RECONSTRUCTION OF THE AREOLARICAL AREA IN THE SURGICAL TREATMENT OF BREAST CANCER (reconstruction of the nipple using the areola's own tissues)

14 15

Abstract

Extensive operations with lymph node dissection often lead to the development of a number of physical defects, as well as to the development of persistent mental maladaptation of those operated on. Therefore, in modern oncology, doctors pay special attention to plastic, reconstructive types of surgery that improve the quality of life of patients.

By performing a single-stage mammoplasty operation on a breast resected with the nipple due to cancer, the nipple is created from the residual areola.  Achieving a radical operation and a good cosmetic and psychological result at the same time. We give an example of a case where a single-stage breast reconstruction mammoplasty was performed in conjunction with a mastectomy for breast cancer. A 64-year-old patient was diagnosed with "Breast cancer, nodular type St Ia T1N0M0. Luminal type A" on 02.10.2024. MDT No. 2736 and was recommended surgical treatment. The areola is sutured to the nipple shape through a subcutaneous suture and sutured to the skin is cosmetically and psychologically effective and contributes to rapid wound healing. Although the size is somewhat reduced, the shape of the breast is preserved. 6 operations were performed with this method in the Oncology Center of Shymkent. In conclusion, one-stage breast reconstruction surgery for breast cancer is currently a unique cosmetically convenient and effective method. The rapid wound healing and psycho-emotional effectiveness of the surgery allow for an increase in the number of such surgeries.