Immediate results of the extended modified mastectomy in patients with diffuse forms of breast cancer

Abstract

Aim. To study the immediate results of extended modified mastectomy with the closure of the soft tissue defect in the chest wall using the patient’s tissues in diffuse forms of breast cancer.Materials and methods. Advanced modified mastectomy with soft tissue defect closure of the chest wall by the thoracodorsal and lower abdominal horizontal flap on the rectus abdominis was performed in 24 patients with diffuse forms of breast cancer.Results and discussion. Primary healing of the wounds was observed in 21 (87,5%) patients. Marginal necrosis of the displaced flap was found in 2 cases, and necrosis of 2/3 of the displaced flap was found in 1 case, which was 12,5%.Conclusions. The use of TD- and TRAM-flaps to close the defect of soft tissues of the chest wall after intraoperative complications did not accompany extended modified mastectomy. Local complications in the form of marginal necrosis occurred in 12.5% of cases.