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Радикальная мастэктомия с сохранением кожи
Радикальная мастэктомия с сохранением кожи
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Аннотация
В обзорной статье приведены данные исторической эволюции хирургии молочной железы, а также современный взгляд на возможности ее реконструкции при выполнении мастэктомии. Многочисленные исследования радикальности данной операции указывают на ее безопасность при строгом отборе пациентов. Перечислены основные типы хирургических доступов, и показано современное представление о кровоснабжении сосково-ареолярного комплекса.
Ключевые слова: хирургия молочной железы, мастэктомия.
Key words: breast surgery, mastectomy.
Ключевые слова: хирургия молочной железы, мастэктомия.
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Key words: breast surgery, mastectomy.
Полный текст
Список литературы
1. Давыдов М.И., Аксель Е.М. Статистика злокачественных новообразований в России и странах СНГ в 2009 г. Вестн. РОНЦ им. Н.Н.Блохина РАМН. 2011; 22 (3). Прил. 1: 54–92.
2. Veronesi U, Volterrani F, Luini A et al. Quadrantectomy versus lumpectomy for small size breast cancer. Eur J Cancer 1990; 26 (6): 671–3.
3. Petit JY, Veronesi U, Orecchia R et al. Nipple sparing mastectomy with nipple areola intraoperative radiotherapy: one thousand and one cases of a five years of experience at the European institute of oncology of Milan. Breast Cancer Res Treat 2009; 117: 333–8.
4. Давыдов М.И., Летягин В.П. Рак молочной железы. Атлас, 2006.
5. Clough KB et al. Oncoplastic techniques allow for extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 2003; 237: 26–34.
6. Carlson GW, Losken A, Moore B et al. Results of immediate breast reconstruction after skin-sparing mastectomy. Ann Plast Surg 2001; 46 (3): 222–8.
7. Carlson GW, Bostwick JRD, Styblo TM et al. Skin-sparing mastectomy oncologic and reconstructive considerations. Ann Surg 1997; 225 (5): 570–5.
8. Peyser PM, Abel JA, Straker VF et al. Ultra conservative skin-sparing mastectomy «keyhole» mastectomy and immediate breast and areola reconstruction. Ann R Coll Surg Engl 2000; 82 (4): 227–35.
9. Ho CM, Mak CK, Lau Y et al. Skin involvement in invasive breast carcinoma: safety of skin-sparing mastectomy. Ann Surg Oncol 2003; 10 (2): 102–7.
10. Carlson GW, Styblo TM, Lyles RH et al. Local recurrence after skin-sparing mastectomy: tumor biology or surgical conservatism? Ann Surg Oncol 2003; 10 (2): 108–12.
11. Simmons RM, Fish SK, Gayle L et al. Local and distant recurrence rates in skin-sparing-mastectomy compared with non-skin-sparing mastectomies. Ann Surg Oncol 1999; 6 (7): 676–8.
12. Slavin SA, Schnitt SJ, Duda RB et al. Skin-sparing mastectomy and immediate reconstruction: oncologic risk and aesthetic results in patients with early with early stage breast cancer. Plast Reconstr Surg 1998; 102 (1): 49–62.
13. Kroll SS, Khoo A, Singletary SE et al. Local recurrence risk after skin-sparing and conventional mastectomy: a 6 year follo-up. Plast Reconstr Surg 1999; 104 (2): 421–5.
14. Medina-Franco H, Vasconez LO, Fix RJ et al. Factors associated with local recurrence after skin-sparing mastectomy and immediate breast reconstruction for invasive breast cancer. Ann Surg 2002; 235 (6): 814–9.
15. Bartlett W. An anatomic substitute for the female breast. Ann Surg 1917; 66: 208–11.
16. Rice CO, Strickler JH. Adenomammectomy for benign breast lesions. Surg Gynecol Obstet 1951; 93: 759.
17. Freeman BS. Subcutaneous mastectomy for benign breast lesions with immediate or delayed prosthetic replacement. Plast Reconstr Surg 1962; 30: 676.
18. Freeman BS. Technique of subcutaneous mastectomy with replacement: Immediate and delayed. Br J Plast Surg 1969; 22: 161.
19. Pennisi VR, Capozzi A. The incidence of obscure carcinoma in subcutaneous mastectomy: Results of a national survey. Plast Reconstr Surg 1975; 56: 9.
20. Pennisi VR. Subcutaneous mastectomy and fibrocystic disease of the breast. Clin Plast Surg 1976; 3: 205.
21. Pennisi VR, Capozzi A. Subcutaneous mastectomy: An interim report on 1244 patients. Ann Plast Surg 1984; 12: 340.
22. Woods JE. Subcutaneous mastectomy: Current state of the art. Ann Plast Surg 1983; 11: 541.
23. Toth BA, Stephen P, Tenna D, Tenna S. Skin-sparing mastectomy with immediate breast reconstruction: a 10-year, single surgeon review of 105 consecutive patients. Eur J Plast Surg 2007; 25 (3).
24. Carlson GW, Grossl N, Lewis MM et al. Preservation of the inframammary fold: what are we leaving behind? Plast Reconstr Surg 1996; 98 (3): 203–10.
25. Shen J, Ellenhorn J, Qian D et al. Skin-sparing mastectomy: a survey based approach to defining standard of care. Am Surg 2008; 74 (10): 902–5.
26. Kroll SS, Schusterman MA, Tadjalli HE et al. Risk of recurrence after treatment of early cancer with skin-sparing mastectomy. Ann Surg Oncol 1997; 4: 193–7.
27. Harness JK, Vetter TS, Salibian AH. Areola and Nipple-Areola-Sparing Mastectomy for Breast Cancer Treatment and Risk Reduction: Report of an Initial Experience in a Community Hospital Setting. Ann Surg Oncol 2011; 18: 917–22.
28. Rusby JE, Smith BL, Gui GPH. Nipple-sparing mastectomy. Br J Surg 2010; 97: 305–16.
29. Benediktsson KP, Perbeck L. Survival in breast cancer after nipple-sparing subcutaneous mastectomy and immediate reconstruction with implants: A prospective trial with 13 years median follow-up in 216 patients. EJSO 2008; 34: 143–8.
30. Gerber B, Krause A, Dieterich M et al. The oncological safety of skin sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction: an extended follow-up study. Ann Surg 2009; 249 (3): 461–8.
31. Garcia-Etienne CA, Cody Iii HS 3rd, Disa JJ et al. Nipple-sparing mastectomy: initial experience at the Memorial Sloan-Kettering Cancer Center and a comprehensive review of literature. Breast J 2009. Nipple-sparing mastectomy: initial experience at the Memorial Sloan-Kettering Cancer Center and a comprehensive review of literature. Breast J 2009; 15 (4): 440–9.
32. Dennis C. Hammond. Atlas of aesthetic breast surgery. Saunders, 2009; p. 2–6.
33. Wuringer E. Refinement of the central pedicle breast reduction by application of the ligamentous suspension. Plast Reconstr Surg 1999; 103 (5): 1400–10.
34. Wuringer E, Tschabitscher M. New aspects of the topographical anatomyof the mammary gland regarding its neurovascular supply along a regular ligamentous suspension. Eur J Morphol 2002; 40 (3): 181–9.
35. Grant W. Carlson. Technical Advances in Skin Sparing Mastectomy Int J Surg Oncol 2011; p. 7.
36. Skoll PJ, Hudson DA. Skin Sparing mastectomy using a modified wise pattern. Plast Reconstr Surg 2002; 110 (1): 214–7.
37. Botswick J. Total mastectomy with breast skin and volume reduction using an inverted T incision. St. Louis: Quality Medical USA. Plast Reconstr Breast Surg 1990; 2: 1048–54.
2. Veronesi U, Volterrani F, Luini A et al. Quadrantectomy versus lumpectomy for small size breast cancer. Eur J Cancer 1990; 26 (6): 671–3.
3. Petit JY, Veronesi U, Orecchia R et al. Nipple sparing mastectomy with nipple areola intraoperative radiotherapy: one thousand and one cases of a five years of experience at the European institute of oncology of Milan. Breast Cancer Res Treat 2009; 117: 333–8.
4. Давыдов М.И., Летягин В.П. Рак молочной железы. Атлас, 2006.
5. Clough KB et al. Oncoplastic techniques allow for extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 2003; 237: 26–34.
6. Carlson GW, Losken A, Moore B et al. Results of immediate breast reconstruction after skin-sparing mastectomy. Ann Plast Surg 2001; 46 (3): 222–8.
7. Carlson GW, Bostwick JRD, Styblo TM et al. Skin-sparing mastectomy oncologic and reconstructive considerations. Ann Surg 1997; 225 (5): 570–5.
8. Peyser PM, Abel JA, Straker VF et al. Ultra conservative skin-sparing mastectomy «keyhole» mastectomy and immediate breast and areola reconstruction. Ann R Coll Surg Engl 2000; 82 (4): 227–35.
9. Ho CM, Mak CK, Lau Y et al. Skin involvement in invasive breast carcinoma: safety of skin-sparing mastectomy. Ann Surg Oncol 2003; 10 (2): 102–7.
10. Carlson GW, Styblo TM, Lyles RH et al. Local recurrence after skin-sparing mastectomy: tumor biology or surgical conservatism? Ann Surg Oncol 2003; 10 (2): 108–12.
11. Simmons RM, Fish SK, Gayle L et al. Local and distant recurrence rates in skin-sparing-mastectomy compared with non-skin-sparing mastectomies. Ann Surg Oncol 1999; 6 (7): 676–8.
12. Slavin SA, Schnitt SJ, Duda RB et al. Skin-sparing mastectomy and immediate reconstruction: oncologic risk and aesthetic results in patients with early with early stage breast cancer. Plast Reconstr Surg 1998; 102 (1): 49–62.
13. Kroll SS, Khoo A, Singletary SE et al. Local recurrence risk after skin-sparing and conventional mastectomy: a 6 year follo-up. Plast Reconstr Surg 1999; 104 (2): 421–5.
14. Medina-Franco H, Vasconez LO, Fix RJ et al. Factors associated with local recurrence after skin-sparing mastectomy and immediate breast reconstruction for invasive breast cancer. Ann Surg 2002; 235 (6): 814–9.
15. Bartlett W. An anatomic substitute for the female breast. Ann Surg 1917; 66: 208–11.
16. Rice CO, Strickler JH. Adenomammectomy for benign breast lesions. Surg Gynecol Obstet 1951; 93: 759.
17. Freeman BS. Subcutaneous mastectomy for benign breast lesions with immediate or delayed prosthetic replacement. Plast Reconstr Surg 1962; 30: 676.
18. Freeman BS. Technique of subcutaneous mastectomy with replacement: Immediate and delayed. Br J Plast Surg 1969; 22: 161.
19. Pennisi VR, Capozzi A. The incidence of obscure carcinoma in subcutaneous mastectomy: Results of a national survey. Plast Reconstr Surg 1975; 56: 9.
20. Pennisi VR. Subcutaneous mastectomy and fibrocystic disease of the breast. Clin Plast Surg 1976; 3: 205.
21. Pennisi VR, Capozzi A. Subcutaneous mastectomy: An interim report on 1244 patients. Ann Plast Surg 1984; 12: 340.
22. Woods JE. Subcutaneous mastectomy: Current state of the art. Ann Plast Surg 1983; 11: 541.
23. Toth BA, Stephen P, Tenna D, Tenna S. Skin-sparing mastectomy with immediate breast reconstruction: a 10-year, single surgeon review of 105 consecutive patients. Eur J Plast Surg 2007; 25 (3).
24. Carlson GW, Grossl N, Lewis MM et al. Preservation of the inframammary fold: what are we leaving behind? Plast Reconstr Surg 1996; 98 (3): 203–10.
25. Shen J, Ellenhorn J, Qian D et al. Skin-sparing mastectomy: a survey based approach to defining standard of care. Am Surg 2008; 74 (10): 902–5.
26. Kroll SS, Schusterman MA, Tadjalli HE et al. Risk of recurrence after treatment of early cancer with skin-sparing mastectomy. Ann Surg Oncol 1997; 4: 193–7.
27. Harness JK, Vetter TS, Salibian AH. Areola and Nipple-Areola-Sparing Mastectomy for Breast Cancer Treatment and Risk Reduction: Report of an Initial Experience in a Community Hospital Setting. Ann Surg Oncol 2011; 18: 917–22.
28. Rusby JE, Smith BL, Gui GPH. Nipple-sparing mastectomy. Br J Surg 2010; 97: 305–16.
29. Benediktsson KP, Perbeck L. Survival in breast cancer after nipple-sparing subcutaneous mastectomy and immediate reconstruction with implants: A prospective trial with 13 years median follow-up in 216 patients. EJSO 2008; 34: 143–8.
30. Gerber B, Krause A, Dieterich M et al. The oncological safety of skin sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction: an extended follow-up study. Ann Surg 2009; 249 (3): 461–8.
31. Garcia-Etienne CA, Cody Iii HS 3rd, Disa JJ et al. Nipple-sparing mastectomy: initial experience at the Memorial Sloan-Kettering Cancer Center and a comprehensive review of literature. Breast J 2009. Nipple-sparing mastectomy: initial experience at the Memorial Sloan-Kettering Cancer Center and a comprehensive review of literature. Breast J 2009; 15 (4): 440–9.
32. Dennis C. Hammond. Atlas of aesthetic breast surgery. Saunders, 2009; p. 2–6.
33. Wuringer E. Refinement of the central pedicle breast reduction by application of the ligamentous suspension. Plast Reconstr Surg 1999; 103 (5): 1400–10.
34. Wuringer E, Tschabitscher M. New aspects of the topographical anatomyof the mammary gland regarding its neurovascular supply along a regular ligamentous suspension. Eur J Morphol 2002; 40 (3): 181–9.
35. Grant W. Carlson. Technical Advances in Skin Sparing Mastectomy Int J Surg Oncol 2011; p. 7.
36. Skoll PJ, Hudson DA. Skin Sparing mastectomy using a modified wise pattern. Plast Reconstr Surg 2002; 110 (1): 214–7.
37. Botswick J. Total mastectomy with breast skin and volume reduction using an inverted T incision. St. Louis: Quality Medical USA. Plast Reconstr Breast Surg 1990; 2: 1048–54.
Авторы
М.В.Овчинников1, Ю.С.Егоров2
1 ГБУЗ МО Московский областной онкологический диспансер, Балашиха;
2 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России, Москва
1 ГБУЗ МО Московский областной онкологический диспансер, Балашиха;
2 ГБОУ ДПО Российская медицинская академия последипломного образования Минздрава России, Москва
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