Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature

<i>Introduction</i>: Symptomatic calcifications of the breast or skin after breast cancer surgery and adjuvant radiotherapy are a rare entity, with only a few case reports published worldwide, reducing the patient’s quality of life, whilst asymptomatic calcifications are a common finding...

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Main Authors: Jan Žatecký, Oldřich Coufal, Dobroslav Sekret, Matúš Peteja
Format: Article
Language:English
Published: MDPI AG 2024-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/60/3/399
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author Jan Žatecký
Oldřich Coufal
Dobroslav Sekret
Matúš Peteja
author_facet Jan Žatecký
Oldřich Coufal
Dobroslav Sekret
Matúš Peteja
author_sort Jan Žatecký
collection DOAJ
description <i>Introduction</i>: Symptomatic calcifications of the breast or skin after breast cancer surgery and adjuvant radiotherapy are a rare entity, with only a few case reports published worldwide, reducing the patient’s quality of life, whilst asymptomatic calcifications are a common finding on imaging methods. <i>Case presentation</i>: Herein, we present a rare case report of calcifications after mastectomy and post-mastectomy radiation therapy causing chronic inflammation with ulceration and fistula formation, with a two-step surgical approach consisting of excision with linear suture and excision with the reconstruction using a thoraco-epigastric flap. <i>Conclusions</i>: To our knowledge, this is the first publication proving the feasibility of this therapy in patients with symptomatic dystrophic calcifications of the skin or the breast. Moreover, the article provides an up-to-date review of published studies about symptomatic calcifications after breast cancer surgery and radiotherapy with a focus on the time of the clinical manifestation from the radiotherapy and the used radiotherapy scheme.
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spelling doaj.art-1f41f63bbe974c6985e8f0f4ea87c0662024-03-27T13:53:30ZengMDPI AGMedicina1010-660X1648-91442024-02-0160339910.3390/medicina60030399Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the LiteratureJan Žatecký0Oldřich Coufal1Dobroslav Sekret2Matúš Peteja3Department of Surgical Oncology, Masaryk Memorial Cancer Institute, 602 00 Brno, Czech RepublicDepartment of Surgical Oncology, Masaryk Memorial Cancer Institute, 602 00 Brno, Czech RepublicDepartment of Surgery, Silesian Hospital in Opava, 746 01 Opava, Czech RepublicDepartment of Surgery, Silesian Hospital in Opava, 746 01 Opava, Czech Republic<i>Introduction</i>: Symptomatic calcifications of the breast or skin after breast cancer surgery and adjuvant radiotherapy are a rare entity, with only a few case reports published worldwide, reducing the patient’s quality of life, whilst asymptomatic calcifications are a common finding on imaging methods. <i>Case presentation</i>: Herein, we present a rare case report of calcifications after mastectomy and post-mastectomy radiation therapy causing chronic inflammation with ulceration and fistula formation, with a two-step surgical approach consisting of excision with linear suture and excision with the reconstruction using a thoraco-epigastric flap. <i>Conclusions</i>: To our knowledge, this is the first publication proving the feasibility of this therapy in patients with symptomatic dystrophic calcifications of the skin or the breast. Moreover, the article provides an up-to-date review of published studies about symptomatic calcifications after breast cancer surgery and radiotherapy with a focus on the time of the clinical manifestation from the radiotherapy and the used radiotherapy scheme.https://www.mdpi.com/1648-9144/60/3/399calcificationsmastectomybreast cancerradiotherapy
spellingShingle Jan Žatecký
Oldřich Coufal
Dobroslav Sekret
Matúš Peteja
Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature
Medicina
calcifications
mastectomy
breast cancer
radiotherapy
title Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature
title_full Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature
title_fullStr Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature
title_full_unstemmed Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature
title_short Symptomatic Calcifications after Mastectomy: A Rare Case Report with a Review of the Literature
title_sort symptomatic calcifications after mastectomy a rare case report with a review of the literature
topic calcifications
mastectomy
breast cancer
radiotherapy
url https://www.mdpi.com/1648-9144/60/3/399
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AT oldrichcoufal symptomaticcalcificationsaftermastectomyararecasereportwithareviewoftheliterature
AT dobroslavsekret symptomaticcalcificationsaftermastectomyararecasereportwithareviewoftheliterature
AT matuspeteja symptomaticcalcificationsaftermastectomyararecasereportwithareviewoftheliterature