Breast cellulitis after conservative surgery and radiotherapy.
OBJECTIVE
Cellulitis is a previously unreported complication of conservative surgery and radiation therapy for early stage breast cancer. Patients who presented with breast cellulitis after conservative therapy are described.


METHODS
Eleven patients that developed cellulitis of the breast over a 38-month period of observation are the subject of this report. Clinical characteristics of patients with cellulitis and their treatment and outcome are reported. Potential patient and treatment-related correlates for the development of cellulitis are analyzed.


RESULTS
The risk of cellulitis persists years after initial breast cancer therapy. The clinical course of our patients was variable: some patients required aggressive, long-duration antibiotic therapy, while others had rapid resolution with antibiotics. Three patients suffered from multiple episodes of cellulitis.


CONCLUSIONS
Patients with breast cancer treated with conservative surgery and radiotherapy are at risk for breast cellulitis. Systematic characterization of cases of cellulitis may provide insight into diagnosis, prevention, and more effective therapy for this uncommon complication.
Rescigno
J
J
Department of Radiation Oncology, Memorial Sloan-Kettering Cancer Center, New York, NY.
McCormick
B
B
Brown
A E
AE
Myskowski
P L
PL
D000208:Acute Disease; D001941:Breast Diseases / Q000209:etiology*; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery / Q000628:therapy*; D002481:Cellulitis / Q000209:etiology*; D002908:Chronic Disease; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D012307:Risk Factors; D013997:Time Factors