Tratamento cirúrgico do câncer de mama invadindo a parede torácica: reconstrução da parede torácica em três camadas Surgical treatment of breast cancer invading the chest wall: reconstruction in three layers

1 ABSTRACT Eventhough the advances in screening and early diagnosis in breast cancer, there are a lot of dramatic cases of locally advanced tumors and locorregional recurrences that demands great resections of the skin and in some cases the resections of the chest wall and the sternum. The author describe a personal tech - nique of the chest wall reconstruction based upon the confection of a net of steel stitches, polypropylene mesh covered by muscular or myocutaneous flaps.