دورية أكاديمية
Chest wall resection for breast cancer: 21st century Mayo clinic experience.
| العنوان: | Chest wall resection for breast cancer: 21st century Mayo clinic experience. |
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| المؤلفون: | Durgan DM; Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA., De La Cruz Ku G; Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.; Universidad Cientifica del Sur, Lima, Perú., Thomas M; Division of Thoracic Surgery, Mayo Clinic, Jacksonville, Florida, USA., Pockaj BA; Department of Surgery, Division of Surgical Oncology and Endocrine Surgery, Mayo Clinic, Phoenix, Arizona, USA., McLaughlin SA; Department of Surgery, Mayo Clinic, Jacksonville, Florida, USA., Casey WJ; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Phoenix, Arizona, USA., Vijayasekaran A; Division of Plastic and Reconstructive Surgery, Mayo Clinic, Rochester, Minnesota, USA., Wigle D; Division of Thoracic Surgery, Mayo Clinic, Rochester, Minnesota, USA., Cheville JC; Department of Pathology, Mayo Clinic, Rochester, Minnesota, USA., Tonneson J; Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA., Hoskin TL; Department of Biostatistics, Mayo Clinic, Rochester, Minnesota, USA., Jakub JW; Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA. |
| المصدر: | Journal of surgical oncology [J Surg Oncol] 2022 Nov; Vol. 126 (6), pp. 962-969. Date of Electronic Publication: 2022 Jul 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 0222643 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1096-9098 (Electronic) Linking ISSN: 00224790 NLM ISO Abbreviation: J Surg Oncol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2005-> : Hoboken, NJ : Wiley-Liss Original Publication: New York, Plenum. |
| مواضيع طبية MeSH: | Breast Neoplasms*/pathology , Breast Neoplasms*/surgery , Thoracic Wall*/pathology , Thoracic Wall*/surgery, Female ; Humans ; Neoplasm Recurrence, Local/pathology ; Radiotherapy, Adjuvant ; Retrospective Studies |
| مستخلص: | Background: We hypothesized full-thickness chest wall resection (FTCWR) with advanced surgical techniques and modern systemic therapy is safe, provides local control, and good overall survival. Methods: Retrospective review of FTCWR (including rib or part of sternum) for breast cancer between 2000 and 2020. Primary endpoints included 90-day morbidities and all-cause mortality. Secondary endpoints were loco-regional and distant recurrence, DFS and overall survival (OS). Results: A total of 35 patients met the criteria. 34 FTCWR were for recurrence and the median time to chest wall recurrence was 6 years. Tumor subtype was triple-negative in 51% and the remainder HR+ Her2-. 58% were palliative resections. FTCWR included rib(s) in 89% and portion of sternum in 57%; 94% required reconstruction and 80% were R0 resections. There were no 90-day mortalities. Overall morbidity was 10/35(28%). 17(49%) patients received neoadjuvant systemic therapy for their recurrence and three received neoadjuvant radiation. Adjuvant treatment included chemotherapy (8), endocrine therapy (3), and both (8). Ten patients (28%) received adjuvant radiation. The Median follow-up was 31 months and there were 6 (17%) loco-regional and 7 (20%) distant recurrences. OS was 86% and 67% at 1 and 3 years, respectively. Conclusion: FTCWR was associated with low morbidity, mortality, recurrence rates, and good OS. Selective FTCWR is safe and has acceptable short-term survival rates. (© 2022 Wiley Periodicals LLC.) |
| References: | Amin MB, Edge S, Greene F, et al, American Joint Committee on CancerAJCC Cancer Staging Manual: Breast. 8th ed. Springer; 2017. Levy Faber D, Fadel E, Kolb F, et al. Outcome of full-thickness chest wall resection for isolated breast cancer recurrence. EurJ Cardio-Thorac Surg. 2013;44(4):637-642. NCCN Clinical Practice Guidelines in Oncology: Breast Cancer. National Comprehensive Cancer Network. Version1.2022-November 24, 2021. Accessed December 19, 2021. http://www.nccn.org/professionals/physician_gls/pdf/breast.pdf. Santillan AA, Kiluk JV, Cox JM, et al. Outcomes of locoregional recurrence after surgical chest wall resection and reconstruction for breast cancer. Ann Surg Oncol. 2008;15(5):1322-1329. Shen MC, Massarweh NN, Lari SA, et al. Clinical course of breast cancer patients with isolated sternal and full-thickness chest wall recurrences treated with and without radical surgery. Ann Surg Oncol. 2013;20(13):4153-4160. Elmi M, Wakeam E, Azin A, et al. Surgical morbidity of Full-Thickness chest wall resection for breast cancer: a retrospective study of a national database. J Surg Res. 2021;257:161-166. Wakeam E, Acuna SA, Keshavjee S. Chest wall resection for recurrent breast cancer in the modern era: a systematic review and meta-analysis. Ann Surg. 2018;267(4):646-655. |
| فهرسة مساهمة: | Keywords: curative; locally advanced; morbidity; palliative; survival |
| تواريخ الأحداث: | Date Created: 20220713 Date Completed: 20221011 Latest Revision: 20221011 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1002/jso.27014 |
| PMID: | 35830290 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1096-9098 |
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| DOI: | 10.1002/jso.27014 |