Iridium 192 plesiocurietherapy using silicone elastomer plates for extensive locally recurrent breast cancer following chest wall irradiation

Abstract BackgroundExpanded local resection is suitable for recurrent breast cancer patients who have isolated local lesion and have not metastasized. The extend of chest wall resection must be overall radical resection of the tumors diagnosed by pathology. However, surgery often leads to huge defects, even full-thickness defects, and these defects are difficult to repair. MethodsChest wall resection was performed in 5 patients with locally recurrent breast cancer, followed by chest wall reconstruction with a pedicled rectus abdominis musculocutaneous flap or a pedicled latissimus dorsi musculocutaneous flap and, if necessary, a piece of titanium mesh. ResultsChest wall resection and reconstruction were successfully achieved in all 5 patients. No complication and recurrence were observed, except one patient died of late lymphatic metastasis. Other patients reported good quality of life.ConclusionsFor locally recurrent breast cancer, complete tumor resection is complete tumor resection is essential and ensures no recurrence. Appropriate material and the blood-rich flap or myocutaneous flap should be used to reconstruct the chest wall defect as an effective treatment for surgical procedure.

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Chest-Wall Resection for Locally Recurrent Breast Cancer

Archives of Surgery ◽

10.1001/archsurg.1968.01340020110013 ◽

1968 ◽

Vol 97 (2) ◽

pp. 246 ◽

Cited By ~ 25

Author(s):

Arthur F. Snyder

Keyword(s):

Breast Cancer ◽

Chest Wall ◽

Recurrent Breast Cancer ◽

Chest Wall Resection ◽

Locally Recurrent ◽

Recurrent Breast

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Chest wall resection and reconstruction for locally recurrent breast cancer: From technical aspects to biological assessment

The Surgeon ◽

10.1016/j.surge.2014.03.001 ◽

2016 ◽

Vol 14 (1) ◽

pp. 26-32 ◽

Cited By ~ 8

Author(s):

Francesco Petrella ◽

Davide Radice ◽

Alessandro Borri ◽

Domenico Galetta ◽

Roberto Gasparri ◽

...

Keyword(s):

Breast Cancer ◽

Chest Wall ◽

Recurrent Breast Cancer ◽

Biological Assessment ◽

Chest Wall Resection ◽

Technical Aspects ◽

Locally Recurrent ◽

Recurrent Breast

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Chest wall resection for locally recurrent breast cancer: Is it worthwhile?

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/s0022-5223(00)70119-x ◽

2000 ◽

Vol 119 (3) ◽

pp. 420-428 ◽

Cited By ~ 45

Author(s):

Robert J. Downey ◽

Valerie Rusch ◽

F.Ida Hsu ◽

Larry Leon ◽

Ennapadam Venkatraman ◽

...

Keyword(s):

Breast Cancer ◽

Chest Wall ◽

Recurrent Breast Cancer ◽

Chest Wall Resection ◽

Locally Recurrent ◽

Recurrent Breast

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Chest wall resection and reconstruction for locally recurrent breast cancer: an experience of five cases over a five-Year period and literature review

10.21203/rs.3.rs-315749/v1 ◽

2021 ◽

Author(s):

Qiang Sun ◽

Yu-xin Wang ◽

Shi-feng Jin ◽

Chen-chao Wang ◽

You Zhou ◽

...

Keyword(s):

Breast Cancer ◽

Literature Review ◽

Chest Wall ◽

Tumor Resection ◽

Recurrent Breast Cancer ◽

Musculocutaneous Flap ◽

Chest Wall Resection ◽

Breast Cancer Patients ◽

Locally Recurrent ◽

Recurrent Breast

Abstract Background: Expanded local resection is suitable for recurrent breast cancer patients who have isolated local lesion and have not metastasized. The extend of chest wall resection must be overall radical resection of the tumors diagnosed by pathology. However, surgery often leads to huge defects, even full-thickness defects, and these defects are difficult to repair. Here, we reported our experience in chest wall resection and reconstruction of patients with locally recurrent breast cancer, and also did a comprehensive literature review.Case Presentation: We report five cases with locally recurrent breast cancer, followed by chest wall reconstruction with a pedicled rectus abdominis musculocutaneous flap or a pedicled latissimus dorsi musculocutaneous flap and, if necessary, a piece of titanium mesh. Chest wall resection and reconstruction were successfully achieved in all 5 patients. No complication and recurrence were observed, except one patient died of late lymphatic metastasis. Other patients reported good quality of life.Conclusion: For locally recurrent breast cancer, complete tumor resection is essential and ensures no recurrence. Appropriate material and the blood-rich flap or myocutaneous flap should be used to reconstruct the chest wall defect as an effective treatment for surgical procedure.

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