Immediate Deep Inferior Epigastric Perforator Flap Reconstruction of a Giant Phyllodes Tumor

被引:2
作者
Larson, Brandon [1 ]
Francis, Andrew [1 ]
Brown, Meghan [2 ]
Van Fossen, Victoria [3 ]
Cody, Derek [4 ]
机构
[1] Summa Hlth, Gen Surg, Akron, OH 44304 USA
[2] Summa Hlth, Plast & Reconstruct Surg, Akron, OH USA
[3] Summa Hlth, Breast Surg, Akron, OH USA
[4] Crystal Clin Orthopaed Ctr, Plast & Reconstruct Surg, Akron, OH USA
关键词
breast benign and malignant surgery; conditions; giant phyllodes tumour; deep inferior epigastric perforator flap; breast cancer; breast oncology; diep flap; breast reconstruction; giant phyllodes; BREAST;
D O I
10.7759/cureus.31685
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We present a case of a giant phyllodes tumor (PT) requiring simple mastectomy with en bloc pectoralis major resection and immediate deep inferior epigastric perforator (DIEP) flap reconstruction. This patient presented with a four-year history of an enlarging breast mass with ultrasound-guided biopsy results consistent with atypical fibroepithelial proliferation that was highly concerning for a borderline phyllodes tumor. In this large, rare breast tumor that required en bloc pectoralis major resection, we describe the novel use of an immediate single pedicled DIEP flap for the resulting chest wall defect. The patient's postoperative course was uncomplicated, and she reported satisfactory cosmetic and functional outcomes at her initial postoperative follow-up visits. Our findings support the use of simple mastectomy with en bloc resection and immediate single-pedicled DIEP flap for the definitive treatment of giant phyllodes tumors. Our experience shows this is a safe and effective technique for achieving adequate oncologic resection while maintaining postoperative function and cosmesis, which are essential for patient quality of life.
引用
收藏
页数:9
相关论文
共 10 条
[1]   The Reconstruction Choice for Giant Phyllodes Tumor of Breast: Bi-pedicled Deep Inferior Epigastric Perforator Flap [J].
Fang, Chien-Liang ;
Hsu, Chin-Hao ;
Tu, Chin-Wen .
AESTHETIC PLASTIC SURGERY, 2017, 41 (04) :768-772
[2]   Giant Benign Mammary Phyllodes Tumor: Report of a Case and Review of the Literature [J].
Fernandez-Ferreira, Ricardo ;
Arroyave-Ramirez, Andres ;
Motola-Kuba, Daniel ;
Alvarado-Luna, Gabriela ;
Mackinney-Novelo, Ileana ;
Segura-Rivera, Roman .
CASE REPORTS IN ONCOLOGY, 2021, 14 (01) :123-133
[4]  
National Comprehensive Cancer Network, 2022, BREAST CANCER-TOKYO
[5]   Challenges in management of phyllodes tumors of the breast: A retrospective analysis of 150 patients [J].
Ramakant, P. ;
Chakravarthy, S. ;
Cherian, J. A. ;
Abraham, D. T. ;
Paul, M. J. .
INDIAN JOURNAL OF CANCER, 2013, 50 (04) :345-348
[6]  
Reinfuss M, 1996, CANCER-AM CANCER SOC, V77, P910, DOI 10.1002/(SICI)1097-0142(19960301)77:5<910::AID-CNCR16>3.0.CO
[7]  
2-6
[8]   Contemporary Multi-Institutional Cohort of 550 Cases of Phyllodes Tumors (2007-2017) Demonstrates a Need for More Individualized Margin Guidelines [J].
Rosenberger, Laura H. ;
Thomas, Samantha M. ;
Nimbkar, Suniti N. ;
Hieken, Tina J. ;
Ludwig, Kandice K. ;
Jacobs, Lisa K. ;
Miller, Megan E. ;
Gallagher, Kristalyn K. ;
Wong, Jasmine ;
Neuman, Heather B. ;
Tseng, Jennifer ;
Hassinger, Taryn E. ;
King, Tari A. ;
Jakub, James W. .
JOURNAL OF CLINICAL ONCOLOGY, 2021, 39 (03) :178-+
[9]   The Reconstruction after a Giant Phyllodes Tumor Resection Using a DIEP Flap [J].
Tsuruta, Yuki ;
Karakawa, Ryo ;
Majima, Koya ;
Yamamoto, Satoru ;
Shibata, Tomoyoshi ;
Yoshimatsu, Hidehiko ;
Miyashita, Hiroki ;
Tanakura, Kenta ;
Yano, Tomoyuki .
PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2020, 8 (04)
[10]   Phyllodes Tumor of the Breast Histopathologic Features, Differential Diagnosis, and Molecular/Genetic Updates [J].
Zhang, Yanhong ;
Kleer, Celina G. .
ARCHIVES OF PATHOLOGY & LABORATORY MEDICINE, 2016, 140 (07) :665-671