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https://doi.org/10.14300/mnnc.2024.19027

Effectiveness of various options of axillary myoplasty in patients with breast cancer

[Oncology]
Aminat Sultan-Khamidovna Nartokova; Arsen Koychuev; Nina Valerievna Sorokina; Peter Chumakov; Bekhan Khatsiev;

The randomized prospective study included 48 patients with breast cancer (BC) with metastases to regional lymph nodes. All patients underwent radical mastectomy with axillary lymph node dissection (ALDE). The patients were divided into four groups. Group A (n=11) included patients who underwent covering of the axilla with the pectoralis minor muscle. Group B (n=13) included patients who underwent covering of the axilla with the serratus anterior muscle. Group C (n=10) included patients who underwent covering of the axilla with the latissimus dorsi muscle. Group D (n=14) included patients who did not undergo axillary closure after ALDE (control group). The advantage of surgical intervention in covering the axilla with the serratus anterior muscle after ALDE has been demonstrated compared to other types of myoplasty. Thus, performing myoplasty of the axillary region after ALDE for BC is an effective method in the fight against long-term lymphorrhea.

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Keywords: breast cancer, lymph node dissection, lymphorrhea, myoplasty, results