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Outcome of surgical resection for chest wall recurrence in breast cancer patients
Author(s) -
Toi Masakazu,
Tanaka Soichi,
Bando Masashi,
Hayashi Kazuo,
Tominaga Takeshi
Publication year - 1997
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/(sici)1096-9098(199701)64:1<23::aid-jso5>3.0.co;2-r
Subject(s) - medicine , parasternal line , surgery , breast cancer , mastectomy , thoracic wall , metastasis , survival rate , radiology , cancer
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. J. Surg. Oncol. 64:23–26 © 1997 Wiley‐Liss, Inc.