Surgical treatment for chest wall invasion due to the local recurrence of breast cancer

Takeshi Hanagiri, Tadahiro Nozoe, Takashi Yoshimatsu, Makiko Mizukami, Yoshinobu Ichiki, Masakazu Sugaya, Manabu Yasuda, Mitsuhiro Takenoyama, Kenji Sugio, Hiroshi Yasuda, Kosei Yasumoto

研究成果: ジャーナルへの寄稿記事

14 引用 (Scopus)

抄録

Objective In this study, we investigated the surgical results for chest wall invasion of local recurrence of breast cancer. Patients and methods We reviewed eight patients who underwent a chest wall resection for local recurrence of breast cancer in our department between 1986 and 2004. Results All of the patients had local recurrence without any distant metastasis. All of them had skin ulcers with blood oozing. The operation procedures were Bt + Ax + Ic + Mj + Mn (Halsted mastectomy) in four patients, Bt + Ax + Ic + Mn (Patey procedure) in two patients, Bt + Ax + Ic (muscle-preserving mastectomy) in one patient, and Bt + Ax (Auchincloss procedure) in one patient. The intervals from the primary operation ranged from 14 months to 20 years. The maximum and minimum areas of the chest wall defect were 18×16 cm and 4.5×3.5 cm, respectively. Reconstruction of the chest wall was performed using a flap of the rectus abdominis muscle with polypropylene (Marlex®) mesh in four patients, a flap of the rectus abdominis muscle combined with sandwich prosthesis of polypropylene mesh and methylmethacrylate in one patient, a flap of latissimus dorsi muscle in one patient, polypropylene mesh with pectoralis major muscle in one patient, and by direct closure in one patient. A survivial of more than 3 years was achieved in seven patients and only one patient died 1 year and 2 months after the chest wall resection. Conclusion In patients with the chest wall recurrence of breast cancer without distant metastasis, a surgical resection of the chest wall may be effective both for relieving pain and for control of the local hemorrhage. Seven out of the eight patients survived more than 3 years, suggesting that this surgical treatment could facilitate home health care and maintain a good quality of life for patients with breast cancer.

元の言語英語
ページ(範囲)298-302
ページ数5
ジャーナルBreast Cancer
15
発行部数4
DOI
出版物ステータス出版済み - 10 1 2008

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Thoracic Wall
Breast Neoplasms
Recurrence
Therapeutics
Polypropylenes
Muscles
Rectus Abdominis
Methylmethacrylate
Neoplasm Metastasis
Skin Ulcer
Pectoralis Muscles
Radical Mastectomy
Superficial Back Muscles
Mastectomy
Home Care Services

All Science Journal Classification (ASJC) codes

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Pharmacology (medical)

これを引用

Hanagiri, T., Nozoe, T., Yoshimatsu, T., Mizukami, M., Ichiki, Y., Sugaya, M., ... Yasumoto, K. (2008). Surgical treatment for chest wall invasion due to the local recurrence of breast cancer. Breast Cancer, 15(4), 298-302. https://doi.org/10.1007/s12282-008-0038-z

Surgical treatment for chest wall invasion due to the local recurrence of breast cancer. / Hanagiri, Takeshi; Nozoe, Tadahiro; Yoshimatsu, Takashi; Mizukami, Makiko; Ichiki, Yoshinobu; Sugaya, Masakazu; Yasuda, Manabu; Takenoyama, Mitsuhiro; Sugio, Kenji; Yasuda, Hiroshi; Yasumoto, Kosei.

:: Breast Cancer, 巻 15, 番号 4, 01.10.2008, p. 298-302.

研究成果: ジャーナルへの寄稿記事

Hanagiri, T, Nozoe, T, Yoshimatsu, T, Mizukami, M, Ichiki, Y, Sugaya, M, Yasuda, M, Takenoyama, M, Sugio, K, Yasuda, H & Yasumoto, K 2008, 'Surgical treatment for chest wall invasion due to the local recurrence of breast cancer', Breast Cancer, 巻. 15, 番号 4, pp. 298-302. https://doi.org/10.1007/s12282-008-0038-z
Hanagiri T, Nozoe T, Yoshimatsu T, Mizukami M, Ichiki Y, Sugaya M その他. Surgical treatment for chest wall invasion due to the local recurrence of breast cancer. Breast Cancer. 2008 10 1;15(4):298-302. https://doi.org/10.1007/s12282-008-0038-z
Hanagiri, Takeshi ; Nozoe, Tadahiro ; Yoshimatsu, Takashi ; Mizukami, Makiko ; Ichiki, Yoshinobu ; Sugaya, Masakazu ; Yasuda, Manabu ; Takenoyama, Mitsuhiro ; Sugio, Kenji ; Yasuda, Hiroshi ; Yasumoto, Kosei. / Surgical treatment for chest wall invasion due to the local recurrence of breast cancer. :: Breast Cancer. 2008 ; 巻 15, 番号 4. pp. 298-302.
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abstract = "Objective In this study, we investigated the surgical results for chest wall invasion of local recurrence of breast cancer. Patients and methods We reviewed eight patients who underwent a chest wall resection for local recurrence of breast cancer in our department between 1986 and 2004. Results All of the patients had local recurrence without any distant metastasis. All of them had skin ulcers with blood oozing. The operation procedures were Bt + Ax + Ic + Mj + Mn (Halsted mastectomy) in four patients, Bt + Ax + Ic + Mn (Patey procedure) in two patients, Bt + Ax + Ic (muscle-preserving mastectomy) in one patient, and Bt + Ax (Auchincloss procedure) in one patient. The intervals from the primary operation ranged from 14 months to 20 years. The maximum and minimum areas of the chest wall defect were 18×16 cm and 4.5×3.5 cm, respectively. Reconstruction of the chest wall was performed using a flap of the rectus abdominis muscle with polypropylene (Marlex{\circledR}) mesh in four patients, a flap of the rectus abdominis muscle combined with sandwich prosthesis of polypropylene mesh and methylmethacrylate in one patient, a flap of latissimus dorsi muscle in one patient, polypropylene mesh with pectoralis major muscle in one patient, and by direct closure in one patient. A survivial of more than 3 years was achieved in seven patients and only one patient died 1 year and 2 months after the chest wall resection. Conclusion In patients with the chest wall recurrence of breast cancer without distant metastasis, a surgical resection of the chest wall may be effective both for relieving pain and for control of the local hemorrhage. Seven out of the eight patients survived more than 3 years, suggesting that this surgical treatment could facilitate home health care and maintain a good quality of life for patients with breast cancer.",
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AU - Hanagiri, Takeshi

AU - Nozoe, Tadahiro

AU - Yoshimatsu, Takashi

AU - Mizukami, Makiko

AU - Ichiki, Yoshinobu

AU - Sugaya, Masakazu

AU - Yasuda, Manabu

AU - Takenoyama, Mitsuhiro

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AU - Yasuda, Hiroshi

AU - Yasumoto, Kosei

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N2 - Objective In this study, we investigated the surgical results for chest wall invasion of local recurrence of breast cancer. Patients and methods We reviewed eight patients who underwent a chest wall resection for local recurrence of breast cancer in our department between 1986 and 2004. Results All of the patients had local recurrence without any distant metastasis. All of them had skin ulcers with blood oozing. The operation procedures were Bt + Ax + Ic + Mj + Mn (Halsted mastectomy) in four patients, Bt + Ax + Ic + Mn (Patey procedure) in two patients, Bt + Ax + Ic (muscle-preserving mastectomy) in one patient, and Bt + Ax (Auchincloss procedure) in one patient. The intervals from the primary operation ranged from 14 months to 20 years. The maximum and minimum areas of the chest wall defect were 18×16 cm and 4.5×3.5 cm, respectively. Reconstruction of the chest wall was performed using a flap of the rectus abdominis muscle with polypropylene (Marlex®) mesh in four patients, a flap of the rectus abdominis muscle combined with sandwich prosthesis of polypropylene mesh and methylmethacrylate in one patient, a flap of latissimus dorsi muscle in one patient, polypropylene mesh with pectoralis major muscle in one patient, and by direct closure in one patient. A survivial of more than 3 years was achieved in seven patients and only one patient died 1 year and 2 months after the chest wall resection. Conclusion In patients with the chest wall recurrence of breast cancer without distant metastasis, a surgical resection of the chest wall may be effective both for relieving pain and for control of the local hemorrhage. Seven out of the eight patients survived more than 3 years, suggesting that this surgical treatment could facilitate home health care and maintain a good quality of life for patients with breast cancer.

AB - Objective In this study, we investigated the surgical results for chest wall invasion of local recurrence of breast cancer. Patients and methods We reviewed eight patients who underwent a chest wall resection for local recurrence of breast cancer in our department between 1986 and 2004. Results All of the patients had local recurrence without any distant metastasis. All of them had skin ulcers with blood oozing. The operation procedures were Bt + Ax + Ic + Mj + Mn (Halsted mastectomy) in four patients, Bt + Ax + Ic + Mn (Patey procedure) in two patients, Bt + Ax + Ic (muscle-preserving mastectomy) in one patient, and Bt + Ax (Auchincloss procedure) in one patient. The intervals from the primary operation ranged from 14 months to 20 years. The maximum and minimum areas of the chest wall defect were 18×16 cm and 4.5×3.5 cm, respectively. Reconstruction of the chest wall was performed using a flap of the rectus abdominis muscle with polypropylene (Marlex®) mesh in four patients, a flap of the rectus abdominis muscle combined with sandwich prosthesis of polypropylene mesh and methylmethacrylate in one patient, a flap of latissimus dorsi muscle in one patient, polypropylene mesh with pectoralis major muscle in one patient, and by direct closure in one patient. A survivial of more than 3 years was achieved in seven patients and only one patient died 1 year and 2 months after the chest wall resection. Conclusion In patients with the chest wall recurrence of breast cancer without distant metastasis, a surgical resection of the chest wall may be effective both for relieving pain and for control of the local hemorrhage. Seven out of the eight patients survived more than 3 years, suggesting that this surgical treatment could facilitate home health care and maintain a good quality of life for patients with breast cancer.

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