BREAST CANCER IS NOT A SENTENCE (LITERATURE REVIEW)
https://doi.org/10.17238/issn2072-3180.2020.3.115-120
Abstract
Breast cancer (BC) treatment remains a complex problem in modern oncology. Currently, there is a possibility of performing organ-preserving surgical interventions. Despite the rapid development of drug treatment for breast cancer, surgery for this disease takes the main place. When radical resection is contraindicated, a radical mastectomy is performed, which entails physical and emotional consequences, the most important of which are organ loss, loss of femininity, sexuality, attractiveness, and leads to irreversible changes in social life. Mental disorders in breast cancer patients attract the attention of many researchers [1, 2, 3]. For example, in the work of S.D. Galliulina showed high rates of effective disorders in the form of depression, shock and auto aggression [4]. Breast amputation, especially at a young age, is not only a physical disability, but also leads to psychological disturbances in more than 30% of women. According to the results of the socio-psychological status [4], these psychological disorders are difficult to drug therapy and the use of external prosthetic does not eliminate the depressive state in this category of patients. This article discusses the historical aspect of the diagnosis: breast cancer and options for reconstructive breast surgery. To address the issues of rehabilitation of patients with the absence of a mammary gland, methods of its reconstruction are currently successfully used, which not only restore the shape of the organ and eliminate the asymmetry of the body, but also have a proven effectiveness in restoring the psychological status and self-esteem of a woman [4,8].
About the Authors
V. V. VorotnikovRussian Federation
Vorotnikov Vladimir Vladimirovich - PhD in medicine, surgeon, oncologist, head of the North-West Breast Center of the ChUZ «KB» RZD-Medicine» in St. Petersburg
St. Petersburg, Mechnikova Avenue 27, 195271
R. A. Pakhomova
Russian Federation
Pakhomova Regina Aleksandrovna - Doctor of Medicine, Doctor of Plastic Surgery, Head of the Center for Plastic Surgery at the Center for Private Health Care «KB» RZD-Medicine» in St. Petersburg
St. Petersburg, st. Mechnikova Avenue 27, 195271
A. A. Arhitskaya
Russian Federation
Arhitskaya Anna Andreevna - oncologist, of the private healthcare institution «KB» RZD-Medicine» of the city of St. Petersburg
St. Petersburg, st. Mechnikova Avenue 27, 195271
G. E. Karapetyan
Russian Federation
Karapetyan Georgy Eduardovich - Doctor of Medicine, plastic surgeon, chief physician of the private healthcare institution «KB» RZD-Medicine» in St. Petersburg
St. Petersburg, st. Mechnikova Avenue 27, 195271
L. V. Kochetova
Russian Federation
Kochetova Lyudmila Viktorovna - PhD in medicine, Associate Professor of the Department of General Surgery named after prof. M.I. Gulman, Krasnoyarsk State Medical University
named after prof. V.F. Voino-Yasenetsky
st. Partizana Zheleznyak, 1, Krasnoyarsk
A. S. Gugnina
Russian Federation
Gugnina Alexandra Sergeevna - oncologist of the private healthcare institution «KB» RZD-Medicine» of the city of St. Petersburg
St. Petersburg, st. Mechnikova Avenue 27, 195271
S. A. Abdugafforov
Russian Federation
Abdugafforov Sardor Abdugaffor ugli - 4th year student of St. Petersburg State University
St. Petersburg, Universitetskaya nab., 7, 9, 199034
References
1. Arhipova I.V. Klinicheskie i reabilitacionnye aspekty psihicheskih rasstrojstv u zhenshhin s diagnozom rak molochnoj zhelezy na jetape hirurgicheskogo lechenija [Clinical and rehabilitation aspects of mental disorders in women diagnosed with breast cancer at the stage of surgical treatment]. Autoabstract diss. PhD in med. Kemerovo, 2008, 147 р. (In Russ.)
2. Blohin S.N. Pervichnye rekonstruktivno-plasticheskie operacii v kompleksnom lechenii bol’nyh rakom molochnoj zhelezy [Primary reconstructive plastic surgery in the complex treatment of breast cancer patients]. Moscow, 1996, 29 p. (In Russ.)
3. Burlakov A.S. Vosstanovitel’naja hirurgija v lechenii bol’nyh rakom molochnoj zhelezy [Reconstructive surgery in the treatment of breast cancer patients]. Vestnik Moskovskogo onkologicheskogo obshhestva, 2002, No. 9, pp. 1–8. (In Russ.)
4. Galliulina S.D. Nervno-psihicheskie narushenija u bol’nyh rakom molochnoj zhelezy [Neuro-psychiatric disorders in patients with breast cancer]. Autoabstract diss. PhD in med. Ufa, 2000, 23 p. (In Russ.)
5. Egorov Ju.S. Sovremennye aspekty hirurgicheskogo lechenija postmastjektomicheskogo sindroma [Modern aspects of surgical treatment of post-mastectomy syndrome]. Autoabstract diss. D-ra. of med. Moscow, 2000, 196 p. (In Russ.)
6. Kushlinskij N.E., Portnoj S.M., Laktionov K.P. Rak molochnoj zhelezy [Breast cancer]. M.: Izdatel’stvo RAMN, 2005, 479 p. (In Russ.)
7. Letjagin V.P. Zlokachestvennye obrazovanija molochnoj zhelezy u zhenshhin i muzhchin. [Breast cancer in women and men]. Jenciklopedija klinicheskoj onkologii, 2004, pp. 374−389. (In Russ.)
8. Letjagin V. P., Stenina M. B., Petrovskij A. V., Vysockaja I. V., Kim E. A. Sovremennye standarty lechenija bol’nyh pervichnym rakom molochnoj zhelezy (po materialam Mezhdunarodnoj konferencii «Rak molochnoj zhelezy») [Modern standards of treatment of patients with primary breast cancer (based on the materials of the International conference «breast Cancer»]. Moscow, 22−24 Jan. 2014. Opuholi zhenskoj reproduktivnoj sistemy, 2014, No. 1. (In Russ.)
9. Malygin E.N., Malygin S.E., Andrianov O.V. Odnomomentnye rekonstruktivno-plasticheskie operacii u bol’nyh rakom molochnoj zhelezy [Simultaneous reconstructive plastic surgery in patients with breast cancer]. Tezisy II Congressa onkologov SNG «Onkologija 2000». Kiev, 23−26 maja 2000. Kiev, 2000, No. 22. (In Russ.)
10. Malygin E.N., Marilova T.Ju. Psihologicheskie aspekty plastiki molochnoj zhelezy [Psychological aspects of breast surgery]. Voprosy plasticheskoj hirurgii molochnoj zhelezy. (Tezisy konferencii). Moscow, 1989, 26 p. (In Russ.)
11. Posobie dlja vrachej: Organosohranjajushhie, funkcional’noshhadjashhie i rekonstruktivno-plasticheskie operacii pri rake molochnoj zhelezy [Organ-preserving, functionally sparing and reconstructive plastic surgery for breast cancer]. Pod red. Pak D.D, Demidova V.P., Evtjagina V.V. Moscow, 2000, 14 p. (In Russ.)
12. Pasov V.V. Voprosy kachestva zhizni, social’noj reabilitacii i psihojemocional’nogo statusa u bol’nyh rakom molochnoj zhelezy [Issues of quality of life, social rehabilitation and psychoemotional status in breast cancer patients]. Mediko-social’naja jekspertiza i reabilitacija, 2001, No. 3, pp. 36–39. (In Russ.)
13. Tjuljandin S.A. Znachenie predoperacionnoj himioterapii u bol’nyh rakom molochnoj zhelezy [Significance of preoperative chemotherapy in breast cancer patients]. V kn.: Materialy IV ezhegodnoj Rossijskoj onkologicheskoj konferencii. Moscow, 21–23 Nov. 2000, pp. 43–45. (In Russ.)
14. Sharova O.N. Osobennosti psihicheskih rasstrojstv u zhenshhin posle radikal’nogo lechenija RMZh i formirovanie pri nih mehanizmov psihologicheskoj zashhity [Features of mental disorders in women after radical treatment of breast cancer and the formation of psychological defense mechanisms in them]. Autoabstract diss. PhD in Psychology. Cheljabinsk, 2000, 25 p. (In Russ.)
15. Agha-Mohammadi S., C.D.L. Cruz, Hurwitz D.J. Breast reconstruction with alloplastic implants. Journal of Surgical Oncology, 2006, 94 (6), pp. 471–478.
16. Fisher B., Bryant J., Wolmark N. et al. Effect of preoperative chemotherapy on the outcome of women with operable breast cancer. J. Clin. Oncol., 1998, 16(8), pp. 2672–2685.
17. Hanby M., Ryder K., Hamed H., Fentiman I.S. Breast carcinoma in women age 25 years or less. Cancer, 2002, 94(3), pp. 606–614.
18. Hersh J. et al. Psychosocial intervention and quality of life in gynaecological cancer patients: a systematic review. J. Psycho-Oncol., 2009, 18, pp. 795−810.
19. Houssami N., French J., Brennan M. et al. Breast cancer–new and emerging technologies for diagnosis and management. Aust. Fam. Physician., 2005, 34(8), pp. 657–661.
20. Jefferson E., Moulds C., Berg C.D. Radiation therapy and breast reconstruction. Radiation Oncology Investigations, 1998, 6 (2), pp. 81–89.
21. Kim K.J., Huh S.J., Yang J.H. et al. Treatment results and prognostic factors of early breast cancer treated with a breast conserving operation and radiotherapy. Jpn. J. Clin. Oncol., 2005, 35(3), pp. 126–133.
22. Kuske R.R., Schuster R., Klein E. et al. Radiotherapy and breast reconstruction: clinical results and dosimetry. Int. J. Radiat. Oncol. Biol. Phys., 1991, 21(2), pp. 339–346.
23. Maraz R., Boross G., Svebis M., Gyanti R. Response rates following neoadjuvant chemotherapy and breast preserving treatment in patients with locally advanced breast cancer. Magy Seb. Hungarian, 2005, 58(4), pp. 225–232.
24. Scanlon E.F. The role of reconstruction in breast cancer. Cancer 68, 1991, (5 Suppl.), pp. 1144–1147.
Review
For citations:
Vorotnikov V.V., Pakhomova R.A., Arhitskaya A.A., Karapetyan G.E., Kochetova L.V., Gugnina A.S., Abdugafforov S.A. BREAST CANCER IS NOT A SENTENCE (LITERATURE REVIEW). Moscow Surgical Journal. 2020;(3):115-120. (In Russ.) https://doi.org/10.17238/issn2072-3180.2020.3.115-120