• Adrian Constantin General and Esophageal Surgery Clinic, Center of Excellence in Esophageal Surgery, “Sf..Maria” Clinical Hospital, Bucharest, Romania
  • Florin Ion Achim Carol Davila University of Medicine and Pharmacy Bucharest
  • Ruxandra Ciofu Department of Plastic Surgery, “Sf..Maria” Clinical Hospital, Bucharest, Romania
  • Adelina Bîrceanu Department of Pathological Anatomy, “Sf..Maria” Clinical Hospital, Bucharest, Romania
  • Roxana Lupașcu General and Esophageal Surgery Clinic, Center of Excellence in Esophageal Surgery, “Sf..Maria” Clinical Hospital, Bucharest, Romania
  • Evelina Chiriță Department of Oncology, “Sf..Maria” Clinical Hospital, Bucharest, Romania
  • Dragoș Predescu General and Esophageal Surgery Clinic, Center of Excellence in Esophageal Surgery, “Sf..Maria” Clinical Hospital, Bucharest, Romania
  • Silviu Constantinoiu General and Esophageal Surgery Clinic, Center of Excellence in Esophageal Surgery, “Sf..Maria” Clinical Hospital, Bucharest, Romania
Keywords: Toilet mammectomy, advanced breast cancer, quality of life, anterior chest wall reconstruction


Although significant progress has been made in the last decade in the prevention, diagnosis and early treatment of breast cancer, late presentation to the physician continues to be a common scenario, especially in developing countries. The discussion focuses on the role of palliative mastectomy in improving the quality of life and increasing the survival rate, which continues to be an important adjunct in metastatic and locally advanced breast cancer. It remains a challenge for the physician to decide in advanced disease situations what is best for the patient and what is technically possible to achieve. We present the case of a patient who seeks medical attention late, when the tumor invades the entire breast and there are local complications such as hemorrhage.


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