Azrif M, Saladina J J, Nani M L, Shahrunniza A S, Norlia A, Rohaizak M
Department of Radiotherapy & Oncology, UKM Medical Centre, Cheras 56000, Kuala Lumpur, Malaysia.
Med J Malaysia. 2011 Aug;66(3):255-6.
An isolated late chest wall recurrence after mastectomy for breast cancer is rare. We present a case of a lady with a T2N1M0 right breast cancer who developed an isolated local recurrence on the chest wall 11 years after mastectomy. Staging investigations excluded distant metastases. She underwent an excisional biopsy and was started on an aromatase inhibitor. Radiotherapy was given to the chest wall followed by a boost to the site of excision. Although most chest wall recurrences fare poorly, a favourable subgroup can be identified and should be treated aggressively in a multidisciplinary approach.
乳腺癌乳房切除术后孤立性胸壁晚期复发较为罕见。我们报告一例T2N1M0期右乳腺癌女性患者，她在乳房切除术后11年出现了孤立性胸壁局部复发。分期检查排除了远处转移。她接受了切除活检，并开始使用芳香化酶抑制剂。对胸壁进行了放疗，随后对切除部位进行了追加放疗。尽管大多数胸壁复发预后较差，但可以识别出一个预后良好的亚组，应以多学科方法积极治疗。
