title: Surgical treatment of giant recurrent breast phyllodes tumor.
abstract: In this study, a recurrent massive phyllodes tumor of the breast was surgically removed and the grafting was used to repair the local skin defects. A 29-y female patient had recurring breast phyllodes tumor of extremely large size in the chest wall after the excision of a previous tumor. The massive phyllodes tumor was eliminated by completely removing the layers of the skin and tissues above the costal bones with incisal margin being 2 cm away from the tumor lesion. The latissimus dorsi myocutaneous flap, lateral thoracic skin flap, and rectus abdominis myocutaneous flap were grafted to replace the lost tissues due to the surgery. Anti-infection and anticoagulation treatments were used after the surgery. The graft flaps had sufficient blood supply and good blood circulation, and the incisions mostly healed. The outcome of the surgery was acceptable. For the surgical treatment of the massive phyllodes tumor in the chest wall, it is an alternative of choice to use latissimus dorsi myocutaneous flap, lateral thoracic skin flap and rectus abdominis myocutaneous flap in combination for skin grafting.
authors.affiliation: Department of General Surgery, General Hospital of People's Liberation Army, Beijing, 100853, China. 2468LI@sina.com
authors.forename: Xiru
authors.initials: X
authors.lastname: Li
authors.forename: Yungong
authors.initials: Y
authors.lastname: Yang
authors.forename: Jiandong
authors.initials: J
authors.lastname: Wang
authors.forename: Bing
authors.initials: B
authors.lastname: Ma
authors.forename: Yuanchao
authors.initials: Y
authors.lastname: Jin
authors.forename: Rong
authors.initials: R
authors.lastname: Li
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*; D013524:Surgical Flaps