Abstract
Introduction. One of the most popular types of plastic surgery worldwide is augmentation mammoplasty, which involves increasing the size and improving the shape of the breasts using implants or fat grafting. However, publications on this topic are few in number and do not fully reflect modern diagnostic and surgical treatment capabilities.
Aim. To study the features of diagnostics and treatment of neoplasms detected against the background of an implant, as a result of previously performed augmentation plastic surgery.
Materials and Methods. The study included 44 patients who were diagnosed with breast cancer after previously performed augmentation mammoplasty using silicone implants.
Results. The study encompassed patients with a mean age of 44.6 ± 0.54 years. The time interval between augmentation and diagnosis of cancer averaged 8.1 ± 0.45 years. All patients underwent treatment according to clinical guidelines, taking into account the stage and molecular genetic subtype of breast cancer. The presence of an implant did not affect the development of treatment tactics or drug therapy. It was only taken into account when choosing the volume of surgical intervention on the mammary gland and the method of radiation therapy.
Conclusion. The surgical treatment of breast cancer diagnosed at different times after augmentation mammoplasty with silicone implants can offer a wide variety of options. The scope of the operation should be determined by the possibility of achieving both radical oncological removal of the tumor and the desired aesthetic effect.
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