Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press22710.17650/1994-4098-2010-0-2-36-39MAMMOLOGY. LECTUREМАММОЛОГИЯ. ЛЕКЦИИSubcutaneous mastectomy with nipple-areolar preservation: new feasibilities of surgical treatment in patients with breast cancerПодкожная мастэктомия с сохранением сосково-ареолярного комплекса. Новые возможности хирургического лечения больных раком молочной железыVolchenkoA. A.ВолченкоА. А.
Russian Federation
mam-doctor@mail.ruP.A. Herzen Moscow Research Institute of Oncological Studies, Russian Agency for Medical TechnologiesФГУ МНИОИ им. П.А. Герцена Росмедтехнологий270520102363927082014270820142010https://ojrs.abvpress.ru/ojrs/article/view/227

The current surgical treatment strategy for breast cancer is to fulfill two tasks: a reliable cure for cancer and solution of esthetic problems. The former task is successfully solved by radical mastectomy whereas it is rather difficult to restore the breast because a specialist has to compensate for the whole volume of its tissue and to form a nipple-areolar complex (NAC) and a submammary fold. Subcutaneous mastectomy with and without NAC preservation optimally solves both tasks: its performance, by simultaneously maintaining the high level of radicalism, substantially makes primary breast repair easier and yields a better esthetic result.

Современная стратегия хирургического лечения рака молочной железы направлена на выполнение двух задач: надежность излечения от рака и решение эстетических проблем. Лечебную задачу относительно успешно решает применениие радикальной мастэктомии, вместе с тем восстановление молочной железы при этом достаточно затруднено, так как приходится возмещать весь объем ее ткани, формировать сосково-ареолярный комплекс (САК) и субмаммарную складку. Подкожная мастэктомия с сохранением САК или без него оптимально решает обе задачи: ее выполнение, наряду с поддержанием высокого уровня радикализма, существенно облегчает первичную реконструкцию молочной железы и позволяет достигнуть лучшего эстетического результата.

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