

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2018

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tom 7(1)

42-44

EN

Rhinophyma is the end-stage of rosacea. Nodular hypertrophy of the external nose is a chronic disease lasting for many years. The main problem in patients with rhinophyma apart from functional disorders are deformities of the nose regarding aesthetics. Therefore patients often isolate themselves and avoid interpersonal and social contacts. Majority of patients with symptoms of nodular hypertrophy are not aware of possibility of treatment which impoves functional disorders and aesthetic of the face. Surgical treatment still remains the basic method of treatment of rhinophyma. The long –term observations have proved satisfactory cosmetics and functional results.

3

Evaluation of the surgical treatment for congenital blepharoptosis using Mustarde’s modified method

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Iljin A. , Zieliński A. , Lewandowicz E. , Antoszewski B. , Zieliński T.

Polish Journal of Surgery

|

2016

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tom 88(3)

155-159

EN

The aim of the study was evaluation of the results of surgical treatment of congenital blepharoptosis (CBP) using Mustarde’s modified method. Material and methods. Between 2005-2014 forty eight children with CBP underwent surgical correction of CBP by Mustarde’s modified method. Basing on the results of ophthalmic and orthoptic examination, and standard measurements, we estimated postoperative difference in the position and symmetry of the upper eyelids, and postoperative complications in our patients. Results. Very good results were obtained in all cases with mild, in 89.5% with moderate, and in 85.7% with severe unilateral CBP after correction by Mustarde’s modified method. Lagophthalmos was seen in 6.25%, and undercorrection in 12.5% of cases. Conclusions. 1. Mustarde’s modified method allows for obtaining very good functional and aesthetic results in CBP patients. 2. Mustarde’s modified method is a valuable supplemental surgical technique in CBP, and contributes to a low rate and small range of lagophthalmos.

4

Intraoperative Assessment of Surgical Treatment used for Primary Hyperparathyroidism

100%

Buła G. , Niemiec A. , Truchanowski W. , Podwińska E. , Gawrychowski J.

Polish Journal of Surgery

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2008

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tom 80

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nr 9

465-468

EN

The aim of the study was intraoperative assessment of surgical treatment used for primary hyperparathyroidism (PH) basing on immediate histopathological findings and of parathormone (PTH) concentrations in blood serum, the latter being determined before and after removal of the affected parathyroid glands.Material and methods. The study group consisted of 110 patients: 85 women and 25 men aged 16-72 years (mean 49.3), treated surgically for PH or its recurrence. Each patient was operated together with bilateral neck exploration. The identified parathyroid glands were assessed. The operation was considered successful if the cause of PH could be confirmed by intraoperative histopathological examination, and PTH level was found lower than 50% of its preoperative value. Negative results of intraoperative tests were considered an indication for wider exploration of the neck or another full imaging diagnostics in order to decide about reoperation.Results. Parathyroid adenoma was detected in 85 (77.3%) patients, proliferation of the gland in 18 (16.4%) and parathyroid cancer in 7 (6.3%). Basing on intraoperative microscopic and immunochemical examinations, the surgical treatment was found successful in 107 (97.3%) patients. PTH concentration was found normal in 94 patients, and significantly lower in 13. The operation was assessed as unsuccessful in 3 (2.7%) patients (2x recurrence of parathyroid cancer, 1x proliferation of parathyroid glands). A non-significant PTH drop was noted in 1 patient, and PTH increase in 2. One patient died because of disseminated tumor disease, and 2 patients received another imaging diagnostics and reoperation with good result.Conclusions. 1. Positive result of intraoperative histopathological examination together with a significant drop in parathormone concentration in peripheral blood serum are essential for successful surgical treatment of PH. 2. Negative results of microscopic and immunochemical examinations are an indication for wider neck exploration. If further procedure is still unsuccessful, a more profound imaging diagnostics is necessary followed by reoperation.

5

Surgical treatment results of parapharyngeal space tumors: a report of 22 cases

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Rzepakowska A. , Osuch-Wójcikiewicz E. , Krupa Z. , Durmaj A. , Niemczyk K.

Otolaryngologia Polska

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2018

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tom 72(4)

9-16

EN

Introduction: Parapharyngeal space (PPS) is the anatomical area lateral to the upper pharynx and clinically important due to PPS tumors. They account for less than 1% of head and neck neoplasms. Both benign and malignant neoplasms may arise there and typical for this localization is diversity of histological origin. Complete surgical excision is still the basis of treatment. Aim of the study: Evaluation of the results of surgical treatment of PPS tumors in the Department of Otolaryngology at the Medical University over the period 2015–2017. Material and methods: A retrospective analysis of medical records including complaints, physical examination, results of imaging studies, surgical approach, postoperative complication and histopathological results in 22 patients with a diagnosis of a PPS tumors. Results: The most frequent complaints reported by the patients were: discomfort in the throat, dysphagia, hearing disorders and a palpable tumor on the neck. Asymptomatic course of the disease was demonstrated in 4 cases. All patients were treated surgically: 2 with transoral approach, 9 with transparotid-transcervical approach, 11 with transcervical approach. In most cases the tumor was removed radically. In 2 patients intracapsular tumor resection was performed. Based on histopathological examination the benign lesions dominated (18/22). In 4 cases malignant neoplasms were diagnosed: carcinoma ex pleomorphic adenoma, adenoid cystic carcinoma and two cases of squamous cell carcinoma. The most common origin of PPS tumors was deep lobe of parotid gland and for this group 11 patients had diagnosis of pleomorphic adenoma. Other diagnosis included: paraganglioma, neurofibroma, hemangioma, lymphangioma and rhabdomyoma. Postoperative complications occurred in 9 patients and presented as hoarseness and dysphagia due to paresis of the lower group of cranial nerves (IX, X, XII). Significant intraoperative bleeding during surgery occurred in 2 cases and ligation of the external carotid artery was necessary. Conclusion: Due to the anatomical topography of PPS and its content with the essential vessels and the lower group of cranial nerves, the surgical treatment of pathology of this area is still a challenge for head and neck surgeons. The decrease of voice quality and impaired speech and swallowing should always be considered as complications post the surgical resection in PPS.

6

A Vibroacoustic Model of Selected Human Larynx Diseases

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Engel Z. W. , Kłaczyński M. , Wszołek W.

International Journal of Occupational Safety and Ergonomics

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2007

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tom Vol. 13, No. 4

367--379

EN

With the present development of digital registration and methods for processing speech it is possible to make effective objective acoustic diagnostics for medical purposes. These methods are useful as all pathologies and diseases of the human vocal tract influence the quality of a patient’s speech signal. Diagnostics of the voice organ can be defined as an unambiguous recognition of the current condition of a specific voice source. Such recognition is based on an evaluation of essential acoustic parameters of the speech signal. This requires creating a vibroacoustic model of selected deformations of Polish speech in relation to specific human larynx diseases. An analysis of speech and parameter mapping in 29-dimensional space is reviewed in this study. Speech parameters were extracted in time, frequency and cepstral (quefrency) domains resulting in diagrams that qualified symptoms and conditions of selected human larynx diseases. The paper presents graphically selected human larynx diseases.

7

Results of Surgical Treatment of Total Rectal Prolapse by Posterior Sutured Rectopexy

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Ziembikiewicz A. , Krasnodębski I.

Polish Journal of Surgery

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2007

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tom 79

|

nr 11

692-700

EN

The aim of the study was to evaluate the immediate and delayed results of posterior rectopexy in the treatment of total rectal prolapse, its influence on constipation and fecal incontinence, as well as patient quality of life after the procedure.Material and methods. The study group comprised 70 patients who underwent the above-mentioned procedure at the Department of Proctology, Solec Hospital in Warsaw during the period between 1976 and 2003. The study group consisted of 62 female and 8 male patients, aged between 19 and 88 years (mean age 59.9 years). All patients underwent posterior rectopexy. Thirty (43%) of the surgical patients responded to the questionnaire, including 18 (26%) who presented for the postoperative examination. The following were determined: intraoperative complications, frequency of recurrence, fecal incontinence according to Wexner's scale, constipation, influence of the procedure on sphincter condition, and patients' quality of life.Results. All patients underwent total rectal prolapse surgery. Mortality and severe complications were not observed. Rectal prolapse recurrence was not observed. The percentage of intraoperative complications amounted to 4%, and that of postoperative complications 9%. Fecal continence improvement after the operation was confirmed on the basis of Wexner's scale. After surgery the percentage of patients with constipation slightly increased (80% vs 87%).Conclusions. Posterior rectopexy enables the treatment of total rectal prolapse, and is considered to be the most simple, effective and safe operative method, with a low rate of complications and recurrence in patients who qualify for laparotomy. Surgery significantly improves the patients' quality of life.

8

≪Collost≫ in the surgical treatment of radicular cysts in maxilla

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Maksimovitch E. V. , Rachkov A. A.

Engineering of Biomaterials

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2016

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tom Vol. 19, no. 138 spec. iss.

17

9

Rak trzustki – podsumowanie sesji szóstych Międzynarodowych Dni Trzustki w Gdyni w dniach 27–30 października 2016

80%

Verbeke C. , Dobosz M. , Buchler M. , Hać S.

Polish Journal of Surgery

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2018

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tom 90(6)

43-45

PL

W sesji uczestniczyli prof. Caroline Verbeke z Zakładu Patologii Uniwersytetu w Oslo oraz prof. Marcus Wolfgang Büchler z Kliniki Chirurgii Ogólnej, Gastroenterologicznej i Transplantacyjnej Szpitala Uniwersyteckiego w Heidelberg w Niemczech. Uczestnicy omawiali zagadnienie chirurgii raka trzustki w odniesieniu do radykalności leczenia.

10

Study of effects of surgical treatment in the larynx area on the speech signal

80%

Wszołek W. , Kłaczyński M. , Modrzejewski M.

Archives of Acoustics

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2008

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tom Vol. 33, No. 4

497-508

EN

The speech signal emitted by humans may be a source of useful diagnostic and prognostic information. The signal may become, indirectly by some selected parameters, an additional source of information concerning the condition of the patient's vocal tract anatomy, as well as physiology and pathology (deformation) of his/her other internal organs. The paper presents the next, consecutive stage of the authors' research, concerning the search for additional parameters, which could be used for objective detection and registration of pathological changes in the larynx and vocal tract area.

11

The cooperation between orthodontists and surgeons in treating facial skeletal deformities

80%

Tomaszewski T. , Baran M. , Lasota A. , Dunin-Wilczyńska I. , Samczyk B. , Mitura I. , Wojciechowicz J.

Polish Journal of Public Health

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2015

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tom 125

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nr 1

45-48

EN

Face skeletal deformities have been confusing both doctors and patients for ages. The harmony of the face exerts huge influence not only on one’s psyche but also the behavior and the individual’s social and professional status. In this study we present a procedure of treating skeletal malocclusion. It was performed using various orthodontic methods, like the alteration of the growth of jaws and camouflage applied in appropriate age groups. We paid special attention to the close cooperation between the orthodontist and the surgeon, which hugely facilitates curing the most complex, multi-dimensional deformities. In this study, we present our own materials concerning the effects of cooperation between two departments of Medical University of Lublin, namely the Chair and Clinic of Maxillofacial Surgery and Department of Jaw Orthopedics.

12

Current guidelines on the diagnosis and management of lobular carcinoma in situ

80%

Śrutek E. , Nowikiewicz T. , Zegarski W.

Current Gynecologic Oncology

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2017

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tom 15

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nr 1

87-90

EN

Lobular carcinoma in situ of the breast is classified as non-invasive malignant tumor of the breast. Its diagnosis is a marker for an increased risk of developing other histological types of breast cancer. Lobular carcinoma in situ is usually asymptomatic, with no characteristic radiological features. The diagnosis is often accidental while diagnosing lesions found on screening mammography. The most important clinical issue associated with the diagnosis of lobular carcinoma in situ is the possible risk of concurrent breast cancer of another histological type. According to the current standards of managing patients with lobular carcinoma in situ of the breast, surgical biopsy of the mass is most commonly recommended. Specific principles of therapy depend on the circumstances surrounding the diagnostic process. The complete diagnosis requires histopathological study of tissue specimens from paraffin blocks. It is necessary to determine the histological subtype of the identified tumor as different subtypes present significant differences as to the course of the disease (classic lobular carcinoma in situ, pleomorphic, florid or comedo with necrosis ones). Contrary to the classic lobular carcinoma in situ, other subtypes are characterized by significantly higher risk of coexisting infiltrating breast cancer. In such cases, it is necessary to perform surgical excision of the tumor. Diagnosis of LCIS does not require surgical treatment (possible active surveillance of the patient).

PL

Rak zrazikowy gruczołu piersiowego in situ należy do postaci nieinwazyjnych nowotworów złośliwych o tej lokalizacji narządowej. Jego zdiagnozowanie jest markerem zwiększonego ryzyka rozwoju w przyszłości innych typów histologicznych raka piersi. Zrazikowy rak piersi in situ to najczęściej guz bezobjawowy, nieposiadający charakterystycznych cech radiologicznych. Do jego wykrycia dochodzi zwykle przypadkowo, w trakcie diagnostyki zmian uwidocznionych podczas skriningu mammograficznego. Najbardziej istotnym problemem klinicznym związanym ze zdiagnozowaniem tego nowotworu jest ryzyko współistnienia zmiany z innym rodzajem histologicznym raka piersi. Zgodnie z aktualnymi standardami leczenia chorych ze zrazikowym rakiem piersi in situ zalecana jest najczęściej biopsja chirurgiczna zmiany. Szczegółowe zasady postępowania terapeutycznego zależą od okoliczności zdiagnozowania guza. Rozpoznanie choroby wymaga oceny histopatologicznej preparatów tkankowych, pochodzących z bloków parafinowych. Niezbędne jest określenie podtypu histologicznego wykrytej zmiany, które wykazują znaczne różnice dotyczące przebiegu choroby (postać klasyczna, podtyp pleomorficzny, podtyp w stadium rozkwitu bądź podtyp comedo z martwicą). W odróżnieniu do typu klasycznego zrazikowego raka piersi in situ, pozostałe postaci cechuje istotnie wyższe ryzyko współistnienia form raka naciekającego piersi. W przypadku ich stwierdzenia konieczne jest operacyjne wycięcie zmiany. Wykrycie postaci klasycznej raka zrazikowego gruczołu piersiowego in situ nie wiąże się z taką koniecznością (możliwość aktywnego nadzoru chorych).

13

Cervical Compartment Syndrome - Complication of Central Venous Catheterization

80%

Traska T. , Schaeffer M. , Berg W. , Viebahn R. , Claeys L.

Polish Journal of Surgery

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2007

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tom 79

|

nr 2

126-128

EN

Iatrogenic carotid artery injury may result from various medical procedures. We describe a nearly devastating complication such as the occurrence of cervical compartment syndrome following the attempt of a transjugular central venous catheterization. A vascular surgical approach was conducted to treat this rare clinical finding that has not been described in the literature until recently.

14

Coexistence of the Megaoesophagus and Ankylosing Spondylitis - Case Report

80%

Lewandowski A. , wyrobek M. , geneja M.

Polish Journal of Surgery

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2007

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tom 79

|

nr 4

322-326

EN

Megaoesophgus is the result of the disorder of peristalsis and slow decompensation of muscular layer of the oesophagus in the course of cardiospasmus. It may coexist with systemic, infectious as well as endocrinological diseases. The operating treatment of megaoesophagus is difficult. The oesophagectomy with gastroplasty of short-segment colon or jejunum interposition are usually preceded.We presented a 53-years old man with megaoesophagus and ankylosing spondylitis, which was diagnosed on basis of clinical symptoms: the high values of the total proteins - 81 g/l, IgG - 21.48 g/l, and gamma-globulin - 30.8% as well as in radiological investigation. The dysphagia lasted over 20 years and led to oesophagus dilation and loss of motor function, as well as the ulcerations of the oesophagus, which was confirmed by X-ray examination and endoscopy. In this patient jejunal oesophago-gastric bypass was made. After a year and a half gastrectasis arose and gastrojejunal anstomosis was made in order to drian the stomach. After two and half years from the first operation decrease of the dilation of light of oesophagus and good passage by upper digestive tract was obtained and confirmed by X-ray examination. During endoscopical and histological investigation healing of ulcerations was found. Ambulatory follow-up and reumatological treatment is continued.

15

Surgical Treatment of Rectovaginal Fistulas

80%

Kościński T. , Sękowska M.

Polish Journal of Surgery

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2007

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tom 79

|

nr 8

533-539

EN

Rectovaginal fistulas account for less than 5% of all anorectal fistulas. They may occur as a result of obstetrical injuries, inflammatory bowel diseases, or pelvic cancer irradiation.The aim of the study was to describe the results of different methods of surgical treatment according to the etiology and localization of rectovaginal fistulas.Material and methods. The study included 23 female patients who underwent operations for rectovaginal fistulas within the period of 1995 to 2006. The age of patients ranged from 18 to 64 years, with an average age of 41 years.14 patients received radical treatment according to the etiology and localization of the fistulas: four were treated with abdominal approach, six with a local excision of the rectovaginal fistula involving layer closure of rectal and vaginal openings and interposition of musculomucosal flaps, and four with a simple fistulectomy involving the removal of inflamed tissue and the reconstruction of the perineal body, anal sphincters, and all layers of the rectal and vaginal walls.In nine cases, patients received a palliative surgical treatment to address extensive tissue destruction resulting from radiotherapy for uterine cervix cancer or advanced rectal cancer.Results. Complete recovery occurred in patients who underwent laparotomy for rectovaginal fistulas following inflammatory bowel disease or complicating anterior resection of the rectum. Patients operated on using rectal and vaginal approaches displayed positive results, as did those who underwent. fistulectomy with perineal body and anal sphincter reconstruction.Conclusions. Various surgical techniques are available for the management of rectovaginal fistulas depending on their etiology, size, and location. The best results of low rectovaginal fistula treatment occurred using fistulectomy with layer closure and both-sided covering of the tissue defect with advancement vaginal and rectal flaps.

16

Pulmonary Sequestration - Analysis of Diagnostic and Therapeutic Difficulties

80%

Hauer J. , Alchimowicz J. , Harazda M. , Pankowski J. , Kużdżał J. , Zieliński M. , Grodzki T.

Polish Journal of Surgery

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2007

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tom 79

|

nr 1

24-28

EN

The aim of the study was to review the clinical characteristics of operated patients with respect to pulmonary sequestration and analyze diagnostic and therapeutic problems connected with this anomaly.Material and methods. We performed a retrospective analysis of 23 patients operated on because of pulmonary sequestration between 1963 and 2004 in the Departments of Thoracic Surgery in Zakopane (10 patients) and Szczecin-Zdunowo (13 patients).Results. The study group comprised 8 men and 15 women and the mean age was 28 years. 15 patients (65.2%) presented with clinical symptoms such as coughing, fever and chest pain. Preoperatively, pulmonary sequestration was suspected in 5 patients. Amongst the remaining patients, the preoperative diagnosis was lung cancer (9 patients), metastasis from testicular neoplasms (n=1), emphysematous bullae (n=2), pulmonary cyst (n=4), bronchiectasis (n=1) and lung abscess (n=1). None of the patients were subjected to arteriography and 6 patients underwent contrast-enhanced computer tomography examination, although it did not lead to a proper diagnosis. We found 20 intralobar sequestrations and 3 extralobar sequestrations, which were situated above the diaphragm. There were 11 sequestrations on the right side and 12 on the left side. The operations performed included: lobectomy (14 patients), segmentectomy 1+2 (n=1), wedge resection (n=3), sequestrectomy (n=3), lower bilobectomy (n=1), and middle lobectomy (n=1). Blood supply from the thoracic aorta was found in 17 patients and the abdominal aorta in the remaining 6 patients. In 5 patients, the pulmonary sequestration was supplied by more than one artery. Complications included hemorrhage from supplying arteries in 8 patients and phrenic nerve palsy in one patient. One patient required mechanical ventilation after the operation. There was no further morbidity and mortality. Distant surgical results were good.Conclusions. 1. Pulmonary sequestration in adults is difficult to diagnose before the operation, even with a detailed computer tomography examination. 2. Intralobar sequestration is much more common (87%) than extralobar and is often situated in the basal segments with comparable incidence on the right and left sides. 3. The greatest danger during the operation is major bleeding from the supplying artery. 4. Prognosis after the operation is favorable.

17

Evaluation of surgical treatment outcomes in patients with laryngeal cancer during a 5-year follow-up

80%

Morshed K. , Lewicki M. , Bojarczuk K. , Tarasiuk-Staniak A. , Smoleń A.

Family Medicine & Primary Care Review

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2016

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nr 3

302-307

18

Hereditary mixed polyposis syndrome –- own experience

80%

Kamocki Z. , Piłaszewicz A. , Zaręba K.

Polish Journal of Surgery

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2012

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tom 84(5)

262-266

EN

Hereditary mixed polyposis syndrome (HMPS) is a rare condition of unknown genetic origin. The paper presents 25-year clinical follow up in a female patient with multiple gastrointestinal tract polyps of varied histology. They most likely served as sites of multiple colorectal cancers development. The clinical course is interesting in terms of diagnostics and therapy. The patient required extended genetic testing, intensive conservative treatment and numerous surgical procedures. This is the first case of HMPS presented in Polish publications.

19

Interdisciplinary treatment of large adrenocortical carcinoma infiltrating inferior vena cava

80%

Dobrzycka M. , Spychalski P. , Rusek U. , Brzeziński M. , Kobiela J. , Kłosowski P. , Berendt-Obołończyk M. , Łachiński A. , Sworczak K. , Śledziński Z.

European Journal of Translational and Clinical Medicine

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2019

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tom 2

|

nr 2

38-42

EN

Adrenal tumors are common neoplasms and majority of them are small, benign, hormonally inactive adrenocortical adenomas. Whereas adrenal cancer (ACC) is a rarely occurring (5% of adrenal tumors) but highly aggressive neoplasm. The early diagnosis and complete surgical resection is the only effective treatment option. Laparoscopic adrenalectomy is the gold standard for small and medium tumors. Whereas for large tumors classic adrenalectomy is considered a procedure of choice with a proven better oncological outcome. We herein report a case of a 57-year-old female diagnosed with a large, advanced left adrenal tumor with invasion of vena cava. It was diagnosed in CT and proven in core biopsy. Open adrenalectomy with thoracotomy was conducted to completely resect the tumor by an interdisciplinary team.

20

Acceptance of illness after surgery in patients with breast cancer in the early postoperative period

80%

Nowicki A. , Krzemkowska E. , Rhone P.

Polish Journal of Surgery

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2015

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tom 87(11)

539-550

EN

The breast cancer is the most common cancer in women, both in Poland and in the world. Consequences entail a disruption in the physical, psychological and social functioning. The aim of the study was to assess the acceptance of illness by patients treated for breast cancer in the early postoperative period. Material and methods. The research was conducted on the group of 100 consecutive patients aged 32‑80 years (median 56 years) who underwent surgery for breast cancer in the Centre of Oncology in Bydgoszcz w 2014 roku. 68 of women had mastectomy, 32 of women had conservative surgery. Polling was conducted in the early period after surgery. The original questionnaire containing closed questions the scale of acceptance of the disease (AIS) as well as mental adaptation to cancer (Mini-Mac) was used in the study. Results. 38% of patients had high acceptance of the disease, 48% averageand 14% had low acceptance. Patients after conservative surgery had a higher average values for the mental strategies to cope with the disease, for the fighting spirit (23.1), helplessness and hopelessness (13.5), positive revaluation (23), the patients had a lower average (16.5) in the strategy to absorb anxiety. Patients after conservative surgery had a higher average for constructive style (2.6) but lower for destructive style (1.5). High level of mental coping with the disease was observed in 53%of patients with constructive style and 4% of patients with destructive style. While, a low level of mental coping with the dosease was observed in 5% of patients with constructive style and 46% of patients with destructive style. Conclusions. Almost half of women after mastectomy or conservative surgery had an average acceptance of the disease. The disease was accepted best by educated women living in the cities, whitecollar workers with a good economic situation. The following factors were affected the better management of the disease, in order: age, education, current occupation and economic situation, while the type of surgery did not affect better management. More than half of women, regardless of the type of surgery reflected the high level of constructive style.