Palliative Surgery for Locally Recurrent Breast Cancer

Akiko Morishita, Takashi Yoshida, Yoshinari Goto
2020 The Kitakanto Medical Journal  
During the terminal phase of breast cancer, management of local lesions is frequently difficult. Local recurrence of breast cancer is not life-threating, but subsequent distant metastasis is frequent, and the metastasis is an adverse prognostic factor requiring systemic treatment. However, in some cases, systemic treatment or radiation therapy is not possible, and surgery is the only available treatment for the local recurrence. In this study, we present three cases of repeated local recurrence
more » ... ed local recurrence without other treatment options, and discuss the role of palliative surgery in local recurrence of breast cancer. Surgery is indicated when 1) the prognosis after surgery is expected to be at least three months; 2) performance status (PS) is 2 or better; 3) there is no significant deviation in CRP, serum albumin, or hemoglobin levels, 4) the patient is expected to be out of bed the day after surgery and 5) the patient' s hospital stay is expected to be about one week.
doi:10.2974/kmj.70.119 fatcat:cauysxbdq5cabjqyid5q5bhiae