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
https://doi.org/10.17650/1994-4098-2016-12-3-23-29
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
Russian Federation
11 Mushtari St., Kazan’, 420012
Russian Federation
11 Mushtari St., Kazan’, 420012
A. Kh. Ismagilov
Kazan’ State Medical Academy, Ministry of Health of Russia
Russian Federation
11 Mushtari St., Kazan’, 420012
Russian Federation
11 Mushtari St., Kazan’, 420012
A. G. Sabirov
Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
N. V. Balatenko
Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
D. O. Zagvozkina
Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
M. V. Galeev
Republican Clinical Oncology Dispensary, Ministry of Health of the Republic of Tatarstan
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
Russian Federation
29 Sibirskiy Road, Kazan’, 420029
I. A. Kiyasov
Kazan State Medical University, Ministry of Health of Russia
Russian Federation
49 Butlerova St., Kazan’, 420012
Russian Federation
49 Butlerova St., Kazan’, 420012
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Review
For citations:
Khamitov A.R., Ismagilov A.Kh., Sabirov A.G., Balatenko N.V., Zagvozkina D.O., Galeev M.V., Kiyasov I.A. 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. Tumors of female reproductive system. 2016;12(3):23-29. (In Russ.) https://doi.org/10.17650/1994-4098-2016-12-3-23-29
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