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Chest wall recurrence of ductal carcinoma in situ of the breast after mastectomy
Author(s) -
Fisher David E.,
Henderson I. Craig,
Schnitt Stuart J.,
Christian Roger,
Harris Jay R.
Publication year - 1993
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/1097-0142(19930515)71:10<3025::aid-cncr2820711023>3.0.co;2-z
Subject(s) - medicine , mastectomy , ductal carcinoma , carcinoma in situ , in situ , carcinoma , oncology , general surgery , breast cancer , cancer , physics , meteorology
Background . Optimal management of ductal carcinoma in situ (DCIS) of the breast is a problem that is occurring with greater frequency, mostly because of the increasing use of mammographic screening. The traditional role of mastectomy for DCIS has been challenged by breast‐conserving procedures. Regardless of the method of treatment used, local control with complete tumor eradication is the major goal in the management of DCIS. Methods and Results . A patient is reported in whom DCIS recurred in residual breast tissue in the chest wall several years after mastectomy. Conclusions . Chest wall recurrence of DCIS within residual breast tissue probably is caused by failure of tumor excision, new primary tumor, or both. This observation underscores that (1) mastectomy may not result in complete removal of breast tissue, and (2) this residual breast tissue may be the substrate for “chest wall recurrences” in some patients with breast cancer.