Tom 6, Nr 6 (2021)
Artykuł przeglądowy
Opublikowany online: 2021-12-07
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Ryzyko powikłań po mastektomii, rekonstrukcji piersi i radioterapii w zależności od techniki rekonstrukcyjnej
1
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2021;6(6):466-474.
Streszczenie
Postępy w technikach rekonstrukcyjnych obserwowane w ostatnich latach zmieniły standardy postępowania z chorymi na raka piersi. Obecnie, każda chora w I, II i III stopniu klinicznego zaawansowania, z wyjątkiem zapalnego raka piersi, ma możliwość odtworzenia piersi. Radioterapia zwiększa ryzyko powikłań po zabiegach rekonstrukcyjnych. Dokonano przeglądu piśmiennictwa dotyczącego typów rekonstrukcji piersi i radioterapii w aspekcie ryzyka powikłań, aby wyselekcjonować najbezpieczniejszą metodę odtwórczą piersi. Wyniki wskazują na rekonstrukcję natychmiastową z tkanek własnych jako najmniej obciążoną powikłaniami u pacjentek napromienianych. Codzienna praktyka kliniczna potwierdza jednak różnorodność stosowanych metod rekonstrukcji z radioterapią, gdyż – poza udokumentowanymi działaniami niepożądanymi – każda z metod rekonstrukcyjnych ma swoje zalety i wady.
Słowa kluczowe: rak piersirekonstrukcja piersiużycie implanturekonstrukcja prepektoralna
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