Long W P, Kline R, Levine E A
LSU Medical Center, New Orleans, USA.
J La State Med Soc. 1997 Sep;149(9):323-7.
Despite progress in early detection of breast cancer, a minority of women continue to present with extensive disease which may necessitate chest wall resection. Between 1992 and 1996, 14 patients were treated by surgical resection of the chest wall and reconstruction by the LSU Sections of Surgical Oncology and Plastic Surgery. Indications included resection of primary tumor, resection of recurrent tumor, and resection of radiation therapy induced damage to the chest wall. We report chest wall excision and reconstruction with no operative mortality and minor surgical morbidity in 21% of cases. Local control was achieved in 13 of 14 cases. Additionally we report uniform success in the palliation of ulcerating, painful, or infected chest wall lesions. Approximately 25% of patients treated for breast cancer and followed up for more than 6 months have remained free of disease. Chest wall resection is a useful modality in selected patients with extensive disease.
尽管在乳腺癌早期检测方面取得了进展，但仍有少数女性出现广泛性疾病，可能需要进行胸壁切除。1992年至1996年间，14例患者接受了胸壁手术切除，并由路易斯安那州立大学外科肿瘤学和整形外科进行重建。手术指征包括原发性肿瘤切除、复发性肿瘤切除以及放疗引起的胸壁损伤切除。我们报告了胸壁切除及重建手术，无手术死亡病例，21%的病例有轻微手术并发症。14例患者中有13例实现了局部控制。此外，我们报告在缓解胸壁溃疡、疼痛或感染性病变方面均取得了成功。接受乳腺癌治疗并随访超过6个月的患者中，约25%无疾病复发。胸壁切除对于部分患有广泛性疾病的患者来说是一种有效的治疗方式。
