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. 2017:41:356-359.
doi: 10.1016/j.ijscr.2017.11.009. Epub 2017 Nov 13.

Skin-reducing mastectomy and direct-to-implant reconstruction in giant phyllodes tumour of breast: case report

Francesco Ciancio  1 , Alessandro Innocenti  2 , Luigi Cagiano  3 , Aurelio Portincasa  4 , Domenico Parisi  4
Affiliations

Skin-reducing mastectomy and direct-to-implant reconstruction in giant phyllodes tumour of breast: case report

Francesco Ciancio et al. Int J Surg Case Rep. 2017.

Abstract

Background: The phyllodes tumour of the breast comprises about 0.5% of all neoplasms of the breast.

Case report: we present the case of a female patient (55 years old) suffering from giant phyllodes tumour (>10cm) of the left breast, who underwent Skin Reducing Mastectomy (SRM) and reconstruction with silicone breast implant (Bostwick Technique).

Discussion and conclusion: In selected patients with large sized breasts (C-D cup) and poor surface area of skin involved, a valid technique in the treatment of this pathology is the Skin-Reducing Mastectomy and immediate reconstruction with implants (DTI=direct to implant).

Keywords: Breast cancer; Breast reconstruction; Mastectomy; Oncoplastic technique; Phylloides; Skin reducing.

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Figures

Fig. 1
Fig. 1
female patient (55 years old) suffering from giant phyllodes tumour (>10 cm) of the left breast.
Fig. 2
Fig. 2
bilateral mammography of breasts. It is noted the presence of a mass that involves 80% of the left breast.
Fig. 3
Fig. 3
preoperative marking.
Fig. 4
Fig. 4
preparation of the prosthesis pocket. Below you note the dermal flap to the lower pole, above the pectoralis major muscle.
Fig. 5
Fig. 5
photographic control at 1 year.
See this image and copyright information in PMC

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