RESULTS OF DYNAMIC ULTRASONOGRAPHIC STUDY IN PATIENTS AFTER COMBINED MAMMOPLASTY

he examination of women after augmentation mammoplasty using implants has its peculiarities.Many authors note that the presence of a silicone implant worsens the visualization of the mammary glands by traditional radiological diagnostic methods and reduces the possibility of early instrumental diagnosis of breast cancer (BC).It is extremely important to continue screening and assessing the condition of the breast (B) as a whole in the postoperative period following mammoplasty, as well as to monitor the risks of tumor processes.The postoperative period after mammoplasty averages about a year, during which the breast tissue undergoes changes.The parenchyma of the gland dynamically interacts with the implanted device and its tissue structure may change, which must be taken into account during ultrasound diagnostics (US).Purpose.To evaluate the results of ultrasound during dynamic monitoring of patients after combined mammoplasty.Materials and methods.An analysis of the results of dynamic ultrasound examinations was conducted in 40 female patients after combined mammoplasty before surgery, 3 months after and 12 months post-surgery.Differences in breast tissue thickness, parenchyma condition and the presence or absence of signs of BC were assessed.Ultrasound was performed on a Samsung HS60-RUS device using an LA3-14AD probe in 2D mode for mammary glands, S-harmonic, plus elastoscan.Results.The analysis of the obtained ultrasound data showed that after combined mammoplasty, there are changes in breast tissue over time: at 3 months we observed thickening of the breast tissue due to edema, but at 12 months we registered a thinning of tissue thickness due to atrophy by 9%.During dynamic ultrasound monitoring, no cases of BC development were recorded in our patients.Discussion.The results of this study demonstrated specific changes in breast tissue thickness after combined mammoplasty with augmentation and mastopexy.Initially, we observe a sufficient thickness of breast tissue, which thickens postoperatively after 3 months but undergoes atrophy of up to 9% by 12 months.Furthermore, the results of dynamic monitoring of patients over the year following combined mammoplasty showed no cases of neoplasms. Conclusion.The results obtained should be considered when evaluating ultrasound results in women after combined mammoplasty to avoid false interpretation of the data.To predict the final outcome of combined mammoplasty surgery, it is essential to take into account this indicator of breast atrophy in the postoperative period, and the use of implants does not lead to the development of proliferative processes.