Онкология SELECTION FOR RECONSTRUCTION ONCO-PLASTIC SURGERY IN PATIENTS WITH BREAST CANCER
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ONCOLOGY BULLETIN OF THE VOLGA REGION

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SELECTION FOR RECONSTRUCTION ONCO-PLASTIC SURGERY IN PATIENTS WITH BREAST CANCER

УДК 618.19-006.6-089.844

Sukhotko A.S. ― Cand. Med. Sc., Junior researcher of the Department of oncology and reconstructive-plastic surgery of the breast and skin 
3 2nd Botkinskiy proezd, Moscow, Russian Federation, 125284, tel. +7-965-301-87-38, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.


A.D. Zikiryakhodzhaev, A.A. Volchenko, M.V. Ermoshchenkova, A.S. Sukhotko 
P. Herzen Moscow Oncology Research Institute ― branch of NERC Ministry of health of Russia, Moscow

 

Abstract. We create of the new concept of surgical treatment as a component of multi-therapy treatment of patients with breast cancers on postoperative quality of life. We assessed 429 women who underwent breast conserving surgery (BCS) or total mastectomy (TM) with immediate reconstruction in of department of oncology and reconstructive-plastic surgery of the breast and skin Moscow P.A. Gerzen's Cancer Research Institute — The National Medical Research Radiologic Center of the Ministry of Health of the Russian Federation from 2013 to 2015. Of the 474 patients, 236 had BCS, 148 — skin-sparing mastectomy (SSM). BCS included glandular reshaping (rotation flap, round-block technique, batwing mastopexy, wise pattern-inverted T, vertical pattern). After SSM, 14 patients underwent immediate breast reconstruction using a transverse rectum abdominis musculocutaneous (TRAM) flap, 22 — musculotoracodorsal (TDL) flap, 55 — musculolatissimus dorsi flap and it combination with endoprosthesis. Oncoplastic surgery contributes is the better phychological adaptation of patients. Variety of modifications and options of reconstructive surgery causes problem of choice, which should be solved with patient  taking into account the clinical data.

Key words: breast саnсеr, oncoplastic surgery, cosmetic result.     





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