Novyy sposob radikal'noy rezektsii pri rake molochnoy zhelezy nizhnikh lokalizatsiy

The article describes a new method of surgical treatment of breast cancer, which includes a modification of the classical radical resection for tumor with localization in the lower quadrants. We observed 90 women living in the city of Perm and the Perm region aged from 25 to 76 years. All women gave written informed consent and underwent breast-conserving surgery by a new method of radical resection for cancer of lateral lower quadrant of the breast (patent № 2509534, 03.20.2014). Immediate and long-term results of the treatment were studied in all patients. In the majority of women (87.80%), early postoperative period was uneventful. The frequency of breast edema as delayed complication did not differ from that of after classic radical resection and was observed in 24.43% of cases. The application of the described technique of radical resection allowed to achieve excellent cosmetic result in 29.92% of cases, good - in 42.63%, satisfactory - in 20.51%, and unsatisfactory - only in 6.94% of the women. For comparison, after the classic resection cosmetic effect is considered as satisfactory and unsatisfactory in half of the cases. The use of the proposed method allows to effectively simulate the breast shape, bypassing tissue defect in the lateral quadrants, compared to the conventional method of radical resection. Furthermore, radicality of surgery is not reduced. Thus, the proposed method of radical resection can significantly improve the aesthetic results of surgical treatment of breast cancer, enhance the quality of life of patients, without affecting the long-term results of treatment.

breast cancer, breast-conserving surgery, radical resection, aesthetic component, cosmetic effect, quality of life