pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.17238/PmJ1609-1175.2016.4.11-13pmj-77Research ArticleОБЗОРЫREVIEWSХирургическое лечение рака молочной железы: история и современные трендыSurgical treatment of a breast cancer: history and trendsНевожайВ. И.NevozhayV. I.noemail@neicon.ruАпанасевичВ. И.ApanasevichV. I.oncolog222@gmail.comТихоокеанский государственный медицинский университетРоссияPacific State Medical UniversityRussian FederationТихоокеанский государственный медицинский университет; Краевой клинический центр специализированных видов медицинской помощиРоссияPacific State Medical University; Regional Clinical Center of Specialized Medical CareRussian Federation2016281220166141113Copyright © Невожай В.И., Апанасевич В.И., 20162016Невожай В.И., Апанасевич В.И.Nevozhay V.I., Apanasevich V.I.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/77

За прошедший век в лечении рака молочной железы (РМЖ) произошло изменение парадигмы хирургической тактики от мастэктомиии (удаления железы с лимфатическими узлами) до лампэктомии (удаления участка железы с опухолью) в сочетании с биопсией сигнального узла, лучевой терапией или онкопластическим вмешательством. В последние годы стратегия хирургического лечения РМЖ пересматривается в сторону эстетической хирургии. Это стало возможно благодаря развитию теоретических представлений о характере заболевания, совершенствованию методов адъювантного лечения. В настоящее время помимо лечебных задач большое значение приобретают достижение оптимального эстетического результата и максимальное продление качественной и социально-активной жизни больных.

The research is a literature review dedicated to the evolution of surgical treatment of breast cancer. Over the last century there was a paradigm shift from surgical tactics mastectomy (removal of the aden with the lymph nodes) to a lumpectomy (removal of the tumor from the aden) in combination with a biopsy of the signal node, radiation therapy, or oncoplastic surgery. In recent years, surgical treatment strategy for breast cancer is reviewed in the direction of aesthetic surgery. It has become possible due to the development of theoretical ideas about the nature of the disease, and the improvement of adjuvant therapies. Currently, in addition to medical problems it becomes important an achievement of the optimal aesthetic result and the maximum extension of high-quality and socially active life of patients.

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