title: Full-thickness chest wall resection for recurrent breast phyllodes tumor.
abstract: Phyllodes tumor is a rare breast neoplasm. We present the case of a woman who underwent multiple surgical procedures for phyllodes tumor treatment. Even after bilateral mastectomy and radiotherapy, local recurrences developed. We performed a full-thickness chest wall resection with wide margins, a procedure rarely reported in medical literature for this purpose. Only after this approach did we obtain disease control, with no signs of further recurrence at 4 years' follow-up.
authors.affiliation: Department of Thoracic Surgery, Hospital das Clinicas, University of São Paulo Medical School, São Paulo-SP, Brazil.
authors.forename: Jose D
authors.initials: JD
authors.lastname: Andrade Neto
authors.forename: Ricardo M
authors.initials: RM
authors.lastname: Terra
authors.forename: Angelo
authors.initials: A
authors.lastname: Fernandez
authors.forename: Viviane
authors.initials: V
authors.lastname: Rawet
authors.forename: Fabio B
authors.initials: FB
authors.lastname: Jatene
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D008408:Mastectomy; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D003557:Phyllodes Tumor / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods*; D012086:Reoperation; D013524:Surgical Flaps; D013526:Surgical Mesh; D035441:Thoracic Wall / Q000601:surgery*