, . . « », , , , . , . , , . : , , , In the review the opinions of both the native and foreign scientists concerning the disturbances pathogenesis of the venous, arterial hemodynamics and microcirculation in the upper limbs in the breast cancer patients during the post-operative period as well as the muscular syndromes role and innervation disturbances in the lymphedema development are presented. Various operative and conservative correction methods of the developing disturbances are described, their efficiency is shown. As the performed literature analysis shows, the foundations of the complex treatment and prophylaxis of the post-mastectomy syndrome and lymphedema as its main manifestation have been worked out, although this problem hasn’t been completely solved. Keywords: breast cancer, post-mastectomy syndrome, lymphatic edema, hemodynamics ( ) , - . , 2006 - [2, 4, 5]. , , , - 64,8 100 000 , , , - , [1]. - , , , , , , , , [3], [2] , ( ) [4, 6, 7, 8]. 108 - . - 1 2009 17 , - [9, 10, 11]. - , , . - , . , , - [6, 12]. - , , [13, 14, 15], [16, 17], . , [9, 13, 18], - [19], , : , , - , , , [19, 20] , [19]. . , 15% « - - » , [13, 21, 22]. - . - , ; , ( - ) - [20]. , , - , – 10–15%, , 24, 25]. [20, - 50% , [14, 23]. , - , I , , , III - [26]. 109 . , - - 13,7% , - , - , . , , , , , . , « », . - [10, 14]. - . [7, 14, 23, 27, 28]. , - . 4,7% , - 12,1% . , , . [9]. 67–90% 11%, - 42% . , 40% - - [29]. , - (50–75% . ) [7, 8, 10, 13, 14]. , , , - - 24,2% 62% , [14, 20]. , : [13], [14], - [20, 29]. , , 110 , - - TJ-1, -3, -5) . [19]. . - 1 2009 17 -1 : , , -5 , , . - -3 . , [30]. , 131 I- . - . , 19, 34, 35]. [8, - , , , - , - , [27]. [36]. , , . - - 32% . [5, 20, 29, 31]. [32, 36]. . , , . - , - , 3–40–2- - , . , [19]. , - , . , . [32]. . , , , , 1981 . 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E-mail: evgenij-shlyakhtunov@yandex.ru . .– ., .: 8 (0212) 22-64-16 . 5.01.2009 . 118 // - ,