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Treatment of recurrence in the chest wall
Treatment of recurrence in the chest wall
If the recurrence of the tumor arose in the place where the mastectomy was performed (ie complete removal of the breast with the underlying pectoral muscles and axillary lymph nodes), it is a relapse in the chest wall. Indeed, in this place after a mastectomy is not no breast tissue, but only the chest wall. Usually the operation is performed first to remove the tumor.
But in these cases, surgery is rare:
Several tumors, which are widely dispersed throughout the body.
The presence of a rash of red, which is a transition to the skin cancer.
If a relapse occurs in a place where it was performed reconstructive surgery, sometimes the implant or flap is removed.
The next stage of treatment after surgery is a course of radiation therapy, if before you, it was not done. However, if you had done such a treatment, and in this case is possible to use a short course of irradiation.
However, the likelihood of side effects from radiation is much higher:
It is hard to heal skin rashes,
Increased risk of fracture ribs because of the effects of radiation on bone,
Rumen development process in the muscles, causing them to seal.
In order to reduce the impact of side effects after repeated exposure to radiation, a doctor spends a few changes in treatment.
To do this: cnizhaetsya amount of radiation at each dose, frequency of exposure cokraschaetsya, reduced area of exposure.
For example, radiation therapy can be carried out in small doses twice a day. Whereas in the past you did not receive radiation therapy, side effects are less pronounced. It is possible that they will have the usual form of sunburn, which shows redness, irritation, itching and slight peeling of the skin. In order to reduce these effects, your doctor may prescribe a variety of ointments or creams (eg 1% hydrocortisone ointment, cream, aloe vera-based, and so on).
If the exposure you have any chest pain, painkillers are appointed by either anti-inflammatory. In some cases, the presence of breast implants radiation exposure can cause the formation of rough scar tissue around them. This can cause pain, as well as changes in the form of an implant.
In the case of recurrence in the chest wall can be recommended to carry out a system of treatment: chemotherapy, hormonal therapy and target therapy. Approximately half of women with recurrent breast cancer in the chest wall tumor cells are gradually moving out of the chest. Systemic treatment with drugs aimed at the destruction of these cells.
Chemotherapy is not performed if the patient has all these states:
The patient is postmenopausal
The patient has only one tumor in the chest wall, which can be removed
The interval between the last treatment of breast cancer recurrence and the development of more than 10 years.
Type of treatment depends in part on what had been treated before. Sometimes a tumor recurrence in the chest wall can occur during hormonal therapy. In this case, a change of medication is generally recommended hormone replacement therapy on the other.
