title: Outcome of surgical resection for chest wall recurrence in breast cancer patients.
abstract: BACKGROUND
  Although recurrent breast cancer is a systemic disease, there might be several exceptions where local treatment has a favorable outcome.
  
  
  METHODS
  From 1989 to 1996, 15 patients underwent full thickness chest wall resection, supported by peri- and postoperative systemic treatments for patients with isolated chest wall recurrences, including soft tissue local recurrence and parasternal lymph node metastasis.
  
  
  RESULTS
  The 5-year survival rate after surgical removal was 47%. Patients with > 5-year disease-free intervals (DFI) after mastectomy showed a long survival after chest wall resection. Local failures appeared in four cases whose surgical margins were positive. No serious complication except one pyothorax occurred after surgery.
  
  
  CONCLUSIONS
  It is suggested that surgical treatment with a full thickness chest wall resection might have a favorable prognosis for selected patients with solitary lesion and long DFI.
authors.affiliation: Department of Surgery, Tokyo, Metropolitan Komogome Hospital, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Toi
authors.forename: S
authors.initials: S
authors.lastname: Tanaka
authors.forename: M
authors.initials: M
authors.lastname: Bando
authors.forename: K
authors.initials: K
authors.lastname: Hayashi
authors.forename: T
authors.initials: T
authors.lastname: Tominaga
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008408:Mastectomy; D008875:Middle Aged; D012983:Soft Tissue Neoplasms / Q000556:secondary; D013524:Surgical Flaps; D015996:Survival Rate; D013899:Thoracic Neoplasms / Q000401:mortality / Q000556:secondary* / Q000601:surgery*; D013903:Thoracic Surgery; D016896:Treatment Outcome