Abstract
Seven women with recurrent breast carcinoma, which were treated by the combination of wide excision, immediately reconstruction with myocutaneous flap (TRAM or latissimus dorsi) and adjuvant brachytherapy, are reported. The mean interval between the mastectomy and the recurrence was 36 months (range 24–48) and mean age was 46.5 years (range 35–52 years). The patients received a brachytherapy dose of 4600 rad 7 days post-operation. The follow-up ranges from 26–37 months, and there has been no local recurrence or distant metastasis. The results, and advantages of the brachytherapy treatment are reported and a typical case is described.
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References
Chen KK, Montague ED, Oswald MJ (1985) Results of irradiation in the treatment and locoregional breast cancer recurrence. Cancer 56:1269
Chu FCH, Lin FG, Kim JH et al (1976) Locally recurrent carcinoma of the breast. Result of radiation therapy. Cancer 37: 2677
Dannoff BF, Coia LR, Lanter RI et al (1983) Locally recurrent breast carcinoma: the effect of adjuvant chemotherapy on prognosis. Radiology 147:849
Halverson KJ, Perez CA, Kuske RR et al (1990) Isolated local regional recurrence of breast cancer following mastectomy: radiotherapeutic management. Int J Radiat Oncol Biol Phys 19:851
Hartrampf CR, Bennett GK (1987) Autogenous tissue reconstruction in the mastectomy patient: a critical review of 300 patients. Ann Surg 205:508
Jacobson JM, Sauze WT, Thomson JW et al (1986) Breast irradiation following silicone gel implants. Int J Radiat Oncol Biol Phys 12:835
Krishnan L, Krishnan EC (1986) Electron beam irradiation after reconstruction with silicone gel implants in breast cancer. Am J Clin Oncol 9:223
Magno L, Bignardi M, Michelletti E et al (1987) Analysis of prognostic factors with isolated chest wall recurrence of breast cancer. Cancer 60:240
Nash AG, Taylor PR (1985) Breast reconstruction after failed conservation. Ann R Coll Surg Engl 67:303
Patanaphan V, Salzar OM, Poussin Rossillo H (1984) Prognosticators in recurrent breast cancer: 15 years experience with irradiation. Cancer 56:228
Recht A, Connolly JL, Schmitt SJ et al (1986) Conservative surgery and radiation therapy for early breast cancer: results, controversies and unresolved problems. Semin Oncol 13:434
Recht A, Hayes DF (1987) Specific sites and emergencies: local recurrence. In: Harris Jr, Hellmann S, Henderson IC (eds) Breast disease. Lippincott, Philadelphia, pp 508–524
Schuster RH, Kuske RR, Leroy Young V et al (1992) Breast reconstruction in women treated with radiation therapy for breast cancer: cosmesis, complications, and tumor control. Plast Reconstr Surg 90:445
Shedbalkar AR, Devata A, Padalina (1980) A study of the effect of radiation on silicone prosthesis. Plast Reconstr Surg 65:805
Toomkel LM, Fix I, Jacobsohn LH et al (1983) The significance of local recurrence of carcinoma of the breast. Int J Radiat Oncol Biol Phys 9:33
Valagussa P, Bonadonna G, Veronesi V (1978) Patterns of relapse and survival following radical mastectomy. Cancer 41: 1170
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Benmeir, P., Lusthaus, S., Weinberg, A. et al. Recurrent breast carcinoma treated by wide excision, immediate myocutaneous reconstruction and brachytherapy A successful preliminary report of seven cases. Eur J Plast Surg 18, 190–192 (1995). https://doi.org/10.1007/BF00207569
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DOI: https://doi.org/10.1007/BF00207569