METHOD FOR OPTIMIZING LYMPH NODE DISSECTION IN PRIMARY RESECTABLE BREAST CANCER Russian patent published in 2019 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to oncology. Ultrasonography of the lymph nodes of the axillary region is performed on the side of the lesion. If there are no signs of pathological changes, the operation is performed on the mammary gland. Herewith, the cellulitis is excised by the following topographic landmarks: along an edge of a greater pectoral muscle throughout the second to fourth intercostal space, down to the lateral thoracic vein. Signal lymph node of a medial group of lymph nodes, which are a region of the Sorgius lymph node, is removed. Urgent histological intraoperative examination of the signalling lymph node is performed. If metastatic involvement is not detected, further removal of lymph nodes is not required, operation is completed. If metastatic involvement is detected, then extended lymphadenectomy is performed, all groups of axillary nodes are removed.

EFFECT: method enables eliminating recurrence of the process, preventing the possibility of developing neurological disorders associated with injuring the intercostal nerves and developing shoulder contracture, improving the quality of life of patients.

1 cl, 1 dwg