pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2020-4-10-14pmj-2115Research ArticleОБЗОРЫREVIEWSЛучевая терапия и реконструкция молочной железыRadiation therapy and breast reconstructionhttps://orcid.org/0000-0003-0808-5283АпанасевичВ. И.ApanasevichV. I.

д-р мед. наук, профессор Института хирургии,

690002, г. Владивосток, пр-т Острякова, 2

MD, PhD, professor, Institute of Surgery, 

2 Ostryakova Ave., Vladivostok, 690002

oncolog222@gmail.comhttps://orcid.org/0000-0001-7072-1688ГулянИ. С.GulianI. S.

ассистент Института хирургии, 690002, г. Владивосток, пр-т Острякова, 2;

врач Медицинского центра

MD, assistant, Institute of Surgery, 

2 Ostryakova Ave., Vladivostok, 690002

isabella.g@mail.ruНикифороваН. О.NikiforovaN. O.

студентка,

690002, г. Владивосток, пр-т Острякова, 2

student, 

2 Ostryakova Ave., Vladivostok, 690002

12089515@mail.ruПетуховаЮ. Ю.PetukhovaY. Y.

заместитель главного врача по лечебной работе, 690105, г. Владивосток, ул. Русская, 59);

аспирант

MD, deputy chief physician, 59 Russian St., Vladivostok, 690105;

postgraduate student 

juliapetukhovavl@mail.ruhttps://orcid.org/0000-0003-3533-8506КоршуноваО. В.KorshunovaO. V.

канд. мед. наук, научный сотрудник ЦНИЛ,

690002, г. Владивосток, пр-т Острякова 2

MD, PhD, research associate of the Central Research Institute, 

2 Ostryakova Ave., Vladivostok, 690002

farmaoks@yandex.ruКустовВ. Н.KustovV. N.

ведущий научный сотрудник,

690034, г. Владивосток, ул. Фадеева, 31

leading researcher, 

31 Fadeeva St., Vladivostok, 690034

kvn-om@mail.ruТемченкоВ. В.TemchencoV. V.

ведущий научный сотрудник,

690034, г. Владивосток, ул. Фадеева, 31

leading researcher, 

31 Fadeeva St., Vladivostok, 690034

umc_tkdrm@mail.ruТихоокеанский государственный медицинский университетРоссияPacific State Medical UniversityRussian FederationТихоокеанский государственный медицинский университет; Дальневосточный федеральный университетРоссияPacific State Medical University; Far Eastern Federal UniversityRussian FederationПриморский краевой онкологический диспансер; Тихоокеанский государственный медицинский университетРоссияPrimorsky Regional Cancer Center; Pacific State Medical UniversityRussian FederationВладивостокский филиал Государственной таможенной академииРоссияVladivostok Branch of the Customs AcademyRussian Federation202028122020041014Copyright © Апанасевич В.И., Гулян И.С., Никифорова Н.О., Петухова Ю.Ю., Коршунова О.В., Кустов В.Н., Темченко В.В., 20202020Апанасевич В.И., Гулян И.С., Никифорова Н.О., Петухова Ю.Ю., Коршунова О.В., Кустов В.Н., Темченко В.В.Apanasevich V.I., Gulian I.S., Nikiforova N.O., Petukhova Y.Y., Korshunova O.V., Kustov V.N., Temchenco V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2115

Лучевая терапия  – неотъемлемый компонент лечения рака молочной железы, однако ее проведение после реконструкции молочной железы значительно увеличивает число осложнений, в  частности, капсулярных контрактур. Авторы, анализируя материалы публикаций и мета-анализов исследований, приходят к выводу, что если пациентке планируется лучевая терапия, то лучше выполнить реконструкцию молочной железы собственными тканями. С  другой стороны, риск развития капсулярных контрактур значительно уменьшается при использовании ацеллюлярных матриксов и полиуретановых оболочек для укрытия имплантов. Это обстоятельство дает надежду, что конфликт между реконструкцией молочной железы с установкой имплантов и необходимостью лучевой терапии может быть разрешен.

Radiation therapy is an integral component of the treatment of breast cancer. Although its implementing after breast reconstruction sufficiently increases the number of complications, particularly capsular contractures. After having analyzed published materials and meta-analysis research the authors made a conclusion – if a patient is planned to have a breast reconstruction, it’s better to make it with her own tissue. On the other hand the risk of capsular contractures development significantly decreases when using acellular matrix and polyurethane shell to cover the implant. This fact gives hope that conflict between breast reconstruction and the necessity of the radiation therapy can be solved.

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The authors declare that there are no conflicts of interest present.