Outcome of surgical resection for chest wall recurrence in breast cancer patients

✍ Scribed by Toi, Masakazu; Tanaka, Soichi; Bando, Masashi; Hayashi, Kazuo; Tominaga, Takeshi

• Publisher: John Wiley and Sons
• Year: 1997
• Tongue: English
• Weight: 73 KB
• Volume: 64
• Category: Article
• ISSN: 0022-4790
• DOI: 10.1002/(sici)1096-9098(199701)64:1<23::aid-jso5>3.0.co;2-r

✦ Synopsis

Background: Although recurrent breast cancer is a systemic disease, there might be several exceptions where local treatment has a favorable outcome. Methods: From 1989 to 1996, 15 patients underwent full thickness chest wall resection, supported by peri-and postoperative systemic treatments for patients with isolated chest wall recurrences, including soft tissue local recurrence and parasternal lymph node metastasis.

Results:

The 5-year survival rate after surgical removal was 47%. Patients with >5-year disease-free intervals (DFI) after mastectomy showed a long survival after chest wall resection. Local failures appeared in four cases whose surgical margins were positive. No serious complication except one pyothorax occurred after surgery. Conclusions: It is suggested that surgical treatment with a full thickness chest wall resection might have a favorable prognosis for selected patients with solitary lesion and long DFI.