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Abstract
Purpose: To assess the influence of systemic and radiation therapy on complications in oncoplastic surgery.
Material and methods: The scientific work was carried out on the basis of the Department of Breast Tumors of the N.N. Petrov National Medical Research Center of Oncology. Between January 2016 and December 2017 710 patients with morphologically confirmed BC who had undergone oncoplastic and reconstructive-plastic surgery were included in the study. The average age of the patients was 41.6 years. Patients with early breast cancer (283 patients) and locally advanced breast cancer (427 patients) were included in the study groups. Neoadjuvant treatment was performed in 239 patients, adjuvant in 132 patients.
Results: Postoperative complications were observed in 45 patients (6.3 %, N = 710) and were as follows: endoprosthesis protrusion (12 patients, 1.6 %), endoprosthesis rotation (2 patients, 0.28 %), marginal necrosis of the flap (3 patients, 0.42 %), defect of the endoprosthesis (3 patients, 0.42 %), contracture (1 patient, 0.14 %), necrosis of the nipple-areolar complex (2 patients, 0.28 %), and long (more than 3 weeks) ) lymphorrhoea (22 patients, 3.1 %).
Conclusion: An analysis of the causes of complications after performing oncoplastic surgery in BC patients would permit to avoid or reduce their frequency in the long term. Successfully performed breast reconstruction has a positive effect on rehabilitation of patients with breast cancer and the quality of their life.
References
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