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Masahiro Takeuchi,Takefumi Katsuki,Kumiko Yoshida,Kumiko Yoshida,Michinori Iwamura,Toshihiro Inokuchi,Akira Furutani,Tomoe Katoh,Kazuaki Kawano,Keiji Hirata 한국유방암학회 2021 Journal of breast cancer Vol.24 No.5
Locally advanced breast cancer (tumor > 5 cm, widespread infiltration of the skin and muscle, or metastases to lymph nodes) is difficult to resect by surgery, and even when it is resectable, there is a high probability of local recurrence and distant metastasis. Therefore, systemic therapy should be administered first. However, as cutaneous infiltration progresses, the patient's quality of life is impaired by pain, bleeding, presence of exudates, and a foulsmelling odor. Treatment with Mohs paste with systemic therapy can control symptoms associated with skin infiltration and can also be expected to decrease tumor volume. Herein, we report a case in which a tumor was resected following Mohs paste and systemic chemotherapy administration, and the skin defect was reconstructed with a latissimus dorsi myocutaneous flap. We also review the literature for previously reported cases of breast cancer involving Mohs paste.