A.R. Khamitov1, A.Kh. Ismagilov 2
1Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Tatarstan, Kazan
2 Kazan State Medical Academy – Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan
Khamitov A.R. — Oncologist of the Day Hospital No.4 of Tatarstan Cancer Center
29 Sibirsky Tract, Kazan, Russian Federation, 420029, tel. +7-917-290-90-25, e-mail: email@example.com
In view of the need for selecting the patients for reconstructive plastic surgery from aesthetically acceptable zones already at the stage of initial examination, the determination of significant clinical risk factors is the topical issue. It should be noted that flattened skin is quite specific for nodular breast cancer and easily determined already during a clinical examination. Objective. To study the effect of the flattened skin on the probability of damage of the front layer of the superficial fascia in nodular form of breast cancer. Material. The data of clinical and instrumental methods of research of 240 women with a nodular form of breast cancer was analyzed. 44% of those women had the flattened skin. Results. The flattened skin is not a self-sufficient contraindication for the preservation of the projection flap of the skin due to the absence of a lesion of the FLSF in the group without intimate adherence of the tumor thereto. Taking into consideration the reliability of differences in the average tumor depth in the groups with the presence and absence of the umbilication symptom, it follows that the leading factor influencing the possibility of fascia involvement in the tumor process is the depth of the malignant tumor, but not the flattened skin, which is an indirect sign of the superficial tumors with a high probability of intimate adherence of the tumor to the fascia (31,8±0,401%), which, in turn, has a high probability of its destruction (39,3±0,41%).
Key words: breast cancer, flattened skin, umbilication symptom, front layer of the superficial fascia.