[Major chest wall resection for the treatment of invasive breast carcinoma: A series of 33 patients].
BACKGROUND
Breast cancer can spread to the chest wall. It is an aggressive stage of poor prognosis. We have developed a technique of major chest wall resection extended beyond the breast area in order to reduce the recurrence.


METHODS
This is a retrospective single-center series of 33 patients with breast cancer spread to the chest wall without metastasis (13 patients present with primary breast cancer and 20 patients present with recurrent breast cancer) treated by major chest wall resection between January 1993 and January 2013, by the same surgeon. Analysis of the results was made by another surgeon.


RESULTS
Patients aged between 27-83years with an average of 55years. The removed parts measured 350cm(2) to 1200cm(2), and the average duration of complete healing was 7.9months. The mean follow-up time was 122months (6months-240months). The 1 year survival was 84.4%, at 2years 72.6%, at 3years 69.5% and at 5 years of 66.4%.


CONCLUSIONS
The technique of major chest wall resection is simple and reproducible. Breast cancer with chest wall extension has a poor prognosis. At the end of the study, 20 of 33 patients who benefit from this technique are still alive.
Service de chirurgie plastique, reconstructrice, esthétique et traitement chirurgical des brûlés, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address: omaralameri@hotmail.com.
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Al Ameri
Service de chirurgie plastique, reconstructrice, esthétique et traitement chirurgical des brûlés, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address: marc.chaouat@gmail.com.
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Chaouat
Service de chirurgie plastique, reconstructrice, esthétique et traitement chirurgical des brûlés, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address: oren_marco@hotmail.com.
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Marco
Service de chirurgie plastique, reconstructrice, esthétique et traitement chirurgical des brûlés, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address: dr.azoulay.b@gmail.com.
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Azoulay
Service de chirurgie plastique, reconstructrice, esthétique et traitement chirurgical des brûlés, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address: barbara.hersant@gmail.com.
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B
Hersant
Service de chirurgie plastique, reconstructrice, esthétique et traitement chirurgical des brûlés, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France. Electronic address: maurice.mimoun@me.com.
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Mimoun
D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001706:Biopsy; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053208:Kaplan-Meier Estimate; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D011379:Prognosis; D012189:Retrospective Studies; D035441:Thoracic Wall / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
Artificial dermis; Breast cancer; Cancer du sein; Chest wall resection; Chondrite; Chondritis; Derme artificiel; Pariétectomie