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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

Donegan, W.L.; Perez-Mesa, CM.; and Watson, F.R.:  A Biostatistical Study of Locally Recurrent Breast Carcinoma , Surg Gynec Obstet 122:529-540 ( (March) ) 1966.
Kaufman, R.J.; Chu, F.C.H.; and Escher, G.C.:  The Effect of Radiation Therapy on the Survival Time of Women With Recurrent Mammary Carcinoma , Amer J Roentgen 93:600-606 ( (March) ) 1965.
Lewis, D., and Rienhoff, W.F., Jr.:  Study of Results of Operations for Cure of Cancer of Breast Performed at Johns Hopkins Hospital From 1889 to 1931 , Ann Surg 95:336-400 ( (March) ) 1932.Article
Shimkin, M.B., et al:  Recurrent Cancer of the Breast: Analysis of Frequency, Distribution, and Mortality at the University of California Hospital, 1918 to 1947, Inclusive , Cancer 7:29-46 ( (Jan) ) 1954.Article
Zimmerman, K.W.; Montague, E.D.; and Fletcher, G.H.:  Frequency, Anatomical Distribution and Management of Local Recurrences After Definitive Therapy for Breast Cancer , Cancer 19:67-74 ( (Jan) ) 1966.Article
Dao, T.L., and Nemoto, T.:  The Clinical Significance of Skin Recurrence After Radical Mastectomy in Women With Cancer of the Breast , Surg Gynec Obstet 117:447-453 ( (Oct) ) 1963.
Groff, D.B., III, and Adkins, P.C.:  Chest Wall Tumors , Ann Thorac Surg 4:260-281 ( (Sept) ) 1967.Article
Beardsley, J.M., and Cavanagh, C.R., Jr.:  Radical Excision of Malignant Chest Wall Tumors , J Thorac Cardiov Surg 29:582-596 ( (June) ) 1955.
Campbell, D.A.:  Resection of the Sternum for Metastatic Carcinoma , Ann Surg 129:394-398 ( (March) ) 1949.Article
Kinsella, T.J.; White, S.M.; and Koucky, R.W.:  Two Unusual Tumors of the Sternum , J Thorac Cardiov Surg 16:640-667 ( (Dec) ) 1947.
Maier, H.C.:  Surgical Management of Large Defects of the Thoracic Wall , Surgery 22:169-178 ( (Aug) ) 1947.
Pickrell, K.L.; Kelley, J.W.; and Marzoni, F.A.:  The Surgical Treatment of Recurrent Carcinoma of the Breast and Chest Wall , Plast Reconstr Surg 3:156-172 ( (March) ) 1948.Article
Pierce, G.W., et al:  Reconstruction of a Large Defect on the Entire Thickness of the Chest Wall , Amer J Surg 102:720-723 ( (Nov) ) 1961.Article
Sauerbruch, F.:  Beitrag zur Resektion der Brustwand mit Plastik auf die freigelegte Lunge , Deutsch Z Chir 86:275-280 ( (Jan) ) 1907.Article
Schede:  Mammacarcinom , Deutsch Med Wschr 12:646 ( (Sept 16) ) 1886.Article
Urban, J.A.: " Extended Radical Mastectomy ," in Lewison, E.F. (ed.): Breast Cancer and Its Diagnosis and Treatment , Baltimore: The Williams & Wilkins Co., 1955, pp 295-312.
Pawlias, K.T.; Dockerty, M.B.; and Ellis, F.H., Jr.:  Late Local Recurrent Carcinoma of the Breast , Ann Surg 148:192-198 ( (Aug) ) 1958.Article
Papaioannou, A.N.; Tanz, F.J.; and Volk, H.:  Fate of Patients With Recurrent Carcinoma of the Breast: Recurrence Five or More Years After Initial Treatment , Cancer 20:371-376 ( (March) ) 1967.Article
Crile, G., Jr.:  Simplified Treatment of Cancer of the Breast: Early Results of a Clinical Study , Ann Surg 153:745-758 ( (May) ) 1961.Article