Abstract
The Brazilian Society of Oncological Surgery organized a group of oncological surgeons to discuss surgical aspects associated with locally advanced breast carcinoma. This article reviews the indications, the different surgeries (especially those associated with thoracoabdominal or myocutaneous flaps), and associated complications. It discusses special conditions such as invasion of the chest wall and interscapular thoracic disarticulation. It makes recommendations based on the literature regarding clinical findings, tumor conditions, response to neoadjuvant therapy, choice of flaps in surgery, and tumor biology.
Highlights
In 2020, a group of breast studies was conducted within the Brazilian Society of Oncological Surgery
We observed the rarity of publications on the subject and chose to conduct a succinct review of the main surgical treatments performed by breast surgeons involved in treating LABC
Thoracoabdominal flaps are described in case series, are easy to perform, do not require the involvement of reconstructive surgeons, and have a higher rate of necrosis than myocutaneous flaps, with variations in the complication rate according to the type of flap [36]
Summary
In 2020, a group of breast studies was conducted within the Brazilian Society of Oncological Surgery. In the absence of randomized studies in these repair methods, the choice of flap depends on the extent of tissue loss, the clinical condition of the patient, the need for concomitant chest wall resection based on the experience of the surgical team, and the material resources available [36].
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