ABSTRACT
170 patients, operated on the reason of breast cancer, received reconstructive surgery. Of them 63 had simultaneous organ preserving surgery with extramammary tissues translocation; 52 had organ preserving operation with the use of reductional mammoplasty and 55 patients had subcutaneous mastectomy with nipple preservation. Results of the study demonstrate that the method of organ preserving surgery with extramammary tissues translocation has more possibilities. The second place is occupied by the method of subcutaneous mastectomy with nipple preservation or in combination with muscular thoracodorsal flap replantation. The most complicated and giving the worst cosmetic result is the use of TRAM plasty. The algorithm of choice of the reconstructive operation for patients with breast cancer was worked out. Long term follow up showed the tumor progression in 29 (17.1%), remote metastases in 15 (8.8%) and local recurrence in 6 (3.5%) patients after organpreserving surgery and in 2 (1.2%) patients after subcutaneous mastectomy.
Subject(s)
Breast Neoplasms/surgery , Breast/surgery , Mammaplasty/methods , Mastectomy, Radical , Mastectomy, Subcutaneous , Postoperative Complications/prevention & control , Surgical Flaps , Adult , Breast/pathology , Breast Neoplasms/classification , Breast Neoplasms/pathology , Comparative Effectiveness Research , Female , Humans , Mastectomy, Radical/adverse effects , Mastectomy, Radical/methods , Mastectomy, Radical/rehabilitation , Mastectomy, Subcutaneous/adverse effects , Mastectomy, Subcutaneous/methods , Mastectomy, Subcutaneous/rehabilitation , Middle AgedABSTRACT
Our experience with 1143 single-stage surgeries in breast cancer patients undergoing skin-sparing mastectomies and breast-conserving surgery is presented. Both patients' tissues and silicone implants were used for reconstruction purposes. Latissimus dorsi muscle in combination with endoprothesis was used in 592 patients. The lowest local recurrence rate was reported in the skin-sparing mastectomy group, obviously due to a greater amount of tissues dissected.
Subject(s)
Breast Implants , Breast Neoplasms/surgery , Mammaplasty/methods , Neoplasm Recurrence, Local/prevention & control , Adult , Aged , Breast Neoplasms/pathology , Female , Humans , Mastectomy/methods , Middle Aged , Treatment OutcomeABSTRACT
Indexes of lymphorrhea and rates of early and late complications of the radical mastectomy were studied in 153 patients with breast cancer. Axillar-subclavian-subscapular area plasty with latissimus dorsi muscle fragment is worked out and applied to prevent complications after mastectomy. The use of the method allowed reducing the volume and duration of postoperative lymphorrhea on 45.5% and to 7 days, respectively, after Madden procedure, on 46.8% and to 11 days, respectively, after modified radical mastectomies. It also allowed reducing the wound healing complication rates from 21.8 to 5.4% after Madden procedure and from 58.1 to 16.7% after modified radical mastectomies; rates of postmastectomy oedema of I-II stage from 48 to 18.5%, rates of pain syndrome from 32.7 to 7.4%.
Subject(s)
Breast Neoplasms/surgery , Mastectomy/methods , Aged , Aged, 80 and over , Female , Humans , Middle Aged , Postoperative Complications/epidemiology , Risk FactorsSubject(s)
Breast Neoplasms/pathology , Adult , Aged , Cell Differentiation , Cell Division , Humans , Middle Aged , PrognosisABSTRACT
The paper discusses peculiarities of breast cancer surgery using high-energy CO2 laser. Advantages of laser scalpel are discussed. CO2 laser was employed in 120 cases of breast surgery including 70 operations for cancer (radical mastectomy and radical resection--35 cases each). Operative blood loss was reduced by half (from 350 to 140 ml). The duration of surgery and wound healing did not increase. Postoperative pain was less severe. The study is in progress.
Subject(s)
Breast Neoplasms/surgery , Laser Therapy , Adult , Blood Loss, Surgical , Evaluation Studies as Topic , Female , Humans , Laser Therapy/instrumentation , Laser Therapy/methods , Mastectomy, Radical/instrumentation , Mastectomy, Radical/methods , Middle Aged , Time FactorsSubject(s)
Antineoplastic Agents/adverse effects , Breast Neoplasms/therapy , Fibrocystic Breast Disease/therapy , Mastectomy, Radical/methods , Mastectomy, Simple/adverse effects , Radiotherapy/adverse effects , Adult , Breast Neoplasms/diagnosis , Breast Neoplasms/pathology , Diagnostic Errors , Female , Fibrocystic Breast Disease/diagnosis , Humans , Medication Errors , Middle Aged , Neoplasm StagingSubject(s)
Breast Neoplasms/therapy , Antineoplastic Agents/therapeutic use , Breast/pathology , Breast Neoplasms/pathology , Breast Neoplasms/radiotherapy , Combined Modality Therapy , Female , Humans , Mastectomy, Radical , Multicenter Studies as Topic , Prognosis , Radiotherapy Dosage , Randomized Controlled Trials as TopicSubject(s)
Breast Neoplasms/surgery , Mastectomy/methods , Adult , Aged , Breast Neoplasms/pathology , Female , Humans , Middle Aged , Neoplasm StagingABSTRACT
The results of surgical treatment of early breast cancers are discussed. Radical mastectomy for stage I tumor and a modified mastectomy after Patey-for stage II were shown to be feasible. A cooperative randomized study on therapy of localized stage IIb and IIIb breast tumors made the case for application of polychemotherapy as a component of combined and complex therapy.
