TY - JOUR
T1 - Subclavicular recurrence of breast cancer
T2 - Does surgery play a role?
AU - Veronesi, Giulia
AU - Scanagatta, Paolo
AU - Leo, Francesco
AU - Petrella, Francesco
AU - Galetta, Domenico
AU - Gasparri, Roberto
AU - Borri, Alessandro
AU - Pelosi, Giuseppe
AU - Leon, Maria Elena
AU - Spaggiari, Lorenzo
PY - 2006/10
Y1 - 2006/10
N2 - Occasionally, breast cancer relapses in the subclavicular region. In patients with failed multimodal treatment, or in those who develop an isolated recurrence, surgical resection may be useful to remove all macroscopically evident diseases. However, the procedure may be technically demanding and there are no published data regarding its benefits. The aim of the present study was to evaluate the feasibility and safety of subclavicular resection in breast cancer and provide indications as to whether it can contribute to disease control. We used a transpectoral approach to surgically remove isolated breast cancer recurrence in the subclavicular region in seven consecutive patients presenting over 2 years; in the eighth case a transmanubrial approach was necessary. We found that the surgical approach proposed is feasible and safe, with a 75% rate of complete resection; however, the series was characterised by a high rate of local and distant relapse. We conclude that the technique may be useful, in selected cases, for palliation only.
AB - Occasionally, breast cancer relapses in the subclavicular region. In patients with failed multimodal treatment, or in those who develop an isolated recurrence, surgical resection may be useful to remove all macroscopically evident diseases. However, the procedure may be technically demanding and there are no published data regarding its benefits. The aim of the present study was to evaluate the feasibility and safety of subclavicular resection in breast cancer and provide indications as to whether it can contribute to disease control. We used a transpectoral approach to surgically remove isolated breast cancer recurrence in the subclavicular region in seven consecutive patients presenting over 2 years; in the eighth case a transmanubrial approach was necessary. We found that the surgical approach proposed is feasible and safe, with a 75% rate of complete resection; however, the series was characterised by a high rate of local and distant relapse. We conclude that the technique may be useful, in selected cases, for palliation only.
KW - Breast cancer recurrence
KW - Lymph node metastasis
KW - Surgery
UR - http://www.scopus.com/inward/record.url?scp=33749451621&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33749451621&partnerID=8YFLogxK
U2 - 10.1016/j.breast.2006.01.011
DO - 10.1016/j.breast.2006.01.011
M3 - Article
C2 - 16621560
AN - SCOPUS:33749451621
VL - 15
SP - 649
EP - 653
JO - Breast
JF - Breast
SN - 0960-9776
IS - 5
ER -