ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
 QUICK SEARCH:   [advanced]


     


This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by McKenna, R. J.
Right arrow Articles by Mountain, C. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McKenna, R. J., Jr
Right arrow Articles by Mountain, C. F.

The Annals of Thoracic Surgery, Vol 38, 482-487, Copyright © 1984 by The Society of Thoracic Surgeons


ARTICLES

A perspective on chest wall resection in patients with breast cancer

RJ McKenna Jr, MJ McMurtrey, DL Larson and CF Mountain

The morbidity from locally recurrent breast cancer or osteoradionecrosis and accompanying infection is substantial. The selective use of surgical resection offers good palliation. Extended full-thickness chest wall resection is facilitated by a variety of techniques available for closure and coverage including use of latissimus dorsi myocutaneous flap, rectus abdominus myocutaneous flap, pectoralis myocutaneous flap, breast flap, and omentum with skin graft. The experience with 43 consecutive chest wall resections in patients with breast cancer affords the opportunity to define indications and contraindications for such palliative procedures. Indications include local symptoms of pain and infection, tumor recurrence refractory to radiation therapy, and infection that precludes chemotherapy. Relative contraindications are pulmonary metastases, bone metastases, hepatic metastases, and malignant pleural effusions. Absolute contraindications are brain metastases, bone marrow involvement, bulky disease in two organs, and breakthrough on multiple chemotherapy regimens. Operative revision was only required in 4 of 43 patients. Minor wound complications occurred in 12 (28%). Three patients who underwent resection for local recurrence have survived 40 months or more free from disease. This procedure provides substantial palliation by relieving pain, controlling infection, removing a weeping wound, and allowing chemotherapy for metastatic disease. In the proper setting, chest wall resection is an important part of the armamentarium for palliation of the patient with breast cancer. It can markedly improve quality of life and occasionally may result in long-term survival.


This article has been cited by other articles:


Home page
Ann. Thorac. Surg.Home page
G. Friedel, T. Kuipers, J. Dippon, F. Al-Kammash, T. Walles, T. Kyriss, S. Veit, M. Greulich, and V. Steger
Full-thickness resection with myocutaneous flap reconstruction for locally recurrent breast cancer.
Ann. Thorac. Surg., June 1, 2008; 85(6): 1894 - 1900.
[Abstract] [Full Text] [PDF]


Home page
The OncologistHome page
C. Bernard-Marty, F. Cardoso, and M. J. Piccart
Facts and Controversies in Systemic Treatment of Metastatic Breast Cancer
Oncologist, November 1, 2004; 9(6): 617 - 632.
[Abstract] [Full Text] [PDF]


Home page
JCOHome page
G. N. Hortobagyi
Can We Cure Limited Metastatic Breast Cancer?
J. Clin. Oncol., February 1, 2002; 20(3): 620 - 623.
[Full Text] [PDF]


Home page
J. Thorac. Cardiovasc. Surg.Home page
C. Deschamps, B. M. Tirnaksiz, R. Darbandi, V. F. Trastek, M. S. Allen, D. L. Miller, P. G. Arnold, and P. C. Pairolero
Early And Long-Term Results Of Prosthetic Chest Wall Reconstruction
J. Thorac. Cardiovasc. Surg., March 1, 1999; 117(3): 588 - 592.
[Abstract] [Full Text] [PDF]




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1984 by The Society of Thoracic Surgeons.