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Chest wall resection for extrapulmonary tumor

W P Long1, R Kline, E A Levine

  • 1LSU Medical Center, New Orleans, USA.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|October 8, 1997
PubMed
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Surgical resection and reconstruction of the chest wall is a viable option for patients with extensive breast cancer. This approach achieved high local control rates and successfully palliated symptoms in selected cases.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Plastic Surgery

Background:

  • Despite advances in early breast cancer detection, some patients present with extensive disease requiring chest wall resection.
  • Chest wall involvement can result from primary tumors, recurrent disease, or radiation therapy complications.

Purpose of the Study:

  • To evaluate the safety and efficacy of chest wall resection and reconstruction in patients with extensive breast cancer.
  • To assess outcomes including operative mortality, morbidity, local control, and palliation of symptoms.

Main Methods:

  • A retrospective review of 14 patients who underwent chest wall resection and reconstruction between 1992 and 1996.
  • Data collected on indications for surgery, operative outcomes, and long-term follow-up.

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Main Results:

  • No operative mortality was observed.
  • Minor surgical morbidity occurred in 21% of patients.
  • Local tumor control was achieved in 13 out of 14 patients (93%).
  • Successful palliation of ulcerating, painful, or infected chest wall lesions was uniformly reported.
  • Approximately 25% of patients remained disease-free at over 6 months follow-up.

Conclusions:

  • Chest wall resection and reconstruction is a safe and effective procedure for selected patients with extensive breast cancer.
  • It offers good local control and symptomatic relief for chest wall lesions.
  • This surgical modality is a valuable option for managing advanced or recurrent breast cancer involving the chest wall.