Resection of an isolated chest wall recurrence has been discucssed and occasionally performed for several decades. Current confusion is that chest wall resection and reconstruction for locally recurrent breast cancer is a feasible and safe procedure providing adequate local disease control and an excellent palliation of very disabling symptoms. This approach may be advocated as an effective palliative procedure in selected patients.
Neoadjuvant chemotherapy prior to resection is even less rarely resected. However, systemic therapy, in this case with Taxol and carboplatin, would be indicated even if resection was not to be performed and can be approved on that basis.
Massimiliano D’Aiuto, MD, Marcellino Cicalese, MD, Giuseppe D’Aiuto, MD, Gaetano Rocco, MD, FRCSEd, FETCS, FCCP’Correspondence information about the author MD, FRCSEd, FETCS, FCCP Gaetano Rocco. Surgery of the Chest Wall for Involvement by Breast Cancer, Thoracci SUrgery Clinic November 2010Volume 20, Issue 4, Pages 509517
Francesco Petrella’Correspondence information about the author Francesco PetrellaEmail the author Francesco PetrellaEmail the author Francesco Petrella, Davide Radice, Alessandro Borri, Domenico Galetta, Roberto Gasparri, Monica Casiraghi, Adele Tessitore, Alessandro Pardolesi, Piergiorgio Solli, Giulia Veronesi, Stefania Rizzo, Stefano Martella, Mario Rietjens, Lorenzo Spaggiari, Chest wall resection and reconstruction for locally recurrent breast cancer: From technical aspects to biological assessment. The Surgeon February 2016Volume 14, Issue 1, Pages 2632
Dan Levy Faber Elie Fadel Fréderic Kolb Suzette Delaloge Olaf Mercier Sacha Mussot Dominique Fabre Philippe Dartevelle, Outcome of full-thickness chest wall resection for isolated breast cancer recurrence. Eur J Cardiothorac Surg (2013) 44 (4): 637-642.