A case of chest wall recurrence after mastectomy for breast cancer that showed response to chemotherapy
Hasegawa, K.; Matsui, T.; Aoyagi, H.; Yoshida, T.; Kaneko, J.; Maejima, S.
Gan to Kagaku Ryoho. Cancer and ChemoTherapy 40(12): 2378-2380
2013
ISSN/ISBN: 0385-0684 PMID: 24394118 Document Number: 667367
We report a case of a 55-year-old woman who underwent mastectomy and axillary lymph node dissection for right breast cancer( T2N1cM0) 7 years previously. She had been experiencing chest pain for 1 year. Ultrasonography( US) showed a low echoic mass, 1 cm in diameter, near the rib in the right breast (class 5).Magnetic resonance imaging (MRI) and positron emission tomography( PET)-computed tomography( CT) scans revealed an 8-cm wide, segmentally enhancing soft tissue lesion and enhanced lymph nodes at the right edge of the sternum. Under the diagnosis of local recurrence, the patient received chemotherapy consisting of adriamycin and cyclophosphamide( AC) and docetaxel. Definite improvement in chest wall metastasis was observed following this treatment. By changing the treatment to endocrine therapy, the disease has been effectively controlled.