BREAST CANCER SURGICAL PROPHYLAXIS
Objective. Study of the mastectomy preventive value for women at a high risk for breast cancer development and for women having breast cancer gr. I—II.
Materials and methods. The study included 104 patients aged 30 to 70 years having undergone bilateral subcutaneous mastectomies. The mammary glands were replaced by endoprostheses in 57.7% of cases and mammoplasties using the patients’ own tissues were performed in 42.3% of women.
Results. In the postoperative period postoperative complications developed in 6 (5.8%) patients. The complications were neutralized by conservative and surgical means without damaging the esthetic result. The collateral breast tissue morphological examinations performed in 72 patients identified fibrous mastopathy most often being responsible for 47.2% of cases, fibrous cystic mastopathy— for 16.7%, mastopathy combined with proliferation — for 11.1%, fibrosing adenosis— for 1.4% of cases. Tissue of the usual structure was present in 19.4% of patients. Three (4.2%) patients had the galactophorous ducts atypical proliferation. All the women operated on were satisfied by the esthetic results achieved.
Conclusion. Prophylactic mastectomy followed by an immediate breast reconstruction allows medical rehabilitating early not affecting the time of the specific treatment beginning and reducing the risk for the breast cancer development in women having background premalignancies.