Successful multimodal treatment of a breast cancer patient with a recurrence invading the chest wall

Giacomo Corrado, Anna Elvira Di Stefano, Vanda Salutari, Alessio Piraino, Stefano Margaritora, Alessandro Lucidi, Giovanni Scambia, Maria Gabriella Ferrandina

Risultato della ricerca: Contributo in rivistaArticolo in rivista


We describe successful operative management of a solitary breast cancer metastasis in the chest wall after complete response with concomitant non-pegylated liposomal doxorubicin (NPLD) and docetaxel followed by sternal rib resection with prosthetic reconstruction. We report a case of a 41-year-old woman who had a breast cancer recurrence infiltrating neighboring osteo-cartilage of the left sternal body, the cartilaginous portion of the third and fourth ipsilateral ribs and was inseparable from the rear side pectoral reaching deep into contiguity with the pericardium. After 6 cycles of chemotherapy with NPLD plus docetaxel, sternal rib resection with prosthetic reconstruction was performed. Histological examination did not show any evidence of residual tumor. At 9 months of follow-up, the patient appears free of disease. Our case demonstrates that a multimodal approach in patients with chest wall recurrence of breast cancer without distant metastasis, may be safe and effective for maintaining a good quality of life.
Lingua originaleEnglish
pagine (da-a)49-52
Numero di pagine4
RivistaJournal of Chemotherapy
Stato di pubblicazionePubblicato - 2011


  • Adult
  • Antineoplastic Combined Chemotherapy Protocols
  • Breast Neoplasms
  • Chemotherapy, Adjuvant
  • Doxorubicin
  • Female
  • Humans
  • Neoplasm Invasiveness
  • Neoplasm Metastasis
  • Neoplasm Recurrence, Local
  • Polyethylene Glycols
  • Reconstructive Surgical Procedures
  • Ribs
  • Taxoids
  • Thoracic Wall


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