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Направлена на устранение злокачественного процесса, предотвращение его распространения и минимизацию риска рецидива рака [3](https://premium-clinic.ru/chto-takoe-mastektomiya-i-kogda-ona-neobhodima/). \n\nВ ряде случаев при мастэктомии убирают также подмышечные лимфатические узлы (при наличии метастазирования или высоком риске его развития) [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale).\n\n\n\n## Виды\nНекоторые виды мастэктомии: \n* **Простая (тотальная)** — удаляется вся ткань груди (включая сосок и ареолу), но мышцы грудной стенки, как правило, не затрагиваются [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). \n* **Модифицированная радикальная** — помимо ткани молочной железы, иссекаются подмышечные лимфоузлы, чтобы выявить и/или исключить метастазы [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). При необходимости проводится дополнительное удаление близлежащих тканей [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). \n* **Подкожная** — удаляется железистая ткань, но сохраняется кожный покров, а в некоторых случаях — сосково-ареолярный комплекс [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). Такой вариант широко используется, когда планируют одномоментную реконструкцию груди [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). \n* **Радикальная** — самый объёмный тип вмешательства, при котором могут удаляться все ткани груди, лимфоузлы и часть мышц грудной стенки [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). На практике радикальная мастэктомия применяется редко — обычно в особо запущенных случаях [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale).\n\n## Показания\nНекоторые показания к мастэктомии: \n* **Злокачественные опухоли молочной железы** [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). Врачи рекомендуют удаление при крупных опухолях, множественных очагах поражения или агрессивных формах рака [1](https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/). \n* **Высокий риск развития рака** (например, при выявлении мутаций в генах BRCA1/BRCA2) — в таких случаях иногда проводят профилактическую мастэктомию, чтобы снизить риск появления рака [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale). \n* **Рецидивирующие опухоли**, не поддающиеся другим методам лечения (облучение, химиотерапия, гормонотерапия) [4](https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale).\n\n## Противопоказания\nНекоторые противопоказания к мастэктомии: \n* тяжёлые заболевания сердца и сосудов в стадии декомпенсации [1](https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/); \n* нарушения свёртываемости крови [1](https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/); \n* острые инфекционные процессы [1](https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/). \n\nОкончательное решение о необходимости операции принимает врач после тщательного обследования [1](https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/).\n\n## Реабилитация\nПосле мастэктомии рекомендуется: \n* **Щадящий режим** с ограничением физических нагрузок на 2–4 недели [15](https://clinicnacpp.ru/centr-hirurgii/onkohirurgiya/mastektomiya/). \n* **Проведение физиотерапевтических процедур** для профилактики лимфостаза и улучшения заживления тканей [15](https://clinicnacpp.ru/centr-hirurgii/onkohirurgiya/mastektomiya/). \n* **Постепенное восстановление подвижности плечевого сустава** с помощью комплекса ЛФК [15](https://clinicnacpp.ru/centr-hirurgii/onkohirurgiya/mastektomiya/). \n* **Регулярное наблюдение у онколога** и проведение контрольных обследований [15](https://clinicnacpp.ru/centr-hirurgii/onkohirurgiya/mastektomiya/). \n* **При необходимости** — психологическая поддержка и участие в программах реабилитации [15](https://clinicnacpp.ru/centr-hirurgii/onkohirurgiya/mastektomiya/).","linksData":[{"sourceId":1,"url":"https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/","shownUrl":"https://sakhalin.medscangroup.ru/articles/udalenie-grudi-podgotovka-k-operatsii/","title":"Как проводится операция по удалению груди — мастэктомия","shortUrl":"sakhalin.medscangroup.ru","isTranslated":false,"description":"","greenUrl":"sakhalin.medscangroup.ru"},{"sourceId":2,"url":"https://mc21.ru/articles/mastektomiya/","shownUrl":"https://mc21.ru/articles/mastektomiya/","title":"Мастэктомия: лечение, симптомы, признаки, особенности, течение","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":3,"url":"https://premium-clinic.ru/chto-takoe-mastektomiya-i-kogda-ona-neobhodima/","shownUrl":"https://premium-clinic.ru/chto-takoe-mastektomiya-i-kogda-ona-neobhodima/","title":"Что такое мастэктомия и когда она необходима?","shortUrl":"premium-clinic.ru","isTranslated":false,"description":"","greenUrl":"premium-clinic.ru"},{"sourceId":4,"url":"https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale","shownUrl":"https://xn--80ajdjlk9e.xn--p1ai/blog/tpost/a9kmzmrio1-mastektomiya-vsyo-o-hirurgicheskom-udale","title":"Мастэктомия: всё о хирургическом удалении молочной железы, реабилитации и восстановлении груди","shortUrl":"лежачим.рф","isTranslated":false,"description":"","greenUrl":"лежачим.рф"},{"sourceId":5,"url":"https://zoon.ru/article/med/mastehktomiya/","shownUrl":"https://zoon.ru/article/med/mastehktomiya/","title":"Мастэктомия: что это и как подготовиться – Показания и противопоказания к проведению мастэктомии – Zoon","shortUrl":"zoon.ru","isTranslated":false,"description":"","greenUrl":"zoon.ru"},{"sourceId":6,"url":"https://MelanomaUnit.moscow/lechenie/mastektomiya/","shownUrl":"https://MelanomaUnit.moscow/lechenie/mastektomiya/","title":"Мастэктомия: операция по удалению рака молочной железы","shortUrl":"MelanomaUnit.moscow","isTranslated":false,"description":"","greenUrl":"MelanomaUnit.moscow"},{"sourceId":7,"url":"https://oncology-spb.ru/uslugi/onkokhirurgiya/mastektomiya","shownUrl":"https://oncology-spb.ru/uslugi/onkokhirurgiya/mastektomiya","title":"Мастэктомия молочной железы в СПб: цены на лечение, врачи онкохирургии центра онкологии СМ-Клиника","shortUrl":"oncology-spb.ru","isTranslated":false,"description":"","greenUrl":"oncology-spb.ru"},{"sourceId":8,"url":"https://vitacorclinic.ru/journal/udalenie-molochnoj-zhelezy-mastektomiya/","shownUrl":"https://vitacorclinic.ru/journal/udalenie-molochnoj-zhelezy-mastektomiya/","title":"Удаление молочной железы (мастэктомия) - 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