METHOD OF BREAST RESECTION WITH CANCER IN LOWER QUADRANTS I OR II STAGE

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine, namely to operative surgery and oncology. Skin is incised and the required volume of the mammary gland with tumor node is removed. Note here that skin is incised laterally and medially at acute angle to submammary fold at 2 cm from tumor node and connected by third incision in the form of isosceles triangle so that submammary fold is triangle base. Gland tissue with a tumor node in the center is removed and a major pectoral muscle underlying fascia. Isosceles triangle is closed; a provisional suture is applied, deviating from the lateral cuts-legs of the triangle at distance of 0.5 cm, above the base, and the suture is tied, a T-shaped suture is formed. Then, the base of the triangle is closed in layers with transition to the side walls and the second semi-oval skin incision is made in the axillary region, subcutaneous fat is dissected and a sentinel lymph node is separated and an axillary-subscapular lymphadenectomy is performed, a wound in the axillary region is closed in layers. Additionally, the silicone drainage is installed into the axillary area through a counter-aperture.;EFFECT: method enables improving the aesthetic effect after the organ-preserving operation, achieving a stable and symmetrical shape of the mammary glands – operated and healthy, reducing duration of anesthesia, blood loss and traumatism due to absence of necessity of corrective operations on the second mammary gland.;1 cl, 5 dwg, 1 ex