Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 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.

PubMed Disclaimer

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

References

    1. Lenhard M.S., Kahlert S., Himsl I. Phyllodes tumour of the breast: clinical follow-up of 33 cases of this rare disease. Eur. J. Obstet. Gynecol. Reprod. Biol. 2008;138(2) (217–221CrossRefPubMedGoogle Scholar) - PubMed
    1. Guillot E., Couturaud B., Reyal F. Management of phyllodes breast tumors. Breast J. 2011;17(2):129–137. - PubMed
    1. Nomura M., Inoue Y., Fujita S. A case of noninvasive ductal carcinoma arising in malignant phyllodes tumor. Breast Cancer. 2006;13(1):89–94. - PubMed
    1. Atalla M.A., Rozen W.M. Recurrent phyllodes tumor of the breast: defining the role for skin-sparing mastectomy and autologous reconstruction. J. Reconstr. Microsurg. 2016;27(4):267–272. - PubMed
    1. Singh G., Sharma R.K. Immediate breast reconstruction for phyllodes tumors. Breast. 2008;17(3):296–301. - PubMed

LinkOut - more resources