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Ermoshchenkova M.V.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdravsotsrazvitiia Rossii

Zikiryakhodzhaev A.D.

P.A. Herzen Moscow Oncology Research Institute, Ministry of Health of Russia, Moscow

Shirokikh I.M.

Peoples’ Friendship University of Russia, Moscow, Russia

Tukmakov A.Yu.

Department of Oncology and Radiotherapy, Institute of Postgraduate Education, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

Masri A.A.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow, Russia

Zapirov G.M.

Department of Oncology and Roentgenology and Radiology, Medical Institute, Peoples’ Friendship University of Russia, Ministry of Education and Science of the Russian Federation, Moscow, Russia

Surgical rehabilitation of patients with breast cancer at various stages of combined and combination treatment

Authors:

Ermoshchenkova M.V., Zikiryakhodzhaev A.D., Shirokikh I.M., Tukmakov A.Yu., Masri A.A., Zapirov G.M.

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Journal: P.A. Herzen Journal of Oncology. 2019;8(3): 161‑168

DOI: 10.17116/onkolog2019803115161

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To cite this article:

Ermoshchenkova MV, Zikiryakhodzhaev AD, Shirokikh IM, Tukmakov AYu, Masri AA, Zapirov GM. Surgical rehabilitation of patients with breast cancer at various stages of combined and combination treatment. P.A. Herzen Journal of Oncology. 2019;8(3):161‑168. (In Russ.)
https://doi.org/10.17116/onkolog2019803115161

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Objective — to develop a systematic approach to the single-stage and delayed surgical rehabilitation of patients with primary operable breast cancer (BC), by expanding a range of possible reconstructive plastic surgery (RPS) and procedures that contribute to the achievement of sustainable aesthetic results. Subject and methods. Medical records from 1250 patients (mean age 49.2±0.3 years) with BC have been analyzed since 2013. Patients with Stages I and II BC constituted the largest proportion (40.96 and 38.88, respectively); those with Stages 0, III, and IV BC were 5.12, 14.96, and 0.08%, respectively. There were a total of 630 (50.4%) of the analyzed patients who had undergone RPS aimed at reconstructing or correcting the shape of the breast as an organ and 620 (49.6%) patients who had organ-sparing surgery (OSS). Results. Over the 5-year follow-up period (from 2013 to 2018), the RPS group (n=510) was found to have locoregional recurrences in 10 (1.96%) patients. The progression of the underlying disease was diagnosed in 21 (4.1%) cases. Over the 5-year follow-up period, the OSS group (n=620) had locoregional recurrences in 7 (1.13%) patients (local (n=6) and regional (n=1) recurrences). The progression of the underlying disease was diagnosed in 9 (1.45%) patients. While analyzing the aesthetic results and psychological criteria, the investigators used the questionnaire «Assessment of cosmetic results after organ-sparing surgery, oncoplastic resections, and RPS in BC patients», which is designed at the P.A. Herzen Moscow Oncology Research Institute and the international Breast Q questionnaire to evaluate satisfaction with the result. The mean scores for aesthetic results and psychological criteria were excellent in the OSS group. Conclusion. Surgical rehabilitation of patients with BC contributes to the timely psychological and physical recovery of patients, disability reduction, and a rapid return to their active social life. Oncoplastic resection for BC allows the best aesthetic and psychological results to be obtained.

Keywords:

breast cancer
oncoplastic resection
reconstructive plastic surgery
lipofilling
mesh implant
acellular dermal matrix
autologous flap
two-stage reconstruction
aesthetic results

Authors:

Ermoshchenkova M.V.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdravsotsrazvitiia Rossii

Zikiryakhodzhaev A.D.

P.A. Herzen Moscow Oncology Research Institute, Ministry of Health of Russia, Moscow

Shirokikh I.M.

Peoples’ Friendship University of Russia, Moscow, Russia

Tukmakov A.Yu.

Department of Oncology and Radiotherapy, Institute of Postgraduate Education, I.M. Sechenov First Moscow State Medical University, Moscow, Russia

Masri A.A.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center, Ministry of Health of Russia, Moscow, Russia

Zapirov G.M.

Department of Oncology and Roentgenology and Radiology, Medical Institute, Peoples’ Friendship University of Russia, Ministry of Education and Science of the Russian Federation, Moscow, Russia

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