TOILET MASTECTOMY - CURRENT PERSPECTIVES, CASE PRESENTATION
Keywords:
Toilet mammectomy, advanced breast cancer, quality of life, anterior chest wall reconstruction
Abstract
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.
References
[1] F. Bray, Ferlay J, Soerjomataram I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2018;68:394-424.
[2] GLOBOCAN 2018. International Agency for Research on Cancer - IARC (http://gco.iarc.fr/today) World Health Organization
[3] EUCAN 2018. The European Cancer Observatory (ECO, http://eco.iarc.fr)
[4] P. Shankar Meena, Atul Ameta, Deepak Sethi and Anjali Sethi. A study of locally advanced breast cancer management in patients with rural background. International Journal of Surgery Science 2019; 3(4): 400-404
[5] National Cancer Institute. Surveillance, Epidemiology, and End Results (SEER) Program. Cancer stat facts: female breast cancer. Available at: https://seer.cancer.gov/statfacts/html/breast.html. Accessed June 17, 2020.
[6] J. Seok Park, Sei Hyun Ahn, Byung Ho Son, Eun Key Kim. Using Local Flaps in a Chest Wall Reconstruction after Mastectomy for Locally Advanced Breast Cancer. Vol. 42 / No. 3 / May 2015, Archives of Plastic Surgery, p288-p294
[7] RD. Foster, Hansen SL, Esserman LJ, et al. Safety of immediate transverse rectus abdominis myocutaneous breast reconstruction for patients with locally advanced disease. Arch Surg 2005;140:196-8.
[8] P. Persichetti, Tenna S, Cagli B, et al. Extended cutaneous ‘thoracoabdominal’ flap for large chest wall reconstruction.. Ann Plast Surg 2006;57:177-83.
[9] H. Haidar Ahmad et al.: Chest wall reconstruction with a bilayered wound matrix. Am J Case Rep, 2019; 20: 1736-1739
[10] M. Morrogh, Park A, Norton L, King TA. Changing indications for surgery in patients with stage IV breast cancer: a current perspective. Cancer. 2008 Apr 1;112(7):1445-54.
[11] S. Samiee, Berardi P, Bouganim N, et al. Excision of the primary tumour in patients with metastatic breast cancer: a clinical dilemma. Curr Oncol. 2012;19(4):e270-e279.
[12] S. Shibasaki, Jotoku H, Watanabe K, Takahashi M. Does primary tumor resection improve outcomes for patients with incurable advanced breast cancer? Breast. 2011;20:543–7
[13] AM. Leung, Vu HN, Nguyen KA, Thacker LR, Bear HD. Effects of surgical excision on survival of patients with stage IV breast cancer. J Surg Res. 2010 Jun 1;161(1):83-8.
[14] E. Rapiti, Verkooijen HM, et al. Complete excision of primary breast tumor improves survival of patients with metastatic breast cancer at diagnosis. Clin Oncol. 2006 Jun 20; 24(18):2743-9.
[15] SA. Khan, Stewart AK, et al. Does aggressive local therapy improve survival in metastatic breast cancer? Surgery. 2002 Oct; 132(4):620-6; discussion 626-7.
[16] NCCN Guidelines Metastatic Breast Cancer. 2020
[17] R. Gera, Chehade, H.E.L.H., Wazir, U. et al. Locoregional therapy of the primary tumour in de novo stage IV breast cancer in 216 066 patients: A meta-analysis. Sci Rep 10, 2952 (2020).
[18] S. Nomoto, Akai T, Nomiyama H, Kuwano H, Kuwabara Y, Yoshimitsu K. A retrospective study of the effectiveness of haemostatic radiotherapy with conventional fractionation in patients with advanced cancer J Cancer Res Ther. 2015;3:124–8.
[19] RJ. Skoracki, Chang DW. Reconstruction of the chestwall and thorax. J Surg Oncol 2006;94:455-65.
[20] N. Srinivasa Rao, S. Mythili Devi, K. Babji. ”Thoraco- abdominal flap for resurfacing large post mastectomy defects in locally advanced ca. Breast”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 6, February 9, 2015; Page: 699-704.
[21] DV. Dharkar, Moses S. Palliative Mastectomy Revisited Indian J Palliat Care. 2018 Jul-Sep;24(3):359-361).
[22] O. Pagani, Elżbieta Senkus, et al. International Guidelines for Management of Metastatic Breast Cancer: Can Metastatic Breast Cancer Be Cured? J
Natl Cancer Inst 2010;102:456–463
[23] R. Verma, Suzita Hirachan, Yogendra P Singh. Palliative Toilet Mastectomy for Advanced Breast Cancer in a University Hospital of Nepal. JIOM Nepal. 2020 Apr;42(1):71.
[24] S. Dingley, T. R. Wojda1, E. Paul, R. P. Sharpe. Palliative Toilet Mastectomy for Advanced Breast Cancer in Cameroon – Sometimes Doing Less is More. International Journal of Academic Medicine, Volume 3, Issue 2, July-December 2017, p310-311
[2] GLOBOCAN 2018. International Agency for Research on Cancer - IARC (http://gco.iarc.fr/today) World Health Organization
[3] EUCAN 2018. The European Cancer Observatory (ECO, http://eco.iarc.fr)
[4] P. Shankar Meena, Atul Ameta, Deepak Sethi and Anjali Sethi. A study of locally advanced breast cancer management in patients with rural background. International Journal of Surgery Science 2019; 3(4): 400-404
[5] National Cancer Institute. Surveillance, Epidemiology, and End Results (SEER) Program. Cancer stat facts: female breast cancer. Available at: https://seer.cancer.gov/statfacts/html/breast.html. Accessed June 17, 2020.
[6] J. Seok Park, Sei Hyun Ahn, Byung Ho Son, Eun Key Kim. Using Local Flaps in a Chest Wall Reconstruction after Mastectomy for Locally Advanced Breast Cancer. Vol. 42 / No. 3 / May 2015, Archives of Plastic Surgery, p288-p294
[7] RD. Foster, Hansen SL, Esserman LJ, et al. Safety of immediate transverse rectus abdominis myocutaneous breast reconstruction for patients with locally advanced disease. Arch Surg 2005;140:196-8.
[8] P. Persichetti, Tenna S, Cagli B, et al. Extended cutaneous ‘thoracoabdominal’ flap for large chest wall reconstruction.. Ann Plast Surg 2006;57:177-83.
[9] H. Haidar Ahmad et al.: Chest wall reconstruction with a bilayered wound matrix. Am J Case Rep, 2019; 20: 1736-1739
[10] M. Morrogh, Park A, Norton L, King TA. Changing indications for surgery in patients with stage IV breast cancer: a current perspective. Cancer. 2008 Apr 1;112(7):1445-54.
[11] S. Samiee, Berardi P, Bouganim N, et al. Excision of the primary tumour in patients with metastatic breast cancer: a clinical dilemma. Curr Oncol. 2012;19(4):e270-e279.
[12] S. Shibasaki, Jotoku H, Watanabe K, Takahashi M. Does primary tumor resection improve outcomes for patients with incurable advanced breast cancer? Breast. 2011;20:543–7
[13] AM. Leung, Vu HN, Nguyen KA, Thacker LR, Bear HD. Effects of surgical excision on survival of patients with stage IV breast cancer. J Surg Res. 2010 Jun 1;161(1):83-8.
[14] E. Rapiti, Verkooijen HM, et al. Complete excision of primary breast tumor improves survival of patients with metastatic breast cancer at diagnosis. Clin Oncol. 2006 Jun 20; 24(18):2743-9.
[15] SA. Khan, Stewart AK, et al. Does aggressive local therapy improve survival in metastatic breast cancer? Surgery. 2002 Oct; 132(4):620-6; discussion 626-7.
[16] NCCN Guidelines Metastatic Breast Cancer. 2020
[17] R. Gera, Chehade, H.E.L.H., Wazir, U. et al. Locoregional therapy of the primary tumour in de novo stage IV breast cancer in 216 066 patients: A meta-analysis. Sci Rep 10, 2952 (2020).
[18] S. Nomoto, Akai T, Nomiyama H, Kuwano H, Kuwabara Y, Yoshimitsu K. A retrospective study of the effectiveness of haemostatic radiotherapy with conventional fractionation in patients with advanced cancer J Cancer Res Ther. 2015;3:124–8.
[19] RJ. Skoracki, Chang DW. Reconstruction of the chestwall and thorax. J Surg Oncol 2006;94:455-65.
[20] N. Srinivasa Rao, S. Mythili Devi, K. Babji. ”Thoraco- abdominal flap for resurfacing large post mastectomy defects in locally advanced ca. Breast”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 6, February 9, 2015; Page: 699-704.
[21] DV. Dharkar, Moses S. Palliative Mastectomy Revisited Indian J Palliat Care. 2018 Jul-Sep;24(3):359-361).
[22] O. Pagani, Elżbieta Senkus, et al. International Guidelines for Management of Metastatic Breast Cancer: Can Metastatic Breast Cancer Be Cured? J
Natl Cancer Inst 2010;102:456–463
[23] R. Verma, Suzita Hirachan, Yogendra P Singh. Palliative Toilet Mastectomy for Advanced Breast Cancer in a University Hospital of Nepal. JIOM Nepal. 2020 Apr;42(1):71.
[24] S. Dingley, T. R. Wojda1, E. Paul, R. P. Sharpe. Palliative Toilet Mastectomy for Advanced Breast Cancer in Cameroon – Sometimes Doing Less is More. International Journal of Academic Medicine, Volume 3, Issue 2, July-December 2017, p310-311
Published
2022-05-02
How to Cite
[1]
A. Constantin, “TOILET MASTECTOMY - CURRENT PERSPECTIVES, CASE PRESENTATION”, JSS, vol. 9, no. 1, May 2022.
Section
Articles
