Онкология CASE REPORT: TREATMENT OF LONG PERSISTENT LIMFORREYA AFTER RADICAL MASTECTOMY
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ONCOLOGY BULLETIN OF THE VOLGA REGION

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CASE REPORT: TREATMENT OF LONG PERSISTENT LIMFORREYA AFTER RADICAL MASTECTOMY

V.Yu. Ivashkov, V.A. Sobolevskiy

Russian Research Cancer Center named after N.N. Blokhin, Moscow

Ivashkov V.Yu. — postgraduate student of the Department of Reconstructive and Plastic oncosurgery

23 Kashirskoe highway, Moscow, Russian Federation, 115478, tel. +7-925-075-54-59, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

Abstract. Currently, the Russian version of any radical surgical treatment of breast cancer includes the axillary lymph node dissection. Seroma formation is the most common postoperative complication after mastectomy. At the risk of seroma indirectly affected by age, breast size, concomitant diseases, the presence and number of lymph nodes in the axilla affected metastatic breast cancer. Currently, there are various metods prevention and treatment of seroma. These are different ways to reduce the amount of post-operative cavity after dissection, compression therapy, pharmacological methods. The latter include: sclerosants, fibrin glue preparations somatostatin. Tetracycline and erythromycin — the most studied sclerosants. This article provides an example of using clinical techniques combined use of erythromycin and sandostatin for the treatment of postoperative seroma. The impact on the level 2: the production volume of the cavity, and lymph seroma allows to achieve a good result in a significant and sustainable reduction of the amount of fluid evacuated.

Key words: breast cancer, lymphorrea, seroma, seroma management, somatostatin.





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