Curative use of forequarter amputation for recurrent breast cancer over an axillary area: a case report and literature review

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• 作者：Chun-Hao Tsai (5) (6)
  Huey-En Tzeng (6) (7)
  Wei-Kae Juang (8)
  Pei-Guo Chu (9)
  Patricia Fann (10)
  Yi-Chin Fong (11) (5)
  Horng-Chaung Hsu (5) (6)
  Yun Yen (12) (13)
  
  5. Department of Orthopedics ; China Medical University Hospital ; No. 91 Hsueh-Shih Road ; Taichung ; 404 ; Taiwan
  6. Graduate Institute of Clinical Medical Science ; China Medical University ; No. 91 Hsueh-Shih Road ; Taichung ; 404 ; Taiwan
  7. Division of Hematology/Oncology ; Taichung Veterans General Hospital ; 1650 Taiwan Boulevard Sect. 4 ; Taichung ; 40705 ; Taiwan
  8. Taipei Medical University ; 250 Wuxing Street ; Taipei City ; 110 ; Taiwan
  9. Department of Pathology ; City of Hope National Medical Center ; 1500 East Duarte Road ; Duarte ; CA ; 91010 ; USA
  10. Department of Medical Oncology ; City of Hope National Medical Center ; 1500 East Duarte Road ; Duarte ; CA ; 91010 ; USA
  11. School of Chinese Medicine ; China Medical University ; No. 91 Hsueh-Shih Road ; Taichung ; 404 ; Taiwan
  12. Department of Molecular Pharmacology ; City of Hope National Medical Center and Beckman Research Center ; 1500 East Duarte Road ; Duarte ; CA ; 91010 ; USA
  13. The PhD Program for Cancer Biology and Drug Discovery ; Taipei Medical University ; 250 Wuxing Street ; Taipei City ; 110 ; Taiwan
  
• 关键词：Breast cancer ; Forequarter amputation ; Recurrence
• 刊名：World Journal of Surgical Oncology
• 出版年：2014
• 出版时间：December 2014
• 年：2014
• 卷：12
• 期：1
• 全文大小：865 KB
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• 刊物主题：Surgical Oncology;
• 出版者：BioMed Central
• ISSN：1477-7819

文摘

Axillary recurrence of breast cancer that involves the brachial neurovascular bundle is uncommon. However, for many patients with such recurrence, forequarter amputation can play a palliative role in relieving excruciating pain and paralysis of the upper limb. Further, for those patients who do not have distant metastasis or other local-regional recurrence, forequarter amputation provides a chance for a cure. Only a few case reports of curative amputations for recurrent breast cancer are present in the literature. Here, we report a case of forequarter amputation for curative treatment of axillary recurrent breast cancer, together with a literature review. To date, we have followed the patient for three years after amputation, during which there has been no evidence of recurrence or metastasis. Although radical resection is feasible, it can be accompanied by surgical wound complications and psychosocial stress. Therefore, an organized multidisciplinary approach is needed to ensure the success of radical resection.