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24 November 2019 : Case report  Lebanon

Chest Wall Reconstruction with a Bilayered Wound Matrix Mesh Following Toilet Mastectomy

Unusual or unexpected effect of treatment

Houssein Haidar Ahmad1ACDE, Gregory Nicolas2ACDE*, Christian Saliba2ABCDEFG, Maher A. Ghandour1BDE, Nancy M. Zeaiter1BDE, Hassan Alzein1CEF, Ali Kassem1CEF, Mohamad Ali Al Akhrass3CDEF, Muhamed Kubaissi4BCE, Hassan Rahhal5BD, Nada Ibrahim6BEF, Ahmad Chahrour1ACDE

DOI: 10.12659/AJCR.915811

Am J Case Rep 2019; 20:1736-1739

Abstract

BACKGROUND: Breast cancer is still the most common malignancy in women. Though management of local disease has been thoroughly studied, management of metastatic breast cancer (MBC) is still under much debate. Modern diagnostic tools allow the detection of early metastatic disease, which may be more responsive to treatment than late metastatic disease. Source control of MBC by “toilet mastectomy” is being studied in many case reports and studies.

CASE REPORT: We present the case of a 43-year-old woman presenting with MBC and complaining of a recurrent breast fungating disease, aiming to highlight the importance of palliative surgical treatment in systemic breast malignancy and to report our experience with the effectiveness of the ‘Integra” mesh.

CONCLUSIONS: Chest wall reconstruction using bilayered wound matrix mesh following “toilet mastectomy” offers excellent reconstructive results and local control of disease, and is a low-morbidity procedure.

Keywords: Breast, Mastectomy, Oncology Service, Hospital, Adult, Breast Neoplasms, Fatal Outcome, Palliative Care, Reconstructive Surgical Procedures, Surgical Mesh, Thoracic Wall

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923