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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="other" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Tumors of female reproductive system</journal-id><journal-title-group><journal-title xml:lang="en">Tumors of female reproductive system</journal-title><trans-title-group xml:lang="ru"><trans-title>Опухоли женской репродуктивной системы</trans-title></trans-title-group></journal-title-group><issn publication-format="print">1994-4098</issn><issn publication-format="electronic">1999-8627</issn><publisher><publisher-name xml:lang="en">Publishing House ABV Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">575</article-id><article-id pub-id-type="doi">10.17650/1994-4098-2018-14-1-28-37</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>MAMMOLOGY. REVIEWS</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>МАММОЛОГИЯ. ОБЗОРНЫЕ СТАТЬИ</subject></subj-group><subj-group subj-group-type="article-type"><subject></subject></subj-group></article-categories><title-group><article-title xml:lang="en">BIOLOGICAL AND SYNTHETIC MATERIALS IN RECONSTRUCTIVE SURGERY FOR BREAST CANCER TREATMENT (LITERATURE REVIEW)</article-title><trans-title-group xml:lang="ru"><trans-title>ИСПОЛЬЗОВАНИЕ БИОЛОГИЧЕСКИХ И СИНТЕТИЧЕСКИХ МАТЕРИАЛОВ В РЕКОНСТРУКТИВНОЙ ХИРУРГИИ ПРИ РАКЕ МОЛОЧНОЙ ЖЕЛЕЗЫ (ОБЗОР ЛИТЕРАТУРЫ)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7141-2502</contrib-id><name-alternatives><name xml:lang="en"><surname>Zikiryakhodzhaev</surname><given-names>A. D.</given-names></name><name xml:lang="ru"><surname>Зикиряходжаев</surname><given-names>А. Д.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Radiology, Institute of Medicine. Department of Oncology and Reconstructive Breast and Skin Surgery. Department of Oncology and Radiotherapy<italic><italic/></italic></p><p><italic>8 Miklukho-Maklaya St., Moscow 117198, <italic>3 2nd Botkinskiy Proezd, Moscow 125284, <italic>build. 2, 8 Trubetskaya St., Moscow 119991</italic></italic></italic></p></bio><bio xml:lang="ru"><p>Кафедра онкологии и рентгенорадиологии медицинского институт РУДН;отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи МНИОИ им. П.А. Герцена;кафедра онкологии и радиотерапии Сеченовского университета</p><p><italic>117198 Москва, ул. Миклухо-Маклая, 8</italic>, <italic>125284 Москва, 2-й Боткинский проезд, 3</italic><italic/>, <italic>119991 Москва, ул. Трубецкая, 8</italic></p></bio><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1742-3205</contrib-id><name-alternatives><name xml:lang="en"><surname>Shirokikh</surname><given-names>I. M.</given-names></name><name xml:lang="ru"><surname>Широких</surname><given-names>И. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Radiology, Institute of Medicine. Department of Oncology and Reconstructive Breast and Skin Surgery<italic><italic/></italic></p><p><italic>8 Miklukho-Maklaya St., Moscow 117198, <italic>3 2nd Botkinskiy Proezd, Moscow 125284</italic></italic></p></bio><bio xml:lang="ru"><p><bold>Широких <bold><italic/></bold><bold>Ирина Михайловна </bold></bold></p><p>Кафедра онкологии и рентгенорадиологии медицинского института РУДН; Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи МНИОИ им. П.А. Герцена <bold><bold/></bold></p><p><italic>117198 Москва, ул. Миклухо-Маклая, 8, <italic>125284 Москва, 2-й Боткинский проезд, 3</italic></italic></p></bio><email>shirokikh-irina1@yandex.ru</email><xref ref-type="aff" rid="aff1"/><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ablitsova</surname><given-names>N. V.</given-names></name><name xml:lang="ru"><surname>Аблицова</surname><given-names>Н. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Reconstructive Breast and Skin Surgery.</p><p><italic>3 2nd Botkinskiy Proezd, Moscow 125284</italic></p></bio><bio xml:lang="ru"><p>Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи.<italic><italic> </italic></italic></p><p><italic>125284 Москва, 2-й Боткинский проезд, 3</italic></p></bio><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Ermoshchenkova</surname><given-names>M. V.</given-names></name><name xml:lang="ru"><surname>Ермощенкова</surname><given-names>М. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Reconstructive Breast and Skin Surgery. Department of Oncology and Radiotherapy<italic/></p><p><italic>3 2nd Botkinskiy Proezd, Moscow 125284, <italic>build. 2, 8 Trubetskaya St., Moscow 119991</italic></italic></p></bio><bio xml:lang="ru"><p>Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи МНИОИ им. П.А. Герцена; кафедра онкологии и радиотерапии Сеченовского университета</p><p><italic>125284 Москва, 2-й Боткинский проезд, 3</italic>, <italic>119991 Москва, ул. Трубецкая, 8</italic></p></bio><xref ref-type="aff" rid="aff2"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Kharchenko</surname><given-names>N. V.</given-names></name><name xml:lang="ru"><surname>Харченко</surname><given-names>Н. В.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Radiology, Institute of Medicine</p><p><italic>8 Miklukho-Maklaya St., Moscow 117198</italic></p></bio><bio xml:lang="ru"><p>Кафедра онкологии и рентгенорадиологии медицинского института</p><p><italic>117198 Москва, ул. Миклухо-Маклая, 8</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1559-1304</contrib-id><name-alternatives><name xml:lang="en"><surname>Saribekyan</surname><given-names>E. K.</given-names></name><name xml:lang="ru"><surname>Сарибекян</surname><given-names>Э. К.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Reconstructive Breast and Skin Surgery.<italic> </italic></p><p><italic>3 2nd Botkinskiy Proezd, Moscow 125284</italic></p></bio><bio xml:lang="ru"><p>Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи.</p><p><italic>125284 Москва, 2-й Боткинский проезд, 3</italic></p></bio><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Tukmakov</surname><given-names>A. Yu.</given-names></name><name xml:lang="ru"><surname>Тукмаков</surname><given-names>А. Ю.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Reconstructive Breast and Skin Surgery. Department of Oncology and Radiotherapy.<italic/></p><p><italic>3 2nd Botkinskiy Proezd, Moscow 125284</italic><italic>3 2nd Botkinskiy Proezd, Moscow 125284, <italic>build. 2, 8 Trubetskaya St., Moscow 119991</italic></italic></p></bio><bio xml:lang="ru"><p>Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи. Кафедра онкологии и радиотерапии ИПО</p><p><italic>125284 Москва, 2-й Боткинский проезд, 3</italic>, <italic>119991 Москва, ул. Трубецкая, 8</italic></p></bio><xref ref-type="aff" rid="aff4"/><xref ref-type="aff" rid="aff3"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Sukhot’ko</surname><given-names>A. S.</given-names></name><name xml:lang="ru"><surname>Сухотько</surname><given-names>А. С.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Reconstructive Breast and Skin Surgery.</p><p><italic>3 2nd Botkinskiy Proezd, Moscow 125284</italic></p></bio><bio xml:lang="ru"><p>Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи.</p><p><italic>125284 Москва, 2-й Боткинский проезд, 3</italic></p></bio><xref ref-type="aff" rid="aff4"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Zapirov</surname><given-names>G. M.</given-names></name><name xml:lang="ru"><surname>Запиров</surname><given-names>Г. М.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Radiology, Institute of Medicine<italic>.</italic></p><p><italic>8 Miklukho-Maklaya St., Moscow 117198</italic></p></bio><bio xml:lang="ru"><p>Кафедра онкологии и рентгенорадиологии медицинского института</p><p><italic>117198 Москва, ул. Миклухо-Маклая, 8</italic></p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Khakimova</surname><given-names>Sh. G.</given-names></name><name xml:lang="ru"><surname>Хакимова</surname><given-names>Ш. Г.</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>Department of Oncology and Reconstructive Breast and Skin Surgery.<italic/></p><p><italic>3 2nd Botkinskiy Proezd, Moscow 125284</italic></p></bio><bio xml:lang="ru"><p>Отделение онкологии и реконструктивно-пластической хирургии молочной железы и кожи.</p><p><italic>125284 Москва, 2-й Боткинский проезд, 3</italic></p></bio><xref ref-type="aff" rid="aff5"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Peoples' Friendship University of Russia</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Российский университет дружбы народов»</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">P. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиал ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff3"><aff><institution xml:lang="en">I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">ФГБОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff4"><aff><institution xml:lang="en">P. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia</institution></aff><aff><institution xml:lang="ru">Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиала ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России</institution></aff></aff-alternatives><aff-alternatives id="aff5"><aff><institution xml:lang="en">P. Hertzen Moscow Oncology Research Institute – branch of the National Medical Research Radiology Center, Ministry of Health of Russia.</institution></aff><aff><institution xml:lang="ru">Московский научно-исследовательский онкологический институт им. П.А. Герцена – филиала ФГБУ «Национальный медицинский исследовательский центр радиологии» Минздрава России</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2018-04-12" publication-format="electronic"><day>12</day><month>04</month><year>2018</year></pub-date><volume>14</volume><issue>1</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>28</fpage><lpage>37</lpage><history><date date-type="received" iso-8601-date="2018-04-11"><day>11</day><month>04</month><year>2018</year></date><date date-type="accepted" iso-8601-date="2018-04-11"><day>11</day><month>04</month><year>2018</year></date></history><permissions><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/></permissions><self-uri xlink:href="https://ojrs.abvpress.ru/ojrs/article/view/575">https://ojrs.abvpress.ru/ojrs/article/view/575</self-uri><abstract xml:lang="en"><p><italic>During the last years has been a worldwide trend towards rejuvenating breast cancer, and the evolution of reconstructive breast surgery is proceeding at a rapid pace. The surgical method is the primary method in the combined and complex treatment of breast cancer, and radical mastectomy is still the main option for surgical treatment in most Russian clinics. Most women who need a mastectomy prefer a one-stage breast reconstruction, because the woman is quickly rehabilitated psychologically and physically after this operation. Nevertheless, the use of silicone endoprostheses did not solve the problems of breast reconstruction in combined treatment in oncology. The issue remains unresolved of various complications, related not only to infections, but also to the development of capsular contracture after radiotherapy. Many patients with a one-stage breast reconstruction using a silicone endoprostheses lack the volume of their own tissues for reliable shelter of the endoprosthesis. In such cases, synthetic reticulated implants, biological implants or autologous flaps are used to cover and strengthen the lower slope of the reconstructed breast.</italic></p></abstract><trans-abstract xml:lang="ru"><p><italic>В последние годы во всем мире отмечается тенденция к омоложению рака молочной железы (МЖ), в связи с чем быстрым темпом происходит эволюция реконструктивной хирургии МЖ. Хирургический метод остается основным в комбинированном и комплексном лечении рака МЖ, а радикальная мастэктомия – по-прежнему основным вариантом хирургического лечения в большинстве клиник России. Бóльшая часть пациенток, которым необходимо выполнить мастэктомию, предпочитают одномоментную реконструкцию МЖ, так как после этой операции женщина быстрее реабилитируется психологически и физически. Тем не менее применение силиконовых эндопротезов не решило проблем реконструкции МЖ в плане комбинированного лечения в онкологии. Остается нерешенным вопрос различных осложнений, связанных не только с инфекциями, но и с развитием капсулярной контрактуры после лучевой терапии. Многим пациенткам при выполнении одномоментной реконструкции МЖ с помощью силиконового эндопротеза не хватает объема собственных тканей для надежного укрытия эндопротеза. В таких случаях для укрытия и укрепления нижнего склона реконструируемой МЖ используются синтетические сетчатые или биологические имплантаты либо аутологичные лоскуты. </italic></p></trans-abstract><kwd-group xml:lang="en"><kwd>breast cancer</kwd><kwd>one-stage breast reconstruction</kwd><kwd>acellular dermal matrix</kwd><kwd>reticulated implant</kwd><kwd>mastectomy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>рак молочной железы</kwd><kwd>одномоментная реконструкция молочной железы</kwd><kwd>ацеллюлярный дермальный матрикс</kwd><kwd>сетчатый имплантат</kwd><kwd>мастэктомия</kwd></kwd-group><funding-group/></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><citation-alternatives><mixed-citation xml:lang="en">Malignant tumors in Russia in 2016 (morbidity and mortality). Eds.: A.D. Kaprin, V.V. Starinskiy, G.V. Petrova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU “NMIRTS” Minzdrava Rossii, 2017. 250 p. 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