August 1968

Chest-Wall Resection for Locally Recurrent Breast Cancer

Author Affiliations

Rochester, Minn
From Mayo Clinic and Foundation, sections of surgical pathology (Dr. Farrow), plastic surgery (Dr. Masson), and surgery (Dr. Payne; resident in surgery; Dr. Snyder), and Mayo Graduate School of Medicine (University of Minnesota), Rochester.

Arch Surg. 1968;97(2):246-253. doi:10.1001/archsurg.1968.01340020110013

AFTER primary surgical treatment, carcinoma of the breast recurs in or near the operative site in 10% to 30% of patients.1-5 In most of these, local recurrence is often the first manifestation of widespread disease. Indeed, distant metastasis becomes evident in half the patients with chest-wall recurrence within a year.1,3,5,6

Surgical excision of locally recurrent carcinoma of the breast thus usually assumes a very limited role. Often this is confined to biopsy for diagnostic confirmation, though occasionally it may be required in the palliation of symptomatic lesions. Surgical procedures for curative purposes are rarely felt to be possible.7 Reports of radical chest-wall excision for the attempted cure of locally recurrent cancer have appeared only occasionally in the literature.8-16 Most of these reports have dealt with the technical aspects of resection and the reconstruction of the chest wall. Rarely have there been reports of long-term follow-up of

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