ORGAN-SAVING TREATMENT IN YOUNG PATIENTS WITH BREAST CANCER


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Abstract

Objective. To create a new concept for the surgical treatment of patients with breast cancer (BC) as a component of combination therapy, causing the volume of breast tissue resection to be extended and the radicalism of surgery to be ensured with an optimal aesthetic result. Subject and methods. Fifty-two patients with BC underwent organ-saving treatment with the proper breast tissues being remodulated; the majority of them [27 (51.9%)] had organ-saving surgery with the nipple-areola complex on a lower glandular pedicle being transferred if the tumor was located in the upper quadrants; 13 (25.0%) had mammaplasty with an upper glandular pedicle if the tumor was located in the lower quadrants, and 8 (15.4%) had organ-saving treatment using simple volume replacement, and 4 (7.7%) had this applying a subcutaneous flap of the latissimus dorsi. Results. Twenty-two patients were followed up for 2 years. Survival in Stage 1 BC was 96.9%; there were no local recurrence cases throughout the follow-up. Cosmetic results were assessed, by questioning 24 women; a satisfactory result was noted in 22 patients, which accounted for 91.7%. In addition to achieved good esthetic results, breast reduction surgery is characterized as follows: it facilitates postoperative radiotherapy and simplifies postoperative clinical and instrumental breast examinations. Conclusion. Organ-saving treatment with breast tissue volume displacement and replacement makes it possible to transfer the maximum amount of the gland and to completely restore its volume, shape naturalness, and symmetry, which is important for patient rehabilitation.

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About the authors

A. A VOLCHENKO

P.A. Herzen Moscow Oncology Research Institute

Email: mnioi@mail.ru

D. D PAK

P.A. Herzen Moscow Oncology Research Institute

Email: mnioi@mail.ru

F. N USOVA

P.A. Herzen Moscow Oncology Research Institute

Email: mnioi@mail.ru

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