[The role of tele-thoracoscopic parasternal lympho-dissection in the diagnosis and treatment of breast cancer]. / Rol' videotorakoskopicheskoi parasternal'noi limfodissektsii v diagnostike i lechenii raka molochnoi zhelezy.

ABSTRACT

The outcomes of treatment were studied in 190 patients with breast cancer who had undergone radical mastectomy with telethoracoscopic parasternal lymphodissection. An association of this parameter with the sizes of a primary tumor, with the extent of damage to the axillary lymph collector, with the histological pattern of a tumor, and with the site of a primary focus was analyzed. Radical removal of the parasternal lymphatic chain was proved by scintimammography in the pre- and postoperative periods. The high diagnostic value of telethoracoscopic parasternal lymphodissection was shown as a miniinvasive axilliary of radical mastectomy for breast cancer, which makes it possible to establish a stage of the disease reliably and to plan chemoradiation treatment adequately.