Preliminary results of complex treatment of breast cancer patients including reconstructive-plastic surgery, chemotherapy and conformal radiotherapy

Preliminary results of complex treatment of 58 patients with I-IIIC breast cancer (T1-4N0-3M0) who underwent radical mastectomy with reconstruction of the breast in its various variants and conformal radiotherapy in adjuvant mode to the pectoral region and regional lymph drainage are presented in the article. A low incidence of complications from the reconstructed breast was noted: two (7 %) cases of implant removal due to pronounced capsular contracture and in connection with infection of the implant bed. At the time of observation of patients from 11.5 to 158.9 months, median 18.6 months, in 3 (5 %) patients clinically significant radiation pulmonitis was detected. The overall two-year survival was 97 % and progression-free survival was 90 %. In 6 (10 %) patients distant me-tastases were detected, in 1 (2 %) - recurrence of the disease in the area of postoperative scar. Thus reconstructive-plastic surgery can be an integral part of complex anti-tumor treatment including radiotherapy with direct indications to it in full volume and dose.