Two cases of recurrence of breast cancer at the chest wall wherein chest wall complications were treated by ablation
Yoshitomi, S.; Tsuji, H.; Abe, Y.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 40(12): 2348-2350
Case 1 involves a 60-year-old woman who underwent surgery (breast total resection[Bt]plus axillary lymph node resection [Ax]) for the treatment of carcinoma of the right breast when she was 37 years of age. She underwent another surgery due to cancer recurrence in the right musculus pectoralis major when she was 50 years of age. The right fourth rib and the sternum showed high fluorodeoxyglucose (FDG) accumulation on positron electron tomography (PET)-computed tomography (CT) scans. Thus, we diagnosed the patient with recurrence of breast cancer at the chest wall. Lumpectomy was performed at the right chest wall, whereas ablation was performed for the right fourth and fifth rib and sternal complications. However, mediastinal lymph node metastasis developed 1 year and 2 months after the surgery. Subsequently, the patient developed lymphangitic carcinomatosis and died at 4 years and 2 months after the surgery. Case 2 involves an 80-year-old woman who underwent surgery (Bt+Ax) for the treatment of carcinoma of the left breast when she was 62 years of age. She had the swelling of the left chest wall in the 18th year from surgery, and was diagnosed recurrence of breast cancer at the chest wall, lumpectomy was performed at the left chest wall, whereas ablation was performed for the left third and fourth rib and sternal complications. No signs of recurrence have been observed for 1 year and 7 months after the surgery. Thus, ablation was performed for the treatment of chest wall complications and local recurrence of the breast cancer at the chest wall, and pharmacotherapy and radiotherapy were administered subsequently. We thereby report our experience with these 2 cases wherein local control was eventually achieved.