Current State of Breast Reconstructive Surgery

Левчук, А Л; Khodyrev, S.A.; Шабаев, Р. М.

doi:10.25881/20728255_2021_16_2_122

Cited by 3 publications

(1 citation statement)

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“…МРТ нужна на этапе предоперационного планирования, в аспекте распространения мастэктомии с сохранением сосков в лечении пациенток с раком молочной железы [15][16][17]. Наконец, МРТ полезна как дополнение к маммографии и ультразвуку в диагностике патологических выделений из соска и проведения чрескожной биопсии [18].…”

Section: Discussionunclassified

Diseases and abnormalities of the nipple-areolar complex: a case report series

Karanadze¹,

Sinitsyn

Karanadze³

2023

Digital Diagnostics

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The nipple-areolar complex (NAC) is a specific anatomical and histological structure. Normal structure variabilities, pathological processes various and the complexity of diagnostic imaging cause difficulties for radiologists and physicians. Breast magnetic resonance imaging (MRI) is highly sensitive method for structural features, cancer detection of NAC. MRI is useful as an additional diagnostic tool when mammography and ultrasound findings are inconclusive. MRI allows visualization of the retroareolar region, suitable for the diagnosis of papillomas, adenomas, Paget's disease, ductal carcinoma in situ and invasive ductal carcinoma. This article is a literature review and case report of diagnosing pathology and anomalies of the nipple-areolar complex, which may be useful for radiologists, gynecologists and residents.

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Section: Discussionunclassified

Diseases and abnormalities of the nipple-areolar complex: a case report series

Karanadze¹,

Sinitsyn

Karanadze³

2023

Digital Diagnostics

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Risk factors for breast cancer in patients with benign breast diseases: a 10-year observational study

Shabaev,

Kolyadina,

Blagovestnov

et al. 2024

Opuholi ženskoj reproduktivnoj sistemy

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Aim. To assess risk factors for breast cancer in a large population of women with benign breast dysplasia (BBD) followed up for a long time.Materials and methods. This retrospective study included 504 women with BBD followed up for 10 years. Study participants were divided into two groups: 1) BBD patients who did not develop breast cancer within 10 years (n = 261); 2) BBD patients who developed breast cancer within 10 years (n = 243). We conducted comprehensive retrospective analysis of demographic, clinical, and laboratory characteristics, as well as treatment details for BBD. Patient age varied between 39 and 49 years. The ten-year follow-up interval was chosen to perform adequate comparison of the groups. The differences were considered significant at p <0.05.Results. The main difference between the two groups was related to conservative treatment for BBD and its duration. Almost all (93.4 %) patients in the group without breast cancer received some conservative treatment for BBD for 78.0 ± 1.7 months, whereas among those who developed breast cancer, only 37.4 % received conservative therapy for 15.0 ± 0.8 months (p <0.001). Other significant risk factors for breast cancer in group 2 included obesity, gynecological pathology, long-term stress, and no surgical treatment for benign breast changes (p <0.001). The analysis of laboratory parameters demonstrated significantly higher levels of prolactin in patients who developed breast cancer (31 % versus 13 %; p <0.001).Conclusion. Potential risk factors for breast cancer in BBD patients include overweight, benign gynecological diseases, elevated prolactin, and long-term stress. Timely diagnosis and treatment of BBD and elimination of the abovementioned factors can significantly reduce the probability of breast cancer.

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Breast reconstruction with a DIEP flap for breast cancer: a current trend or a necessary component

Topuzov,

Skvortsov,

Gor

et al. 2024

jour

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Background. Breast reconstruction for breast cancer (BC) is often associated with the development of complications, which can even lead to unsuccessful consequences in the form of loss of an implant or flap. Despite the rapid development of reconstructive surgery for breast cancer, the percentage of complications continues to remain at a high level and can reach 50%. Undoubtedly, complications during reconstruction with implants and flaps are different and have their own specifics. Sometimes we can successfully manage or prevent these complications by choosing the best reconstruction option for that particular patient. Breast reconstruction using a DIEP flap in patients with risk factors minimizes the rate of complications that occur with implant reconstruction, thereby leading to a good aesthetic result.Purpose of the study: to evaluate the effectiveness and aesthetic acceptability of the DIEP flap in patients with a history of complications after breast reconstruction with implants/expanders and high-risk factors for complications.Materials and methods. The study performed 20 breast reconstructions using the DIEP flap in patients with risk factors who had previously experienced complications and had failed implant reconstruction.Results. The total complication rate was 35%. The dominant complication was long-term seroma in the donor area — 3 cases (15%), all of them had obesity of 1.2 degrees. Loss of the flap occurred in 1 (5%) case with a complicated medical history (grade 3 obesity, radiation therapy). Partial necrosis was detected in 1 (5%) of the subjects. Early postoperative hematoma was detected in 1 (5%) case, which required emergency surgical intervention, without loss or partial necrosis of the flap. Postoperative ventral hernia formed in 1 (5%) woman after previous abdominal surgery. It was also noted that patients with a BMI of 30.0 to 35 kg/m2 and 35 kg/m2 or higher were at significantly greater risk of complications compared to patients with a normal BMI (from 18.5 to 25 kg/m2) p-value 0.05. A history of radiation therapy increased the risk of complications. The difference is statistically significant p-value 0.02. There was no effect of chemotherapy on the number of complications encountered. The Breast Q questionnaire showed a good aesthetic result of 72 points.Conclusions. The use of the DIEP-flap in patients with a history of complications after breast reconstruction with implants/expanders and high-risk factors for complications is an effective and safe method of breast reconstruction with a good cosmetic result.

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Current State of Breast Reconstructive Surgery

Cited by 3 publications

References 0 publications

Diseases and abnormalities of the nipple-areolar complex: a case report series

Diseases and abnormalities of the nipple-areolar complex: a case report series

Risk factors for breast cancer in patients with benign breast diseases: a 10-year observational study

Breast reconstruction with a DIEP flap for breast cancer: a current trend or a necessary component

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