BACKGROUND: Uncontrolled @entity764 due to @entity0 is a highly morbid condition causing @entity158 , @entity1066 , malodour and the need for frequent dressings. Aggressive surgical approaches are rarely justified because most @entity1 will succumb to metastatic @entity0 within a short period. A highly selected group of @entity1 with minimal or no evidence of @entity3 and good performance status may benefit from radical chest wall surgery. @entity3314 are ideal for reconstructing extensive @entity154 following chest wall surgery. METHODS: A retrospective review was carried out of 61 female @entity1 treated consecutively between 1980 and 1995. The surgical technique is described herein. RESULTS: All @entity1 were symptomatic preoperatively. Symptoms included @entity1066 (80%), @entity158 (44%) and malodour (40%). Twenty-nine @entity1 had uncontrolled local recurrence following initial treatment for locally advanced @entity0 and 32 @entity1 developed uncontrolled recurrence after treatment for operable @entity0 by mastectomy or conservation surgery. Median survival following chest wall surgery was 21 months and the median local recurrence-free interval was 20 months. Morbidity was -limited. There were no cases of major @entity393 . Twenty-nine @entity1 (48%) had no further @entity66 . Eighteen @entity1 (30%) developed soft-tissue recurrence at the edge of the omental flap or in surrounding skin and 14 (23%) developed recurrence beneath the flap. CONCLUSION: In a highly selected group of @entity1 with symptomatic uncontrolled chest wall recurrence who are fit and have an expectation of at least moderate-term survival, radical chest wall surgery and omental flap transposition offers excellent palliation and local control in the majority of @entity1

Radical surgery with omental flap for uncontrolled locally recurrent XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity154 :: ('MESH:D000013', 'Disease') :: ['surgical defects'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer'] @entity66 :: ('MESH:D004194', 'Disease') :: ['local disease'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulceration'] @entity764 :: ('MESH:D013898', 'Disease') :: ['chest wall disease'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastatic disease'] @entity3314 :: ('MESH:D015436', 'Disease') :: ['Omental transposition flaps'] @entity393 :: ('MESH:D034381', 'Disease') :: ['flap loss']
@entity0 :: (MESH:D001943,Disease) :: ['breast cancer']
