+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Surgical treatment for chest wall invasion due to the local recurrence of breast cancer

Surgical treatment for chest wall invasion due to the local recurrence of breast cancer

Breast Cancer 15(4): 298-302

In this study, we investigated the surgical results for chest wall invasion of local recurrence of breast cancer. We reviewed eight patients who underwent a chest wall resection for local recurrence of breast cancer in our department between 1986 and 2004. All of the patients had local recurrence without any distant metastasis. All of them had skin ulcers with blood oozing. The operation procedures were Bt + Ax + Ic + Mj + Mn (Halsted mastectomy) in four patients, Bt + Ax + Ic + Mn (Patey procedure) in two patients, Bt + Ax + Ic (muscle-preserving mastectomy) in one patient, and Bt + Ax (Auchincloss procedure) in one patient. The intervals from the primary operation ranged from 14 months to 20 years. The maximum and minimum areas of the chest wall defect were 18 x 16 cm and 4.5 x 3.5 cm, respectively. Reconstruction of the chest wall was performed using a flap of the rectus abdominis muscle with polypropylene (Marlex) mesh in four patients, a flap of the rectus abdominis muscle combined with sandwich prosthesis of polypropylene mesh and methylmethacrylate in one patient, a flap of latissimus dorsi muscle in one patient, polypropylene mesh with pectoralis major muscle in one patient, and by direct closure in one patient. A survival of more than 3 years was achieved in seven patients and only one patient died 1 year and 2 months after the chest wall resection. In patients with the chest wall recurrence of breast cancer without distant metastasis, a surgical resection of the chest wall may be effective both for relieving pain and for control of the local hemorrhage. Seven out of the eight patients survived more than 3 years, suggesting that this surgical treatment could facilitate home health care and maintain a good quality of life for patients with breast cancer.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 056035870

Download citation: RISBibTeXText

PMID: 18322778

DOI: 10.1007/s12282-008-0038-z

Related references

Local recurrence of breast cancer: treatment of nine patients with a recurrence in the skin flap of the chest wall. Japanese Journal of Surgery 17(2): 78-82, 1987

Chest wall resection in the treatment of local recurrence of breast cancer. European Journal of Surgical Oncology 14(2): 127-132, 1988

Surgical treatment for chest wall recurrence of breast cancer. European Journal of Cancer 28A(6-7): 1059-1062, 1992

Possibilities of surgical management of local recurrence and radiogenic chest wall damage using the latissimus dorsi transposed flap in advanced breast cancer. Zentralblatt für Gynakologie 113(24): 1364-1370, 1991

Indication for Surgical Treatment and Intraarterial Infusion Chemotherapy for Chest Wall Recurrence of Breast Cancer. Journal of Japan Society for Cancer Therapy 30(1): 51-58, 1995

Surgical therapy of chest wall infiltrating local recurrence of breast carcinoma. Zentralblatt für Chirurgie 123(Suppl. 5): 119-121, 1998

Risk of local recurrence of breast cancer and irradiation of the chest wall. Geburtshilfe und Frauenheilkunde 60(3): 130-138, 2000

Outcome of surgical resection for chest wall recurrence in breast cancer patients. Journal Of Surgical Oncology. 64(1): 23-26, 1997

Re-irradiation of the chest wall for local breast cancer recurrence : Results of salvage brachytherapy with hyperthermia. Strahlentherapie und Onkologie 192(9): 617-623, 2016

Outcomes of locoregional recurrence after surgical chest wall resection and reconstruction for breast cancer. Annals of Surgical Oncology 15(5): 1322-1329, 2008

Radiotherapy of the chest wall following mastectomy for early-stage breast cancer: Impact on local recurrence and overall survival. International Journal of Radiation Oncology Biology Physics 48(4): 967-975, 2000

Durable Local Control Following Concurrent Hypofractionated Chemoradiation for a Massive Inflammatory Breast Cancer Chest Wall Recurrence. Cureus 9(6): E1379, 2017

Surgical treatment of lung cancer with chest wall invasion. Nihon Kyobu Geka Gakkai 37(3): 404-410, 1989

Two cases of recurrence of breast cancer at the chest wall wherein chest wall complications were treated by ablation. Gan to Kagaku Ryoho. Cancer and ChemoTherapy 40(12): 2348-2350, 2013

A case of chest wall recurrence of breast cancer treated with paclitaxel weekly, 5'-deoxy-5-fluorouridine, arterial embolization and chest wall resection. Breast Cancer 10(4): 366-370, 2003