A 54-year-old man was seen at the hospital in December 1995, because he had noticed a left precordial tumor in August 1995. There was a previous history of undergoing a left pectoral muscle -preserving mastectomy (Bt+Ax) for a left breast cancer (T1N0M0, stage I) at another hospital on September 30, 1987. This time the patient had no distant metastasis nor mediastinal invasion and was diagnosed as having local recur-rence to the chest wall. On January 30, 1996, a resection of the chest wall with reconstruction was performed that resulted in curative resection. The resected material revealed the same mucinous carcinoma as the primary lesion and positive responses to both estrogen and progesterone receptors. Adjuvant chemotherapy and hormonal therapy were added. There have been no signs of recurrence 3 years since operation.
We have gained a favorable result by performing a resection of the chest wall for solitary nodule type local recurrence to the chest wall in a male patient after an 8-year disease free period following the initial operation. In male breast cancers, aggressive surgery for chest wall recurrence appears to promise better prognosis like in female breast cancers, if there are no distant metastasis nor mediastinal invasion.