Surgical treatment of liver metastasis from breast cancer
Marín Gómez, L.Miguel.; Jiménez Romero, C.; Pérez Saborido, B.; González-Pinto Arrillaga, I.; Loinaz Segurola, C.; Ortiz Johansson, C.; Ferrero Celemin, E.; Moreno González, E.
Hepato-Gastroenterology 51(56): 586-588
2004
ISSN/ISBN: 0172-6390 PMID: 15086209 Document Number: 580445
We report five patients who underwent laparotomy for liver metastasis from breast cancer without extrahepatic spread, with the intention to perform liver resection. All these patients had been subjected to modified radical mastectomy following systemic chemotherapy and periodical consecutive investigations to detect distant spreading. After laparotomy, patients have been regularly followed. Case 1, right trisegmentectomy in a 53-year-old woman, 36.5 months after the mastectomy. In the 17th postoperative month she continues without relapse. Case 2, hepatic artery ligature in a 41-year-old woman, 15 months after the mastectomy. In the 17th postoperative month she died. Case 3, bisegmentectomy (VI-VII) in a 51-year-old woman, 24 months after the mastectomy. In the 17th postoperative month she died. Case 4, exploratory laparotomy in a 51-year-old woman, 91 months after the mastectomy. In the 31th postoperative month she remains alive. Case 5, segmentectomy (IV) in a 59-year-old woman, 112 months after the mastectomy. In the 33th postoperative month she continues without relapse. As a conclusion, the surgical resection of liver metastasis from breast tumors after chemotherapy must be used in selected cases.