tumorsMalignant tumoursMalignant tumours2224-50572587-6813Rosoncoweb10.18027/2224-5057-2015-4-3-13tumors-152Research ArticleФУНДАМЕНТАЛЬНАЯ ОНКОЛОГИЯ И ЭКСПЕРИМЕНТАЛЬНАЯ МЕДИЦИНАFUNDAMENTAL ONCOLOGY AND EXPERIMENTAL MEDICINEМастэктомия: рождение, эволюция и современное значение в лечении и профилактике рака молочной железыThe role of mastectomy in treatment and prophylaxis of breast cancer: beginning, evolution and recent changesМалыгинСергей ЕвгеньевичMalyginSergey Evgen’evich

к.м.н., доцент кафедры онкологии и лучевой терапии,

Москва

MD, PhD, Department of Oncology and Radiation Therapy, assistant professor

drmalygin@yahoo.comГБОУ ВПО РНИМУ им. Н.И. Пирогова Минздрава РоссииРоссияRussian National Research Medical University,Russian Federation20152011201504313Copyright © Малыгин С.Е., 20152015Малыгин С.Е.Malygin S.E.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.malignanttumors.org/jour/article/view/152

На протяжении более ста лет мастэктомия была символом радикального лечения рака молочной железы. Разработанный в конце XIX века этот вид оперативного вмешательства претерпел значительные изменения в результате изучения вопросов распространения опухолевого процесса. В статье описаны исторические аспекты попыток хирургического лечения рака молочной железы, история создания радикальных подходов к лечению рака и органосохраняющего лечения. Описаны современные модификации мастэктомии в комбинации с одномоментной реконструкцией, такие как кожесохраняющая и с сохранением сосково-ареолярного комплекса, обсуждены показания и результаты их применения в современной хирургической практике.

Over the last century, mastectomy has symbolized radical surgical treatment of breast cancer. Since the end of XIX this surgical operation has undergone significant changes due to recognize the paths of breast cancer progression. The review reveals the history of breast cancer surgery, describes and discusses the recent approaches with immediate breast reconstruction, including skinsparing and nipple-sparing modification.

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The authors declare that there are no conflicts of interest present.