A.Kh. ISMAGILOV¹, A.R. KHAMITOV¹, A.S. VANESYAN²

¹Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012

²Tatarstan Cancer Center, 29 Sibirskiy Trakt, Kazan, Russian Federation, 420029

Ismagilov A.Kh. — D. Med. Sc., Professor of the Department of Oncology, Radiology and Palliative Care, tel. +7-917-269-59-85, e-mail: Ismagilov17@mail.ru

Khamitov A.R. — postgraduate student of the Department of Oncology, Radiology and Palliative Care, tel.: (843) 295-4-483, +7-917-290-90-25, e-mail: khamitovayrat@gmail.com

Vanesyan A.S. — Cand. Med. Sc., surgeon, tel. (843) 519-27-73, e-mail: anna_vanesyan@yahoo.com

The problem of adequate breast reconstruction up to the natural or pre-operative level after the surgical treatment of breast cancer is still very topical nowadays. Though excellent results are reached in restoration of breast contours, shape, volume and symmetry, the visible postoperative scar remains the only element that demonstrates the performed breast cancer surgery. The article views the stages of breast surgery development, the transition from the classical to the organ-sparing and oncoplastic, skin-sparing and NAC-sparing radical mastectomy.

Key words: breast cancer, organ-sparing surgery, oncoplastic surgery, skin-sparing mastectomy, nipple-areola complex, NAC-sparing mastectomy, breast reconstruction, complications, incisions.

REFERENCES

1. Pod red. A.D. Kaprina V.V. Starinskogo, G.V. Petrovoy. Zlokachestvennye novoobrazovaniya v Rossii v 2013 godu (zabolevaemost’ i smertnost’) [Malignancies in Russia in 2013 (morbidity and mortality)]. Moscow: MNIOI im. P.A.Gertsena, filial FGBU “FMITs im. P.A. Gertsena” Minzdrava Rossii, 2015.
2. American Cancer Society. Cancer Facts & Figures. Atlanta: [b.n.], 2014.
3. Rebecca L. Siegel, MPH; Kimberly D. Miller, MPH; Ahmedin Jemal, DVM, PhD3 Cancer Statistics, 2015. Ca cancer j clin, 2015, vol. 65, no. 1, rr. 5-29.
4. Malvezzi M., Bertuccio P., Rosso T. et al. European cancer mortality predictions for the year 2015: does lung cancer have the highest death ratein EU women? Annals of Oncology, 2015, rr. 779-786.
5. Semiglazov V.F. Lechenie raka molochnoy zhelezy [Treatment of breast cancer]. Saint Petersburg, 1993. R. 39.
6. Krag D.N., Weaver D.L., Alex J.C., Fairbank J.T. Surgical resection and radiolocalization of the sentinel lymph node in breast cancer using a gamma probe. Surgical Oncology, December, 1993, vol. 2, issue 6, rr. 335-340.
7. Aerts L., Christiaens M.R., Enzlin P., Neven P., Amant F. Sexual functioning in women after mastectomy versus breast conserving therapy for early-stage breast cancer: a prospective controlled study. Breast, 2014, Oct, vol. 23(5), rr. 629-36.
8. Rezai M., Darsow M., Kramer S. et al. Principles and standards in oncoplastic breast conserving surgery the Dusseldorf experience, 2009, rr. 25-34.
9. Botswick J., Paletta Ch., Hartrampf C.R. Ann Surg, May, 1986, vol. 203(5), rr. 481-489.
10. Blondeel P.N., Hijjawi J., Depypere H. et al. Shaping the breast inaesthetic and reconstructive breast surgery: an easy three-step principle, 2009, vol. 123, no. 2, rr. 455-462.
11. Snyderman R.K. Guthrie R.H. Reconstruction of the female breast following radical mastectomy. Plast Reconstr Surgery, 1971, vol. 47, r. 565.
12. Toth B.A., Lappert P. Modified skin incisions for mastectomy: the need for plastic surgical input in preoperative planning. Plastic and Reconstructive Surgery, 1991, vol. 87, no. 6, rr. 1048-1053.
13. Carlson G.W., Bostwick J., Styblo T.M. et al. Skin – sparing mastectomy. Oncologic and reconstructive considerations. Ann Surg, 1997, vol. 225, rr. 570-575.
14. Carlson G.W. Technical Advances in Skin SparingMastectomy. International Journal of Surgical Oncology. [b.m.]: Hindawi Publishing Corporation, 2011, vol. 1, rr. 1-7.
15. Kinoshita S., Kyoda S., Hirano A. et al. Clinical comparison of four types of skin incisions for skin-sparing mastectomy and immediate breast reconstruction. Surg Today, 2014, vol. 44, rr. 1470-1475.
16. Farahat A.M., Hashim T., Soliman H.O. et al. Skin sparing mastectomy: Technique and suggested methods of reconstruction. Journal of the Egyptian National Cancer Institute, 2014, vol. 26, rr. 153-159.
17. Simmons R.M., Fish S.K., Gayle L, La Trenta G.S., Swistel A., Christos P., Osborne M.P. Local and distant recurrence rates in skin-sparing mastectomies compared with non-skin-sparing mastectomies. Ann Surg Oncol, Oct-Nov 6(7), 1999, rr. 676-81.
18. Gerber B., Krause A., Reimer T., Müller H., Küchenmeister I., Makovitzky J., Kundt G., Friese K. Skin-sparing mastectomy with conservation of the nipple-areola complex and autologous reconstruction is an oncologically safe procedure. Ann Surg, 2003, rr. 120-7.
19. Simmons R.M. Brennan M., Christos P. et al. Analysis of nipple/areolar involvement with mastectomy:can the areola be preserved?. Ann Surg Oncol, 2002, vol. 9, rr. 165-168.
20. Laronga C. Kemp B., Johnston D. et al. The incidence of occult nipple–areola complex involvement in breastcancer patients receiving a skin-sparing mastectomy. Ann Surg Oncol, 1999, vol. 6, rr. 609-613.
21. Cense H.A. Rutgers E.J., Lopes Cardozo M. et al. Nipple-sparing mastectomy in breast cancer: a viable option?. Eur J Surg Oncol, 2001, vol. 27, rr. 521-526.
22. Paepke S., Schmid R., Fleckner S., Paepke D., Niemeyer M., Schmalfeldt B., Jacobs V.R., Kiechle M. Subcutaneous mastectomy with conservation of the nipple-areola skin: broadening the indications. Ann Surg, Aug., 2009, vol. 250(2), rr. 288-92.
23. Voltura A.M., Tsangaris T.N., Rosson G.D. Nipple sparing mastectomy: critical assessment of 51 procedures and implicationsfor selection criteria. Ann Surg Oncol, 2008, vol. 15, rr. 3396-3401.
24. Rusby J.E., Brachtel E.F., Othus M. et al. Development and validation of a model predictive of occult nipple involvement in women undergoing mastectomy. Br J Surg, 2008, vol. 95, rr. 1356-1361.
25. Alexandre Mendonça Munhoz, Eduardo Montag, José Roberto Filassi, Rolf Gemperli Immediate nipple-areola-sparing mastectomy reconstruction. World J Clin Oncol, August 10, 2014, vol. 5(3), rr. 478-94.
26. Endara M., Chen D., Verma K., Nahabedian M.Y., Spear S.L. Breast reconstruction following nipple-sparing mastectomy: a systematic review of the literature with pooled analysis. Plast Reconstr Surg, 2013, vol. 132, rr. 1043-1054.
27. Stolier A.J., Sullivan S.K., Dellacroce F.J. Technical considerations in nipple-sparing mastectomy: 82 consecutive cases without necrosis. Ann Surg Oncol, 2008, vol. 15, rr. 1341-1347.
28. Wijayanayagam A., Kumar A.S., Foster R.D., Esserman L.J. Optimizing the total skin-sparing mastectomy. Arch Surg, 2008, vol. 143, rr. 38-45.
29. Sahin I., Isik S., Alhan D., Yıldız R., Aykan A., Ozturk E. Onestaged silicone implant breast reconstruction following bilateral nipple-sparing prophylactic mastectomy in patients at high-risk for breast cancer. Aesthetic Plast Surg, 2013, vol. 37, rr. 303-311.
30. Regolo L., Ballardini B., Gallarotti E., Scoccia E., Zanini V. Nipple sparing mastectomy: an innovative skin incision for an alternative approach. Breast, 2008, vol. 17, rr. 8-11.
31. Blechman K.M., Karp N.S., Levovitz C., Guth A.A., Axelrod D.M., Shapiro R.L., Choi M. The lateral inframammary fold incision for nipple-sparing mastectomy: outcomes from over 50 immediate implant-based breast reconstructions. Breast J, 2013, vol. 19, rr. 31-40.
32. Stolier A.J., Sullivan S.K., Dellacroce F.J. Technical considerations in nipple-sparing mastectomy: 82 consecutive cases without necrosis. Ann Surg Oncol, 2008, vol. 15, rr. 1341-1347.
33. Munhoz A.M., Aldrighi C.M., Montag E., Arruda E.G., Aldrighi J.M., Gemperli R., Filassi J.R., Ferreira M.C. Clinical outcomes following nipple-areola-sparing mastectomy with immediate implant-based breast reconstruction: a 12-year experience with an analysis of patient and breast-related factors for complications. Breast Cancer Res Treat, 2013, vol. 140, rr. 545-555.
34. Wang F., Peled A.W., Garwood E. Total skin-sparing mastectomy and immediate breast reconstruction: an evolution of technique and assessment of outcomes. Ann Surg Oncol, 2014, vol. 21, no. 10, rr. 3223-3230.
35. Godwin Y. A comparison of the patient and surgeon opinion on the long-term aesthetic outcome of reduction mammaplasty. British Journal of Plastic Surgery, 1998, vol. 51, rr. 444-449.
36. Dixon J.M. Breast Surgery. Philadelphia: Elsevier, 2009. Vol. IV. R. 312.
37. Langer K. Zur anatomie and physiologie der Haut. Huber die Spaltbarkiet Der Cutis.. S-b-Akad Wiss Wein, 1861, vol. 44, rr. 19-46.
38. Kraissl C.J. The selection of appropriate lines for elective surgical incisions. Plast Reconstr Surg, 1951, vol. 8, rr. 1-28.
39. Lowery J.C., Wilkins E.G., Kuzon W.M., Davis J.A. Evaluations of aesthetic results in breastreconstruction: an analysis of reliability. Ann Plast Surg, 1996, vol. 36, no. 6, rr. 601-606.