Local recurrent mammary carcinoma failing multimodality therapy. A solution. Academic Article uri icon

Overview

abstract

  • Chest wall recurrence following radiation and hormonal therapy is an uncommon but serious and disabling condition. A chest wall ulcer secondary to treatment for recurrence also presents the same dilemma. Over the past 35 years, the Thoracic Service at our institution has treated 35 patients for these problems by surgical resection and reconstruction. Eight patients were seen after the first recurrence, six after the second, ten after the third, and ten after the fourth. One patient had chest wall resection with mastectomy when recurrence followed radiation therapy. Following resection of the tumor, 21 patients had reconstruction using mesh or a mesh "sandwich." There were no operative deaths and no respirator need. Twenty patients are alive from five to 120 months, with a median of 50 months. One of 35 patients had chest wall recurrence. Surgical resection of recurrent mammary carcinoma resistant to all other therapy is a viable alternative for both palliation and cure.

publication date

  • February 1, 1989

Research

keywords

  • Breast Neoplasms
  • Neoplasm Recurrence, Local

Identity

Scopus Document Identifier

  • 0024549481

Digital Object Identifier (DOI)

  • 10.1001/archsurg.1989.01410020028003

PubMed ID

  • 2916936

Additional Document Info

volume

  • 124

issue

  • 2