A case of breast cancer with liver metastases ; performed with radical mastectomy for breast cancer and MCT for the liver metastases simultaneously

Abstract

We experienced a case of breast cancer with liver metastases performed with radical mastectomy for the primary mammary lesion and microwave coagulation therapy (MCT) for the metastatic lesions in the liver simultaneously. On the laparotomy, four lesions were detected in S₄ and in S₃ of the liver. One lesion in S₃ was resected for histological examination, and the others were treated with MCT. After the operation systemic chemotherapy (CEF) with hormone therapy was adapted. Postoperative course was good except for the liver abscess, which was formed in S₄, just the same site ablated with MCT. By drainage of the liver abscess, both the abscess cavity and the symptom were disappeared. No report about simultaneous MCT for the hepatic metastases together with radical mastectomy was seen in the literature. We expect this strategy in one of the options for breast cancer with liver metastasis.