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Medical Science Monitor Basic Research


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

Unusual or unexpected effect of treatment

Houssein Haidar Ahmad, Gregory Nicolas, Christian Saliba, Maher A. Ghandour, Nancy M. Zeaiter, Hassan Alzein, Ali Kassem, Mohamad Ali Al Akhrass, Muhamed Kubaissi, Hassan Rahhal, Nada Ibrahim, Ahmad Chahrour

Lebanon Division of Surgery, Saint George Hospital, Hadath, Lebanon

Am J Case Rep 2019; 20:1736-1739

DOI: 10.12659/AJCR.915811

Available online: 2019-11-24

Published: 2019-11-24


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.

Keywords: Breast, Mastectomy, Oncology Service, Hospital