system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Adult, Aged, Aged, 80 and over, Antineoplastic Combined Chemotherapy Protocols, Breast Neoplasms, Cisplatin, Cyclophosphamide, Doxorubicin, Drug Administration Schedule, Female, Fluorouracil, Humans, Methotrexate, Middle Aged, Neoplasm Staging, Retrospective Studies, Skin Ulcer, Thorax.
user
Is chemotherapy a safe and effective initial therapy for infected malignant breast and chest wall ulcers? Context: Locally advanced breast cancers may form large, infected skin ulcers, which were traditionally treated with radiation therapy. Neoadjuvant chemotherapy is now standard treatment for locally advanced breast cancer. The response of 33 patients with ulcerated breast cancer to primary chemotherapy was retrospectively analyzed. Antibiotics were not used in primary treatment. Tumor and ulcer responses were evaluated independently. Chemotherapy alone healed 18 of these ulcers. Neither responding nor refractory patients developed sepsis during this treatment.
assistant
Chemotherapy is safe and effective treatment for patients with infected malignant breast ulcers and does not cause systemic sepsis. Final Decision: yes