Is it possible to improve breast conserving surgery operations?

Ivanov, G. E.; Волох, Александровна; Федосов, Игоревич; Ermilova, V D; Николаев, Array Станиславович

doi:10.18027/2224-5057-2015-4-28-34

Cited by 2 publications

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References 10 publications

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“…Выкраивается лоскут в форме треугольника в верхних отделах железы, от ареолы (острый угол) до верхней границы железы (основание треугольника) [3]. Дефект закрывают путем ротации дермогландулярной верхне-наружной части молочной железы.…”

Section: методика операцииunclassified

“…Выполнение онкопластических операций при локализации опухоли в верхне-внутреннем квадранте представляет сложную проблему из-за небольшого объема ткани молочной железы в верхних квадрантах, близости зоны декольте, грудины и других неподвижных анатомических структур. Простое перемещение тканей молочной железы в зону дефекта, возникшего после удаления дерматогландулярного сектора с опухолью в верхне-внутреннем квадранте, сопряжено с выраженной ротацией сосково-ареолярного комплекса кверху и медиально, несовместимую с эстетическими требованиями [2,3].…”

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Oncoplastic Resection of the Mammary Gland With a Sliding Dermoglandulary Flap With a Z-Shaped Incision

Рассказова¹,

Зикиряходжаев²,

Сарибекян³

2017

Issled. prakt. med. (Print)

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Oncoplastic resections are a radical surgical treatment for breast cancer, as well as a method for the rehabilitation of patients, since operations are classified as organ preserving. When the tumor node is localized in the upper-inner quadrant of the breast, it is difficult to achieve good aesthetic results. One of the solutions to the problem is the use of a sliding flap with a Z-shaped incision. In P. Hertsen MORI from 2014 to 2016, the operation with the use of a sliding flap was performed in 13 patients. The prevalence of the process, patients were distributed as follows: ТisN0 М0–1, Т1N0 М0–7, Т2N0 М0–3, Т1N1 М0–2 .Molecular subtypes distribution was the following — luminal type A— 8, luminal type B — 3, triple-negative subtype — 1 patient. Localization of the tumor site in the breast: the upper-internal quadrant — 9, upper — 1, lowerinner quadrant — 3 .The upper Zshaped flap was used in 10 patients, the lower Zshaped flap in 3 cases. Postoperative period in all patients was without com plications. The wound healed by primary intention in all patients. Cosmetic effect was good. The observation period is from 6 months to 2 years, the median is 1.1 years. Data for local recurrence and distant metastases were not detected. 2 patients had only surgical treatment, in the remaining 8 cases, radiation therapy with or without drug therapy. In all cases the operation is performed on one breast, correction of the second breast was not required.The article presents the clinical observation of patients with oncoplastic resection of the Zshaped flap, a detailed procedure of the operation.

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Section: методика операцииunclassified

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Oncoplastic Resection of the Mammary Gland With a Sliding Dermoglandulary Flap With a Z-Shaped Incision

Рассказова¹,

Зикиряходжаев²,

Сарибекян³

2017

Issled. prakt. med. (Print)

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Results of single-stage two-stage reconstructive surgeries in young women with breast cancer

Исмагилов

Karasev

2022

Opuholi ženskoj reproduktivnoj sistemy

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The leading position among cancer in women is breast cancer. The work analyzed the results of surgical treatment of 274 women aged 18 to 40 years with various stages of breast malignancy who underwent only a radical mastectomy (n = 141, group I), or a radical mastectomy with a single two-stage mammoplasty (n = 133, group II). The comparison group (n = 40, group III) was composed of healthy women after breast reconstruction based on aesthetic indications. When performing a mastectomy with subsequent one-time reconstruction, 68.4 % of cases achieved an excellent result, in 26.6 % of cases – good, in 4.5 % of cases – satisfactory, in 1.5 % – unsatisfactory. In women of group I, relapses of the disease developed 57.8 % more often, and metastasis – 1.9 times often, than in patients of group II. It was established that one-time reconstruction of the breast has a beneficial effect on the psycho-emotional state of women suffering from breast cancer, without increasing the risk of developing a relapse of the disease. The application of a two-stage technique of breast repair using tissue expanders in most cases allows achieving excellent cosmetic results.

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Is it possible to improve breast conserving surgery operations?

Cited by 2 publications

References 10 publications

Oncoplastic Resection of the Mammary Gland With a Sliding Dermoglandulary Flap With a Z-Shaped Incision

Oncoplastic Resection of the Mammary Gland With a Sliding Dermoglandulary Flap With a Z-Shaped Incision

Results of single-stage two-stage reconstructive surgeries in young women with breast cancer

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