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Thoracic Wall Reconstruction in Local Recurrences and Advanced Cases

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Oncoplastic and Reconstructive Breast Surgery

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Abstract

The incidence of local recurrences after mastectomy and breast-conserving therapy ranges between 5 and 40 % depending on risk factors and primary therapy. Although palliation rather than prolongation of survival is usually the main aim of chest wall resection, whether complete resection of local recurrence offers a palliative or curative approach or major prolongation of survival continues to be unclear. In a correctly selected group of patients undergoing chest wall resection after local recurrence of breast cancer, the primary goal is to regain local control regardless of the extent of disease; some of these patients, in fact, will present with painful, infected, ulcerated, or fungating lesions that cause great distress to the patients. Complete resection with free margins is recommended as the first choice for treatment in recurrent breast cancer. Although the primary goal of chest wall resection is to achieve local control of the tumor, potentially leading to a long-term palliation, another result may be cure in a small subset of patients with isolated chest wall recurrence of breast cancer. A standard chest wall resection and reconstruction technique by use of a rigid parietal prosthesis and myocutaneous flap is described.

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Authors and Affiliations

  1. Department of Thoracic Surgery, European Institute of Oncology, Milan, Italy

    Lorenzo Spaggiari, Francesco Petrella & Piergiorgio Solli

  2. University of Milan School of Medicine, Milan, Italy

    Lorenzo Spaggiari

Authors
  1. Lorenzo Spaggiari
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  2. Francesco Petrella
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  3. Piergiorgio Solli
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Corresponding author

Correspondence to Francesco Petrella .

Editor information

Editors and Affiliations

  1. , BreastUnit, Hospital Nossa Senhora das Gracas, Rua Padre Agostinho 913 ap 51, Curitiba, 80430050, Brazil

    Cicero Urban

  2. , Plastic and Reconstructive Division, European Institute of Oncology, Via Ripamonti, 435, Milan, 20100, Italy

    Mario Rietjens

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© 2013 Springer-Verlag Italia

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Spaggiari, L., Petrella, F., Solli, P. (2013). Thoracic Wall Reconstruction in Local Recurrences and Advanced Cases. In: Urban, C., Rietjens, M. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Milano. https://doi.org/10.1007/978-88-470-2652-0_44

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  • DOI: https://doi.org/10.1007/978-88-470-2652-0_44

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  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2651-3

  • Online ISBN: 978-88-470-2652-0

  • eBook Packages: MedicineMedicine (R0)

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