Options for a breast reconstruction after a defintive surgery
https://doi.org/10.17238/2072-3180-2023-1-95-101
Abstract
Introduction. Improvement of a breast reconstruction methods and development of microsurgical techniques allow expanding the options for a reconstructive surgery in patients diagnosed with breast cancer, in light of necessity for the underlying disease treatment.
The purpose of this work is to analyze the literature data describing the methods of the breast reconstruction after a definitive surgery.
Materials and methods of research. Development of technical features, the analysis of the advantages and disadvantages of new reconstruction methods, their comparison with standard options requires further study.
Results. The role of this technique in the breast cancer complex treatment and the special aspects of the technical performance, depending on the clinical situation in light oftaking necessary measures for the optimal cosmetic effect achievement, are under the research. Such an important factor as the psychoemotional state of the patient at various breast cancer treatment stages has beenconsidered.
Conclusion. The problem of medical, social, labor and psychological rehabilitation of patients who underwent radical breast cancer treatment seems all the more urgent because the contingent of patients has been constantly getting younger in recent years, more and more attention is being paid to such a concept as quality of life, as well as an increase in life expectancy and indicators of general and relapse-free survival against the background of significant success in complex breast cancer therapy.
About the Authors
N. G. Stepanyants
State Research Center –Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency (SRC-FMBC);
SRC-FMBC Medical Biological University for Innovation and Continuing Education
Russian Federation
Russian Federation
Stepanyants Nikolay Georgievich – M.D.
123098, 23 Marshal Novikov str., Moscow
M. Sh. Zugumova
SRC-FMBC Medical Biological University for Innovation and Continuing Education
Russian Federation
Russian Federation
Zugumova Mariam Shamilovna – Assistant
123182, 46 Zhivopisnaya str., Moscow
S. E. Voskanyan
State Research Center –Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency (SRC-FMBC);
SRC-FMBC Medical Biological University for Innovation and Continuing Education
Russian Federation
Russian Federation
Voskanyan Sergey Eduardovich – Corresponding Member of the Russian Academy of Sciences, M.D.
123098, 23 Marshal Novikov str., Moscow
A. A. Zavyalov
State Research Center –Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency (SRC-FMBC);
SRC-FMBC Medical Biological University for Innovation and Continuing Education
Russian Federation
Russian Federation
Zavyalov Alexander Alexandrovich – M.D., Professor
123098, 23 Marshal Novikov str., Moscow
References
1. Aleksandrova L.M., Kalinina A.M., Ipatov P.V., Gretsova O.P., Starinskiĭ V.V., Kaprin A.D., Boytsov S.A. Detection of breast cancer: State-ofthe-art, ways of solution. Journal P.A. Herzen of Oncology, 2016, № 5(2), рр. 34–39. (In Russ.). https://doi.org/10.17116/onkolog20165234-39
2. Bardenshtein L.M. Psychological features of breast cancer patients as a prognostic factor. Russian Medical Journal, 2011, № 5, pp. 13–17. (In Russ.)
3. Blokhin S.N., Portnoy S.M., Laktionov K.P. Possibilities of breast reconstruction in cancer. Bulletin of the N. N. Blokhin Russian Research Center of the Russian Academy of Medical Sciences, 2002, Vol. 13, № 1, pp. 29–34. (In Russ.)
4. Blokhin S.N., Suzdaltsev I.V., Nadein K.V. Surgical rehabilitation of patients after radical treatment of breast cancer. Medical Bulletin of the North Caucasus, 2013, Vol. 8, № 3, pp. 88–89. (In Russ.)
5. Vanesyan A.S. The study of the influence of reconstructive plastic surgery on the quality of life of patients with breast cancer of central and medial localization. Creative surgery and oncology, 2011, № 4, pp. 42–47. (In Russ.).
6. Evtyagin V.V., Sdvizhkov A.M., Borisov V.I., Vasilyeva I.D. Problems of rehabilitation of patients with breast cancer. Bulletin of the Moscow Oncological Society. 2006. No. 4. p. 3
7. Zherlov G.K., Klokov S.S., Aksenenko A.V., Zherpova T.G., Mironova E.B. Breast reconstruction after mastectomy as a stage of rehabilitation of breast cancer patients. Palliative medicine and rehabilitation. 2005. No. 2. pp. 22-23
8. A.D. Kaprin, V.V. Starinsky, G.V. Petrova. Malignant neoplasms in Russia in 2013 (morbidity and mortality). Moscow: P.A. Herzen Moscow Medical Research Institute branch of the Federal State Budgetary Institution “P.A. Herzen FMIC” of the Ministry of Health of Russia, 2015, рр. 10–12. (In Russ.)
9. Krivorotko P.V., Zernov K.Yu., Dashyan G.A., Komyakhov A.V., Nikitina M.B., Emelyanov A.S., Ivanov V.G., Bessonov A.A., Zhiltsova E.K., Tabagua T.T., Nikolaev K.S., Belyaev A.M., Semiglazov V.F. Experience of breast reconstruction using a thoracodorsal flap. Questions of oncology, 2018, Vol. 64, № 2, pp. 206–210. (In Russ.)
10. Letyagin V.P., Vysotskaya I.V., Grigorieva T.A. Modern approaches to the treatment of patients with primary operable breast cancer. Russian Oncological Journal, 2013, № 6, pp. 39–47. (In Russ.)
11. Malygin S.E. Skin-preserving mastectomy with reconstruction and oncoplastic operations for breast cancer. Annals of plastic, reconstructive and aesthetic surgery, 2010, № 4, pp. 87–88. (In Russ.)
12. Pak D.D., Troshchenkov E.A., Petrovsky D.A. The use of a mesh implant in combination with silicone endoprostheses for simultaneous breast reconstruction after subcutaneous mastectomy. Russian Journal of Oncology, 2012, № 2, pp. 13–17. (In Russ.)
13. Sosnovskikh Ya.I., Timoshenko A.N. Breast reconstruction after mastectomy. In the book: Actual medicine materials of the Student scientific and theoretical conference dedicated to the 120th anniversary of the birth of S. I. Georgievsky, 2018, pp. 704–708. (In Russ.)
14. Leloren S., Bonnot Antignak A., Florin A. Long-term post-traumatic growth after breast cancer: prevalence, predictors and relationship with psychological health. J Clin Psychol Med, 2010, № 17, рр. 14–22.
15. Ficarra V., Righetti R., D’Amico A., Pilloni S., Balzarro M., Schiavone D., Malossini G., Mobilio G. General state of health and psychological well-being in patients after surgery for malignant neoplasms of a urological nature. Urol Int., 2000, № 65(3), рр. 130–134.
16. Klit A., Henriksen T.F., Sersen HE, Elberg J.J., Christiansen P., Kroman N. Oncoplastic breast surgery in Denmark. Ugeskr Laeger, 2013, November; №25, рр. 175(48A).
17. Natori A. Comparison of epidemiology, biology and prognosis of inflammatory breast cancer in populations of Japan and the USA. A. Natori, N. Hayashi, K. Soejima et al. Clinical breast cancer, 2013, Vol. 13, № 6, pp. 460–464. © 2019, American Cancer Society, Inc., Surveillance Study.
Review
For citations:
Stepanyants N.G., Zugumova M.Sh., Voskanyan S.E., Zavyalov A.A. Options for a breast reconstruction after a defintive surgery. Moscow Surgical Journal. 2023;(1):95-101. (In Russ.) https://doi.org/10.17238/2072-3180-2023-1-95-101
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