pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2024-2-10-13pmj-2722Research ArticleОБЗОРЫREVIEWSСовременные тенденции маркировки ложа опухоли для проведения лучевой терапии после органосохраняющих операций при раке молочной железыCurrent trends in marking the tumor bed for radiation therapy after breast-conserving surgery for breast cancerhttps://orcid.org/0009-0006-4245-7334ПасечникА. А.PasechnikA. A.

Пасечник Андрей Александрович – аспирант института хирургии 

690033, г. Владивосток, ул. Гамарника, 10, кв. 21

+7 (966) 293-95-52

Andrey A. Pasechnik, postgraduate student 

21, Gamarnika st., 690033, Vladivostok

+7 (966) 293-95-52

pasechnik1976@gmail.comАпанасевичВ. И.ApanasevichV. I.

Владивосток

Vladivostok

ПапыновЕ. К.PapynovE. K.

Владивосток

Vladivostok

ШичалинО. О.ShichalinO. O.

Владивосток

Vladivostok

АргишевО. А.ArgishevO. A.

Владивосток

Vladivostok

СтегнийК. В.StegniyK. V.

Владивосток

Vladivostok

НевожайВ. И.NevozhayV. I.

Владивосток

Vladivostok

КостивЕ. П.KostivE. P.

Владивосток

Vladivostok

Тихоокеанский государственный медицинский университетРоссияPacific State Medical UniversityRussian FederationДальневосточный федеральный университетРоссияFar Eastern Federal UniversityRussian FederationПриморский краевой онкологический диспансерРоссияPrimorsky Regional Oncology CenterRussian Federation202431072024021013Copyright © Пасечник А.А., Апанасевич В.И., Папынов Е.К., Шичалин О.О., Аргишев О.А., Стегний К.В., Невожай В.И., Костив Е.П., 20242024Пасечник А.А., Апанасевич В.И., Папынов Е.К., Шичалин О.О., Аргишев О.А., Стегний К.В., Невожай В.И., Костив Е.П.Pasechnik A.A., Apanasevich V.I., Papynov E.K., Shichalin O.O., Argishev O.A., Stegniy K.V., Nevozhay V.I., Kostiv E.P.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/2722

Для локального контроля после органосохраняющих операций при раке молочной железы неотъемлемым компонентом лечения является лучевая терапия. Для уменьшения повреждения окружающих тканей используются современные режимы интенсивной модулированной лучевой терапии и объемной модулированной дуговой терапии. Эти методики дополняют послеоперационная разметка полости раны рентгеноконтрастными клипсами и планирование по визуализируемому объему послеоперационной серомы. Существующие методы визуализации объема послеоперационной раны недостаточно точны, что диктует необходимость их дальнейшего совершенствования.

For local control after breast-conserving surgery for breast cancer, radiation therapy is an integral component of treatment. To reduce damage to the surrounding tissues, both modern modes of intensive modulated radiation therapy (IMRT) and volumetric modulated arc therapy (VMAT), as well as postoperative marking of the wound cavity with radiopaque clips or planning according to the visualized volume of postoperative seroma, are used. Existing methods for visualizing the volume of a postoperative wound are not sufficiently accurate, which dictates the need for their further improvement.

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