I.G. Gataullin1, M.T. Ozhorbaev2, E.Yu. Levchik3, M.I. Magdalyanova2
1Kazan State Medical Academy ― Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan
2Sverdlovsk Regional Oncology Dispensary, Ekaterinburg3Sverdlovsk Regional Clinical Psychoneurological Hospital for War Veterans, Ekaterinburg
Ozhorbaev Melis T. ― oncologist of the Oncology Department №1 of Sverdlovsk Regional Oncology Dispensary
29 Soboleva Str., Ekaterinburg, 620036, Russian Federation, e-mail: Ozhorbaev2014@yandex.ru
Abstract. More than 70 thousand cases of breast cancer (BC) are diagnosed in the Russian Federation every year. Despite screening and a high proportion of the initial stages of breast cancer, the number of breast-conserving operations reaches only 40%. In the world, the number of obese people has tripled. In the Russian Federation, a third of the population aged 25-64 is obese. Radical mastectomy (RME) remains the main operation for the implementation of the surgical component, which is performed from an elliptical Cheyne ― Kocher incision. When performing RME from an elliptical incision, the frequency of conical defects in the soft tissues of the armpit or lateral «dog ears» reaches 78% in obese patients. An original method of RME in obese patients for the prevention of lateral «dog ears» has been proposed. Two groups of patients were randomized; in the main, the original RME method was used, in the control, the traditional RME method. Excellent and good cosmetic results were obtained in the main group.
Key words: breast cancer (BC), radical mastectomy (RME), obesity, lateral «dog ears».