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Published on: May 17, 2024
Chest wall resection in locally advanced or recurrent breast cancer - series of three cases
Suhaildeen Kajamohideen1, Balasubramanian Venkitaraman1, Sathyanarayanan M Shivkumaran1
1Department of Surgical Oncology, Sri Ramachandra Medical College and Research Institute, Chennai.
Background:
The usefulness of chest wall resection in breast cancer is poorly defined as extensive surgical resection is seen inappropriate, as it is regarded as harbinger of systemic disease. We report our experience of chest wall resection in recurrent or locally advanced breast cancers Case Presentation: We reviewed our institute records for chest wall resection in locally advanced or locally recurrent breast cancers from 2016 - 2018. There were 3 cases of chest wall resection for carcinoma breast. 1 for recurrent breast cancer and 2 for locally advanced breast cancer after neoadjuvant chemotherapy. Preoperative symptoms were ulceration in recurrent tumor, pain and mass in other. One patient needed Lattismus dorsi (LD) myocutaneous flap and one required a free flap. One underwent LD muscle flap. Mean postop stay were 8 days. One patient required redo flap surgery for partial flap necrosis Conclusions: Full thickness chest wall resection is relatively safe procedure with acceptable morbidity and can be considered in carefully selected patients Key Words: Breast carcinoma-Chest wall recurrence- Chest wall resection-chest wall reconstruction.

