Palliative interscapulothoracic amputation in the management of the breast cancer patient

Holleb, Arthur I.; Lucas, John C.

doi:10.1002/1097-0142(195907/08)12:4<643::aid-cncr2820120403>3.0.co;2-i

Cited by 15 publications

(6 citation statements)

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“…5,6 Forequarter amputation for palliative treatment of axillary chest wall cutaneous metastasis of breast carcinoma has also been reported by Wittig et al, 4 Pressman, 13 and Holleb and Lucas. 3 Goodman et al 14 reported a 35-month disease-free follow-up period in a 56-year-old woman with recurrent breast carcinoma to the cutaneous tissues of the axillary region who was treated with forequarter amputation. This patient presented with a 7 ϫ 7-cm necrotic mass in the cutaneous tissues of the left axilla.…”

Section: Discussionmentioning

confidence: 99%

“…2 Extensive involvement of the upper extremity was also not reported. Cutaneous metastatic breast carcinoma that has spread to the axillary region requiring palliative treatment has been reported by several researchers, 3,4 and metastatic involvement of the bones of the hand and wrist from breast cancer is well recognized. 5 We report a case of extensive cutaneous metastatic breast carcinoma of the upper limb with distant involvement of the hand.…”

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confidence: 99%

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Extensive Cutaneous Metastatic Breast Carcinoma of the Hand and Upper Extremity: A Case Report

French

Murray

Perdikis

2007

The Journal of Hand Surgery

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Extensive Cutaneous Metastatic Breast Carcinoma of the Hand and Upper Extremity: A Case Report

French

Murray

Perdikis

2007

The Journal of Hand Surgery

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“…Indications and results, however, have been similar to ours. Holleb and Lucas [7], in 1959, reported on six patients who underwent palliative forequarter amputation for a painful, lymphedematous, useless upper extremity secondary to recurrent breast carcinoma or radiation-induced complications from primary treatment. Five of six patients were relieved of pain and had no tumor recurrence.…”

Section: Discussionmentioning

confidence: 99%

Palliative forequarter amputation for metastatic carcinoma to the shoulder girdle region: Indications, preoperative evaluation, surgical technique, and results

et al. 2001

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Background and Objectives Uncontrolled metastatic carcinoma of the shoulder girdle is a difficult oncologic problem. This study reviews our experience with palliative forequarter amputation with emphasis on patient selection criteria, preoperative radiologic assessment, surgical technique, epineural postoperative analgesia, and clinical outcome. Methods Eight patients who underwent palliative forequarter amputation for metastatic carcinoma between 1980 and 1999 were analyzed retrospectively. Diagnoses included breast carcinoma (n = 3), squamous cell carcinoma (n = 2), hypernephroma (n = 2), and carcinoma of unknown origin (n = 1). All patients presented with severe, intractable pain and a useless extremity. Venography demonstrated obliteration of the axillary vein in each of the patients in whom this procedure was performed. Exploration of the brachial plexus confirmed tumor encasement and unresectability in all patients. Epineural catheters for bupivacaine infusion were placed for postoperative pain control. Results All patients experienced dramatic pain relief and improved mobility and overall function. Life‐threatening hemorrhage and sepsis were alleviated. There were no instances of phantom limb pain or adverse psychological reactions, and no complications related to epineural analgesia. Conclusions Palliative forequarter amputation is relatively safe and reliable and provides effective pain relief for selected patients with unresectable metastatic carcinoma to the axilla and bony shoulder girdle in whom radiotherapy and/or chemotherapy has not been effective. The triad of pain, motor loss, and an obliterated axillary vein is indicative of brachial plexus infiltration and unresectability. J. Surg. Oncol. 2001; 77:105–113. © 2001 Wiley‐Liss, Inc.

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] Even in recurrent tumors, amputation is typically performed only when limb preservation is no longer possible. 15,16 One reason why major upper-limb amputations are avoided is that, unlike lower limb prostheses, upperlimb prostheses are inadequate aesthetic and functional substitutes for the native limbs.…”

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Major Upper-Limb Amputations for Malignant Tumors

Puhaindran¹,

Chou²,

Forsberg³

et al. 2012

The Journal of Hand Surgery

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Palliative interscapulothoracic amputation in the management of the breast cancer patient

Cited by 15 publications

References 0 publications

Extensive Cutaneous Metastatic Breast Carcinoma of the Hand and Upper Extremity: A Case Report

Extensive Cutaneous Metastatic Breast Carcinoma of the Hand and Upper Extremity: A Case Report

Palliative forequarter amputation for metastatic carcinoma to the shoulder girdle region: Indications, preoperative evaluation, surgical technique, and results

Major Upper-Limb Amputations for Malignant Tumors

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