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

Authors
  • Haidar Ahmad, Houssein1
  • Nicolas, Gregory2
  • Saliba, Christian2
  • Ghandour, Maher A1
  • Zeaiter, Nancy M1
  • Alzein, Hassan1
  • Kassem, Ali1
  • Al Akhrass, Mohamad Ali3
  • Kubaissi, Muhamed4
  • Rahhal, Hassan5
  • Ibrahim, Nada6
  • Chahrour, Ahmad1
  • 1 Division of Surgery, Saint George Hospital, Hadath, Lebanon. , (Lebanon)
  • 2 Division of Surgery, Lebanese American University Medical Center - Rizk Hospital, Beirut, Lebanon. , (Lebanon)
  • 3 Division of Hematology-Oncology, Saint George Hospital, Hadath, Lebanon. , (Lebanon)
  • 4 Department of Intensive Care, Saint Georges Hospital, Hadath, Lebanon. , (Lebanon)
  • 5 Department of Infectious Diseases, Saint George Hospital, Hadath, Lebanon. , (Lebanon)
  • 6 Department of Pediatric Infectious Diseases, Rafic Hariri University Hospital, Beirut, Lebanon. , (Lebanon)
Type
Published Article
Journal
The American journal of case reports
Publication Date
Nov 24, 2019
Volume
20
Pages
1736–1739
Identifiers
DOI: 10.12659/AJCR.915811
PMID: 31760403
Source
Medline
Language
English
License
Unknown

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.

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