title: Successful multimodal treatment of a breast cancer patient with a recurrence invading the chest wall.
abstract: We describe successful operative management of a solitary breast cancer metastasis in the chest wall after complete response with concomitant non-pegylated liposomal doxorubicin (NPLD) and docetaxel followed by sternal rib resection with prosthetic reconstruction. We report a case of a 41-year-old woman who had a breast cancer recurrence infiltrating neighboring osteo-cartilage of the left sternal body, the cartilaginous portion of the third and fourth ipsilateral ribs and was inseparable from the rear side pectoral reaching deep into contiguity with the pericardium. After 6 cycles of chemotherapy with NPLD plus docetaxel, sternal rib resection with prosthetic reconstruction was performed. Histological examination did not show any evidence of residual tumor. At 9 months of follow-up, the patient appears free of disease. Our case demonstrates that a multimodal approach in patients with chest wall recurrence of breast cancer without distant metastasis, may be safe and effective for maintaining a good quality of life.
authors.affiliation: Gynecologic Oncology Unit, Catholic University of the Sacred Heart, Campobasso, Italy. giacomo.corrado@alice.it
authors.forename: G
authors.initials: G
authors.lastname: Corrado
authors.forename: A
authors.initials: A
authors.lastname: di Stefano
authors.forename: V
authors.initials: V
authors.lastname: Salutari
authors.forename: A
authors.initials: A
authors.lastname: Piraino
authors.forename: S
authors.initials: S
authors.lastname: Margaritora
authors.forename: A
authors.initials: A
authors.lastname: Lucidi
authors.forename: G
authors.initials: G
authors.lastname: Scambia
authors.forename: G
authors.initials: G
authors.lastname: Ferrandina
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D001943:Breast Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D017024:Chemotherapy, Adjuvant; D000077143:Docetaxel; D004317:Doxorubicin / Q000008:administration & dosage / Q000031:analogs & derivatives; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D011092:Polyethylene Glycols / Q000008:administration & dosage; D019651:Plastic Surgery Procedures / Q000379:methods; D012272:Ribs / Q000473:pathology / Q000601:surgery; D043823:Taxoids / Q000008:administration & dosage; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery
chemical_list: D043823:Taxoids; C506643:liposomal doxorubicin; D000077143:Docetaxel; D011092:Polyethylene Glycols; D004317:Doxorubicin