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Abstract:

Introduction of reconstructive-plastic operationts in practice of breast cancer surgical treatment have led to the necessity of dynamic monitoring methods development in patients after such treatment. We have proposed technique of mammography after reconstructive-plastic operations and operations with the use of silicone implants. For the period of 8 yrs 167 patients underwent dynamic mammography monitoring.

Proposed methodics allows to reliably assess the results of reconstructive-plastic operations and predict the appearance of possible complications.

 

Abstract:

The question about revealing of breast diseases keeps value within many decades. In this connection search of investigation methods which have no damaging action on an organism of young women, has led to development of a radiothermometry microwave method (RTM), based on temperature asymmetry of superficial and deep areas of breast. For definition of diagnostic borders of this method were investigated 619 women aged 30 till 65 years were investigated, including comparison of RTM method with oncoepidemiological testing (a forecast method) and ultrasound (US) diagnostics, known to be wide spread in clinical practice.

Revealing Th 5 temperature asymmetry at young women with breast cancer allows to use this method for screening in risk group. Comparison of RTM and duplex scanning has shown advantages of RTM in revealing initial pathological proliferative displays, raising recognition opportunity of risk zone for 16% at absence of a bloodflow at duplex scanning and for 29% at presence of an individual feeding.
 

References 

 

1.      Давыдов М.И., Аксель Е.М. Статистика злокачественных новообразований в России и странах СНГ в 2004 г. Вестник РОНЦ. 2006; 17,3 (прил. 1): 132.

 

 

2.      Галил-Оглы ГА. Эпителиальные опухоли молочной железы (современная гистологическая классификация ВОЗ, 3 издание, 2003) Клиническая маммология. (Под ред. Харченко В.П., Рожковой Н.И.). Тематический сборник. 1-е издание. - М.: ООО «Фирма Стром», 2005; 7-27.

 

 

3.      Веснин С.Г, Каплан М.А., Авакян Р.С. Современная микроволновая радиотермометрия молочных желез. Опухоли женской репродуктивной системы. 2008; 3: 28-36.

 

 

4.      Авраменко ГВ. Роль радиотермометрии при хирургическом лечении непальпируемых новообразований молочной железы. Автореф. канд. мед. наук - М., 2009; 23 с.

 

 

5.      Бурдина Л.М., Пинхосевич Е.Г., Хайленко В.А. с соавт. Радиотермометрия в алгоритме комплексного обследования молочной железы. Современная онкология. 2006; 6(1): 8-10.

 

 

6.      Попов А.Н. Управление скринингом патологии молочных желез на основе компьютерной радиотерометрии. 05.13.01. Автореф. канд. мед. наук. - Воронеж. 2006; 17.

 

 

7.      Павлов А.С., Мустафин Ч.К., Вартанян К.Ф. Способ дифференциальной диагностики доброкачественных и злокачественных опухолей молочной железы патент A61B5/01. 2007.10.10. URL: http:/ /www1.fips.ru/wps/wcm/ connect/content_ru/ru.

 

 

8.      Смирнова Н.А. Возможности цветной допплерографии в комплексной диагностике заболеваний молочной железы. 14.00.19. Автореф. канд. мед. наук. - М.: МНИИДиХ. 1995; 22 с.'

 

 

9.      Yahara T., Koga T., Yoshida S. et al. Relationship Between Microvessel Density and Thermographic Hot Areas in Breast Cancer. Surgery Today. 2003; 33: 243-248.

 

 

10.    Gautherie M., Gros C.M. Breast Thermography and Cancer Risk Prediction. Cancer. 1980: 45: 51-56.

 

 

11.    Сайт Ассоциации Микроволновой Радиотермометрии. URL: http://www.radiometry.ru.

12.    Joe Abramson Win PEPI (PEPI-for-Windows). URL: http://www.brixtonhealth.com/pepi4windows.html.

 

 

 

Abstract:

Front abdominal wall (FAW) flap – is known to be the best method of mammary gland restoration. Classical TRAM flap are replaced by muscle-saving analogs. To decrease the risk of FAW weakness autotransplantates made of skin, hypodermic cellulose and vessels have been developed. Such flaps are optimal for mammary gland restoration, but, unfortunately, their practical usage is complicated due to technical difficulties, linked with microsurgical technique for anastamosis. Anatomic variability of blood system also complicates their usage. CT-angiography of FAW – is known to be recently used method in patients going to have restoration of mammary gland with FAW-anastamosis flap, in order to define epigastric artery inferior (EAI). The article consists of the scientific work comparative analysis, which are devoted to the preoperative FAW vessels features estimation. There are developed CT-angiographic modes, which allows to obtain high-quality EAI and all its branches visualization, almost in 100% cases and that provides an opportunity to decrease patient’s beam loading. Obtained EAI topographic data can decrease the time of intervention.  

 

 

References

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2.     Holmstrom H. The free abdominoplasty flap and its use in breast reconstruction. Scand. J. Plast. Reconstr. Surg. 1979; 13: 423.

3.     Боровиков А.М. Восстановление груди после мастэктомии. М.: Губернская медицина. 2000; 96.

 

4.     Maurice Y. Nahabedian. Breast reconstruction. А review and rationale for patient selection. Plast. Reconstr. Surg. 2009; 124 (1): 55–62.

5.     Blondeel P.N. et al. The donor site morbidity of free DIEAP flaps and free TRAM flaps for breast reconstruction. Br. J. Plast. Surg. 1997;50: 322–330.

6.     Gill P.S. et al. A 10-year retrospective review of 758 DIEP flaps for breast reconstruction. Plast. Reconstr. Surg. 2004; 113: 1153–1160.

7.     Nahabedian M.Y. et al. Breast reconstruction with the free TRAM or DIEP flap. Patient selection, choice of flap and outcome. Plast. Reconstr. Surg. 2002; 110: 466–477.

8.     Spiegel A.J., Khan F.N. An intraoperative algorithm for use of the SIEA flap for breast reconstruction. Plast. Reconstr. Surg. 2007; 120: 1450–1459.

9.     Holm C. et al. The versatility of the SIEA flap. А clinical assessment of the vascular territory of the superficial epigastric inferior artery. J.Plast. Reconstr. Aesthet. Surg. 2007; 60:946–951.

10.   Blondeel P.N. et al. Doppler flowmetry in the planning of perforator flaps. Br. J. Plast. Surg. 1998; 51: 202–209.

11.   Hallock G.G. Doppler sonography and color duplex imaging for planning a perforator flap. Clin. Plast. Surg. 2003; 30: 347–357.

12.   Giunta R.E., Geisweid A., Feller A.M. The value of preoperative Doppler sonography for planning free perforator flaps. Plast. Reconstr. Surg. 2000; 105: 2381–2386.

13.   Moon H.K. and Taylor G.I. The vascular anatomy of rectus abdominis musculocutaneous flaps based on the deep superior epigastric system. Plast. Reconstr. Surg. 1988; 82: 815.

 

14.   Phillips T.J. et al. Abdominal wall CT angiography. А detailed account of a newly established preoperative imaging technique. Radiology. 2008; 249 (1): 32–44.

15.   Masia J. et al. Multidetector-row computed tomography in the planning of abdominal perforator flaps. J. Plast. Reconstr. Aesthet. Surg. 2006; 59: 594–599.

16.   Alonso-Burgos A. et al. Preoperative planning of deep inferior epigastric artery perforator flap reconstruction with multislice-CT angiography. Imaging findings and initial experience. J. Plast. Reconstr. Aesthet. Surg. 2006; 59: 585–593.

17.   Rozen W.M. et al. Preoperative imaging for DIEA perforator flaps. A comparative study of computed tomographic angiography and Doppler ultrasound. Plast. Reconstr. Surg. 2008; 121: 9–16.

18.   Rozen W.M. et al. The DIEA branching pattern and its relationship to perforators. The importance of preoperative computed tomographic angiography for DIEA perforator flaps. Plast. Reconstr. Surg. 2008; 121: 367–373.

19.   Xin Minqiang et al. The value of multi-detector-row CT angiography for preoperative planning of breast reconstruction with deep inferior epigastric arterial perforator flaps. British Journal of Radiology. 2010; 83: 40–43.

20.   Masia J.

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