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

Patient: Female, 43 Final Diagnosis: Metastatic breast cancer Symptoms: Breast lesion, breast tumor Medication: — Clinical Procedure: Chest wall reconstruction with a bilayered wound matrix mesh following toilet mastectomy Specialty: Surgery OBJECTIVE: Unusual or unexpected effect of treatment 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.