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Forequarter amputation for recurrent breast cancer.

Krishna N Pundi1, Yazan N AlJamal1, Raaj K Ruparel1

  • 1Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN, United States.

International Journal of Surgery Case Reports
|April 22, 2015
PubMed
Summary

Forequarter amputation offers palliative pain relief for recurrent breast cancer patients. While not curative in all cases, it can be a last resort to slow disease spread when other treatments fail.

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Area of Science:

  • Oncology
  • Surgical Oncology
  • Breast Cancer Research

Background:

  • Standard treatment for recurrent breast cancer involves localized excision, radiation, and chemotherapy.
  • Forequarter amputation is an alternative surgical option in select, complex cases.

Purpose of the Study:

  • To evaluate the role of forequarter amputation in managing recurrent breast cancer.
  • To assess the outcomes and benefits of forequarter amputation in a patient with extensive treatment history.

Main Methods:

  • Case presentation of a patient with recurrent breast cancer undergoing forequarter amputation.
  • Review of literature comparing outcomes of forequarter amputation for recurrent breast cancer.

Main Results:

Keywords:
Advanced cancerAmputationBreastForequarterMetastaticRecurrent cancer

Related Experiment Videos

  • The patient experienced short-term symptomatic relief but developed cutaneous recurrence within two months.
  • Literature review indicates a mean survival of approximately two years for patients with non-metastatic disease.
  • Significant pain relief was reported by patients with pre-operative pain, highlighting palliative benefits.
  • Conclusions:

    • Forequarter amputation can be a judicious option for recurrent or metastatic breast cancer, offering palliative benefits.
    • Curative amputation may be considered for recurrent disease without distant metastases.
    • While the presented case had an unfavorable outcome, forequarter amputation can provide significant palliative benefits and, in some cases, be curative.