Корригирующий липофилинг у больных раком молочной железы после комбинированного лечения

А. Д. Зикиряходжаев, А. А. Масри, А. С. Сухотько, М. В. Старкова, Н. В. Аблицова, Ф. Н. Усов, В. В. Ратушная, Н. В. Евтягина
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Abstract

Breast cancer (BC) takes the first place in the structure of morbidity and mortality among the female population. One of the main methods of treating the disease is surgical one, it can lead to both complete removal of the breast and partial tissue damage. In most cases, the further socially active behavior of the patient depends on the quality of the performed operation. In this article, two clinical cases of corrective lipofilling at the final stage of reconstructive and plastic surgeries in patients with breast cancer after complex treatment are presented. Specifi c examples showed a positive effect after a single lipofilling session of the formed breast using both syringe and water jet techniques. This procedure is carried out to improve the cosmetic results in patients after comprehensive treatment for breast cancer. It is proved that mesenchymal stromal cells, or messenger cells present in all fatty tissues, promote its regeneration by forming new blood vessels or directly affect damaged or susceptible structures — restore and rejuvenate the areas of lipofilling. Therefore, adipose tissue is a natural source of regeneration of the human body. On these clinical examples, after a successful one lipophilic session, improvement of the quality of the skin in the reconstructed breast area was noted and, as a result, a good cosmetic result after reconstructive plastic surgery, both in the patient with the use of a silicone endoprosthesis and without it.
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综合治疗后乳腺癌患者的脂肪瘤
乳腺癌在女性人口的发病率和死亡率结构中居首位。治疗这种疾病的主要方法之一是手术,它可以导致乳房完全切除和部分组织损伤。在大多数情况下,患者进一步的社会活跃行为取决于所做手术的质量。本文报道两例乳腺癌患者在复杂的治疗后,在重建和整形手术的最后阶段进行矫正性脂肪填充的临床病例。具体的例子表明,在使用注射器和水射流技术对形成的乳房进行单次充脂后,会产生积极的效果。该手术是为了改善乳腺癌患者综合治疗后的美容效果。事实证明,间充质基质细胞或信使细胞存在于所有脂肪组织中,通过形成新血管或直接影响受损或易感结构来促进其再生-恢复和恢复脂肪填充区域。因此,脂肪组织是人体再生的天然来源。在这些临床实例中,在一次成功的亲脂治疗后,重建乳房区域的皮肤质量得到了改善,因此,在使用硅胶假体和不使用硅胶假体的患者中,重建整形手术后的美容效果都很好。
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