000			09113namaa22004571i 4500
003			OSt
005			20251005123154.0
008			250929s2025 ua a|||frm||| 000 0 eng d
040			_aEG-GICUC _beng _cEG-GICUC _dEG-GICUC _erda
041	0		_aeng _beng _bara
049			_aDeposit
082	0	4	_a616.99449
092			_a616.99449 _221
097			_aM.Sc
099			_aCai01.11.14.Ph.D.2025.Mu.C
100	0		_aMuhammed Hussein Khalifa Ali, _epreparation.
245	1	0	_aComparative study between grisotti technique and its modifications for centrally located female breast cancer candidate for conservation and its repercussion on patients’ aesthetic satisfaction and oncological outcome / _cby Muhammed Hussein Khalifa Ali ; Supervised Prof. Ismail Ahmed Shafik, Prof. Sherif Mohamed Mokhtar, Dr. Mahmoud Ali Mohamed, Dr. kirolos Adel Barsoum.
246	1	5	_aﺩﺭﺍﺳﺔ ﻣﻘﺎﺭﻧﺔ ﺑﻴﻦ ﺗﻘﻨﻴﺔ ﺟﺮﻳﺰﻭﺗﻲ ﻭ ﺗﻌﺪﻳﻞ ﺍﻟﺘﻘﻨﻴﺔ ﻓﻲ ﺃﻭﺭﺍﻡ ﺛﺪﻱ ﺍﻟﻨﺴﺎﺀ ﺍﻟﺴﺮﻃﺎﻧﻴﺔ ﻓﻲ ﺍﻟﻤﻨﻄﻘﺔ ﺍﻟﻤﺮﻛﺰﻳﺔ ﺍﻟﻤﺮﺷﺤﺔ ﻟﻼﺳﺘﺌﺼﺎﻝ ﺍﻟﺘﺤﻔﻈﻲ ﻭﺍﻧﻌﻜﺎﺱ ﺍﻟﺠﺮﺍﺣﺔ ﻋﻠﻲ ﺭﺿﺎﺀ ﺍﻟﻤﺮﺿﻲ ﻭ ﺩﺭﺟﺔ ﺗﺠﺎﺡ ﺍﺳﺘﺌﺼﺎﻝ ﺍﻟﻮﺭﻡ /
264		0	_c2025.
300			_a94 pages : _billustrations ; _c25 cm. + _eCD.
336			_atext _2rda content
337			_aUnmediated _2rdamedia
338			_avolume _2rdacarrier
502			_aThesis (Ph.D)-Cairo University, 2025.
504			_aBibliography: pages 88-93.
520		3	_aThe breast tissue is held in place by fibrous bands called ligaments of Cooper, which originate from the pectoralis fascia and extend into the skin and muscle. These ligaments divide the breast tissue into septae and help suspend the breast to the chest wall. A horizontal fibrous septum also originates from the pectoralis fascia and provides medial and lateral lines of fixation on either side of the breast, while merging into the overlying skin. The lateral superficial ligament creates a strong connection between the pectoralis minor, skin, and overlying fascia of the axilla, producing the axillary hollow .The space between the breast and the pectoralis major fascia is known as the retromammary bursa, which facilitates the mobility of the breast on the chest wall
520		3	_aﺳﺮﻃﺎﻥ ﺍﻟﺜﺪﻱ ﻫﻮ ﺃﻛﺜﺮ ﺃﻧﻮﺍﻉ ﺍﻟﺴﺮﻃﺎﻥ ﺷﻴﻮﻋﺎ ﺑﻴﻦ ﺍﻟﻨﺴﺎﺀ ﻭﺛﺎﻧﻲ ﺃﻛﺒﺮ ﺳﺒﺐ ﻟﻠﻮﻓﺎﺓ ﺑﺴﺒﺐ ﺍﻟﺴﺮﻃﺎﻥ ﺑﻴﻦ ﺍﻟﻨﺴﺎﺀ. ﺍﻟﻌﻼﺝ ﺍﻟﺠﺮﺍﺣﻲ ﺍﻟﻤﺨﺘﺎﺭ ﻟﻬﺆﻻﺀ ﺍﻟﻤﺮﺿﻰ ﻫﻮ ﺇﻣﺎ ﺍﺳﺘﺌﺼﺎﻝ ﺍﻟﺜﺪﻱ ﺍﻟﺠﺬﺭﻱ ﺍﻟﻤﻌﺪﻝ ﺍﻭ ﺍﻻﺳﺘﺌﺼﺎﻝ ﺍﻟﺘﺤﻔﻈﻰ ﺍﻋﺘﻤﺎﺩﺍ ﻋﻠﻰ ﻣﺮﺣﻠﺔ ﺍﻟﻤﺮﺽ. ﻟﻘﺪ ﺗﺤﻮﻟﺖ ﺟﺮﺍﺣﺔ ﺳﺮﻃﺎﻥ ﺍﻟﺜﺪﻱ ﻣﻦ ﺍﺳﺘﺌﺼﺎﻝ ﺍﻟﺜﺪﻱ ﺍﻟﺠﺬﺭﻱ ﺇﻟﻰ ﺟﺮﺍﺣﺔ ﺍﻟﺜﺪﻱ ﺍﻟﺘﺤﻔﻈﻴﺔ ﻣﻨﺬ ﺃﻭﺍﺋﻞ ﺍﻟﺴﺒﻌﻴﻨﻴﺎﺕ.ﻭﻟﻘﺪ ﻏﻴﺮ ﺍﻟﺘﺮﻛﻴﺰ ﻋﻠﻰ ﺟﻮﺩﺓ ﺣﻴﺎﺓ ﺍﻟﻤﺮﺿﻲ. ﻳﺠﺐ ﺃﻥ ﺗﻮﻓﺮ ﺟﺮﺍﺣﺔ ﺍﻟﺜﺪﻱ ﺍﻟﻨﺎﺟﺤﺔ ﻟﻴﺲ ﻓﻘﻂ ﺍﻟﺴﻼﻣﺔ ﻣﻦ ﺍﻷﻭﺭﺍﻡ ﻣﻦ ﺧﻼﻝ ﺍﻟﺠﺮﺍﺣﺔ ﺍﻟﺠﺬﺭﻳﺔ ﻭﺍﻟﺤﺪﻭﺩ ﺍﻻﻣﻨﺔ ، ﻭﻟﻜﻦ ﺃﻳﻀﺎ ﺃﻓﻀﻞ ﻧﺘﻴﺠﺔ ﺗﺠﻤﻴﻠﻴﺔ ﻭ ﺍﻧﻌﻜﺎﺳﻬﺎ ﻋﻠﻲ ﺭﺿﺎﺀ ﺍﻟﻤﺮﺿﻲ. ﻟﻘﺪ ﺗﻄﻮﺭﺕ ﺟﺮﺍﺣﺔ ﺍﻟﺤﻔﺎﻅ ﻋﻠﻰ ﺍﻟﺜﺪﻱ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ ﻟﺘﻜﻮﻥ ﻗﺎﺩﺭﺓ ﻋﻠﻰ ﺍﺳﺘﺌﺼﺎﻝ ﺍﻷﻭﺭﺍﻡ ﺍﻷﻛﺒﺮ ﻣﻊ ﺍﻟﺤﻔﺎﻅ ﻋﻠﻰ ﺍﻟﻨﺘﺎﺋﺞ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ ﺍﻟﻤﺜﻠﻰ. ﺗﻢ ﻋﻼﺝ ﺳﺮﻃﺎﻧﺎﺕ ﺍﻟﺜﺪﻱ ﺍﻟﻤﺮﻛﺰﻳﺔ ﺗﻘﻠﻴﺪﻳﺎ ﻋﻦ ﻃﺮﻳﻖ ﺍﺳﺘﺌﺼﺎﻝ ﺍﻟﺜﺪﻱ ﺍﻟﺠﺬﺭﻱ ﺍﻟﻤﻌﺪﻝ، ﺑﺴﺒﺐ ﺍﺣﺘﻤﺎﻟﻴﺔ ﺗﻌﺪﺩ ﺍﻟﻤﺮﺍﻛﺰ، ﻭﺍﻟﺘﻲ ﻋﺎﺩﺓ ﻣﺎ ﺗﻜﻮﻥ ﻣﺼﺤﻮﺑﺔ ﺑﻬﺬﻩ ﺍﻷﻧﻮﺍﻉ ﻣﻦ ﺍﻷﻭﺭﺍﻡ )ﺍﻷﻭﺭﺍﻡ ﺍﻟﻤﻮﺟﻮﺩﺓ ﻓﻲ ﺍﻟﻤﺮﻛﺰ(، ﻭﺍﻟﻐﺰﻭ ﺍﻟﻤﺒﺎﺷﺮ ﻟﻠﺤﻠﻤﺔ ﻭﺍﻟﻬﺎﻟﺔ ﺍﻟﻤﺤﻴﻄﺔ ﺑﻬﺎ، ﻣﻤﺎ ﻳﺴﺘﻠﺰﻡ ﺍﻻﺳﺘﺌﺼﺎﻝ ﺍﻟﻼﺣﻖ، ﻣﻤﺎ ﻳﺆﺩﻱ ﺇﻟﻰ ﻧﺘﺎﺋﺞ ﺗﺠﻤﻴﻠﻴﺔ ﺳﻴﺌﺔ. ﺗﻢ ﺗﺴﺠﻴﻞ ﺃﺭﺑﻌﻴﻦ ﻣﺮﻳﻀﺔ ﻣﺼﺎﺑﺔ ﺑﺴﺮﻃﺎﻥ ﺍﻟﺜﺪﻱ ﺍﻟﻤﺮﻛﺰﻱ ﻓﻲ ﻫﺬﻩ ﺍﻟﺪﺭﺍﺳﺔ ﻣﻦ ﻣﺎﺭﺱ 2023 ﺇﻟﻰ ﻧﻮﻓﻤﺒﺮ 2024 ﻓﻲ ﻣﺴﺘﺸﻔﻴﺎﺕ ﻗﺼﺮ ﺍﻟﻌﻴﻨﻲ ﺍﻟﺘﻌﻠﻴﻤﻴﺔ، ﻭﺗﻢ ﺗﻘﺴﻴﻤﻬﻢ ﻋﺸﻮﺍﺋﻴﺎ ﺇﻟﻰ ﻣﺠﻤﻮﻋﺘﻴﻦ ﻣﺘﺴﺎﻭﻳﺘﻴﻦ، ﺧﻀﻌﺖ 20 ﻣﺮﻳﻀﺔ ﻟﺠﺮﺍﺣﺔ ﺍﻟﺜﺪﻱ ﺍﻟﻤﺤﺎﻓﻈﺔ ﻣﻊ ﺇﻋﺎﺩﺓ ﺑﻨﺎﺀ ﺍﻷﻭﺭﺍﻡ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ )ﺗﻘﻨﻴﺔ ﺟﺮﻳﺴﻮﺗﻲ( ﻭﺧﻀﻌﺖ 20 ﻣﺮﻳﻀﺔ ﻟﺘﻘﻨﻴﺔ ﺟﺮﻳﺰﻭﺗﻲ ﺍﻟﻤﻌﺪﻟﺔ )ﺗﻘﻨﻴﺔ ﺍﻟﻨﻤﻂ ﺍﻟﺤﻜﻴﻢ( )ﺗﺼﻐﻴﺮ ﺍﻟﺜﺪﻱ ﻟﻢ ﻳﻜﻦ ﻫﻨﺎﻙ ﻓﺮﻕ ﻛﺒﻴﺮ ﺑﻴﻦ ﺍﻟﻤﺠﻤﻮﻋﺘﻴﻦ ﻓﻴﻤﺎ ﻳﺘﻌﻠﻖ ﺑﺎﻟﺴﻼﻣﺔ ﺍﻻﻣﻨﺔ ﻟﺤﺪﻭﺩ ﺍﻟﻮﺭﻡ ﻭﻣﻌﺪﻝ ﺗﻜﺮﺍﺭ ﺍﻟﻤﺮﺽ ﻭﺍﺣﺘﻤﺎﻟﻴﺔ ﺣﺪﻭﺙ ﻣﻀﺎﻋﻔﺎﺕ ﻭﺍﻟﻨﺘﺎﺋﺞ ﺍﻟﺠﻤﺎﻟﻴﺔ، ﻭﻫﺬﺍ ﻳﺸﻴﺮ ﺇﻟﻰ ﺍﻟﻨﺠﺎﺡ ﺍﻟﻜﺒﻴﺮ ﻟﺘﻘﻨﻴﺔ ﺍﻟﻨﻤﻂ ﺍﻟﺤﻜﻴﻢ ﻟﺘﻘﺪﻳﻢ ﻧﻔﺴﻬﺎ ﻛﺨﻴﺎﺭ ﻣﻔﻴﺪ ﻟﻠﻐﺎﻳﺔ ﻓﻲ ﺍﺳﺘﺌﺼﺎﻝ ﺍﻷﻭﺭﺍﻡ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ ﻷﻭﺭﺍﻡ ﺍﻟﺜﺪﻱ ﺍﻟﻤﺮﻛﺰﻳﺔ ﻣﻘﺎﺭﻧﺔ ﺑﺘﻘﻨﻴﺔ ﺟﺮﻳﺰﻭﺗﻲ ﺍﻟﺘﻲ ﺗﻌﺘﺒﺮ ﺍﻟﻤﻌﻴﺎﺭ ﺍﻟﺬﻫﺒﻲ ﻟﻠﺤﻠﻮﻝ ﻟﻬﺬﺍ ﺍﻟﻨﻮﻉ ﻣﻦ ﺃﻭﺭﺍﻡ ﺍﻟﺜﺪﻱ ﻳﻤﻜﻦ ﺍﺳﺘﺨﺪﺍﻡ ﺗﻘﻨﻴﺎﺕ ﻣﺘﻌﺪﺩﺓ ﻟﺠﺮﺍﺣﺔ ﺍﻟﺜﺪﻱ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ ﺑﺄﻣﺎﻥ ﻻﺳﺘﺌﺼﺎﻝ ﺃﻭﺭﺍﻡ ﺍﻟﺜﺪﻱ ﺍﻟﻤﺮﻛﺰﻳﺔ ﻣﻊ ﻧﺘﺎﺋﺞ ﺗﺠﻤﻴﻠﻴﺔ ﻣﺮﺿﻴﺔ. ﻳﻌﺘﻤﺪ ﺍﺧﺘﻴﺎﺭ ﺍﻟﺘﻘﻨﻴﺔ ﺍﻟﺠﺮﺍﺣﻴﺔ ﺍﻟﻤﺜﻠﻰ ﻟﻜﻞ ﻣﺮﻳﺾ ﻋﻠﻰ ﻋﺪﺓ ﻋﻮﺍﻣﻞ، ﻣﺜﻞ ﺣﺠﻢ ﻭ ﺩﺭﺟﺔ ﺗﺪﻟﻲ ﺍﻟﺜﺪﻱ ﻭﻣﺎ ﺇﺫﺍ ﻛﺎﻥ ﺍﻟﻮﺭﻡ ﻗﺪ ﺃﺻﺎﺏ ﺍﻟﻐﺪﺓ ﺍﻟﻠﻤﻔﺎﻭﻳﺔ ﺃﻡ ﻻ. ﺇﻥ ﺗﺼﻐﻴﺮ ﺍﻟﺜﺪﻱ ﺑﺎﻟﺠﺮﺍﺣﺔ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ ﻣﻦ ﺧﻼﻝ ﺗﻘﻨﻴﺔ ﺍﻟﻨﻤﻂ ﺍﻟﺤﻜﻴﻢ ﻟﻴﺲ ﻣﻔﻬﻮﻣﺎ ﺟﺪﻳﺪﺍ ﻭﻟﻜﻨﻪ ﺃﺻﺒﺢ ﻣﻘﺒﻮﻻ ﺑﺸﻜﻞ ﻣﺘﺰﺍﻳﺪ ﻣﻦ ﻗﺒﻞ ﺟﺮﺍﺣﻲ ﺍﻷﻭﺭﺍﻡ ﺍﻟﺜﺪﻳﻴﺔ. ﻓﻲ ﺍﻟﻤﺮﺿﻰ ﺍﻟﻤﺨﺘﺎﺭﻳﻦ، ﺳﻤﺢ ﻟﻨﺎ ﻫﺬﺍ ﺍﻟﻨﻬﺞ ﺑﺈﺟﺮﺍﺀ ﺍﺳﺘﺌﺼﺎﻻﺕ ﻭﺍﺳﻌﺔ ﻭﺍﻟﺤﺼﻮﻝ ﻋﻠﻰ ﺳﻴﻄﺮﺓ ﺟﻴﺪﺓ ﻋﻠﻰ ﺍﻷﻭﺭﺍﻡ ﻣﻊ ﻧﺘﺎﺋﺞ ﺟﻤﺎﻟﻴﺔ ﻣﻮﺍﺗﻴﺔ. ﻛﺎﻧﺖ ﻏﺎﻟﺒﻴﺔ ﺍﻟﻤﻀﺎﻋﻔﺎﺕ ﻓﻮﺭﻳﺔ ﻭﻃﻔﻴﻔﺔ ﻭﻗﺎﺑﻠﺔ ﻟﻠﻤﻘﺎﺭﻧﺔ ﺑﺘﻘﻨﻴﺎﺕ ﺍﻟﺠﺮﺍﺣﺎﺕ ﺍﻟﺘﺠﻤﻴﻠﻴﺔ ﺍﻷﺧﺮﻯ. ﺍﻟﻤﺆﺷﺮ ﺍﻟﺮﺋﻴﺴﻲ ﻫﻮ ﻓﻲ ﺍﻟﻤﺮﺿﻰ ﺍﻟﺬﻳﻦ ﻟﺪﻳﻬﻢ ﺃﻧﺴﺠﺔ ﺛﺪﻱ ﻛﺎﻓﻴﺔ ﻹﺟﺮﺍﺀ ﺇﻋﺎﺩﺓ ﺍﻟﺒﻨﺎﺀ
530			_aIssues also as CD.
546			_aText in English and abstract in Arabic & English.
650		0	_aBreast Cancer
650		0	_aﺃﻭﺭﺍﻡ ﺛﺪﻱ
653		1	_apectoralis fascia _aligaments _aretromammary
700	0		_aIsmail Ahmed Shafik _ethesis advisor.
700	0		_aSherif Mohamed Mokhtar _ethesis advisor.
700	0		_a Mahmoud Ali Mohamed _ethesis advisor.
700	0		_aKirolos Adel Barsoum _ethesis advisor.
900			_b01-01-2025 _cIsmail Ahmed Shafik _cSherif Mohamed Mokhtar _cMahmoud Ali Mohamed _cKirolos Adel Barsoum _UCairo University _FFaculty of Medicine _DDepartment of General Surgery
905			_aShimaa _eEman Ghareb
942			_2ddc _cTH _e21 _n0
999			_c174326