Elaboration of an algorithm for preserving a projective skin flap above the tumor when planning subcutaneous mastectomy from an aesthetically acceptable area in patients with breast nodule cancer

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Abstract

Indications for the conservation of the skin flap over the tumor for potential offset of the operational access in aesthetically acceptable zone in patients with primary nodular breast cancer are discussed in the article. The survey results of 203 patients (T1–2N0–3M0) are analyzed. The study revealed that the risk factors affecting the skin flap involvement are the presence of the skin flattening as well as topographic and anatomical characteristics: tumor < 3 cm, located at a depth of < 0.46 ± 0.2 cm, tumor ≥ 3 cm located at a depth of < 1.66 cm. Based on the data the algorithm for immediate breast reconstruction from aesthetically acceptable zone for surgical oncologist is compiled.

About the authors

A. R. Khamitov

Kazan’ State Medical Academy, Ministry of Health of Russia

Author for correspondence.
Email: khamitovayrat@gmail.com
11 Mushtari St., Kazan’, 420012 Russian Federation

A. Kh. Ismagilov

Kazan’ State Medical Academy, Ministry of Health of Russia

11 Mushtari St., Kazan’, 420012 Russian Federation

A. G. Sabirov

Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan

29 Sibirskiy Road, Kazan’, 420029 Russian Federation

N. V. Balatenko

Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan

29 Sibirskiy Road, Kazan’, 420029 Russian Federation

D. O. Zagvozkina

Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan

29 Sibirskiy Road, Kazan’, 420029 Russian Federation

M. V. Galeev

Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan

29 Sibirskiy Road, Kazan’, 420029 Russian Federation

I. A. Kiyasov

Kazan State Medical University, Ministry of Health of Russia

49 Butlerova St., Kazan’, 420012 Russian Federation

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