FIELD: medicine; cancrologic surgery.
SUBSTANCE: isolated breast resection is performed in combination with lymphadenectomy and parasternal lymphodissection. At that breast resection is carried out, greater pectoral muscle is cut off the attachment points of breast bone and costal cartilages VI-VII. Mobilized greater pectoral muscle with breast is taken to cephalic direction followed with minor pectoral muscle cut off the attachment points. Lateral end of breast bone and costal cartilages II-III-IV are resected in monoblok with breast segment and parasternal lymphatic collector. By formed pectoral access full apical auxiliary lymphadenectomy, breast is replaced with greater pectoral muscle covering defect in chest wall.
EFFECT: enables to decrease radicalism extension of continuous curative breast resection at breast cancer of medial localization.
5 dwg, 3 ex
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