title: Full-thickness chest-wall resection followed by thorax reconstruction for recurrent malignant phyllodes tumor.
abstract: We present a case of a 39-year-old woman with a giant recurrent malignant phyllodes tumor accompanied with bleeding and infection. She underwent full-thickness chest-wall resection. Bony thorax reconstruction and stabilization was accomplished using a Composix mesh™, and soft tissue reconstruction was performed with a musculocutaneous flap of latissimus dorsi muscle. The patient had a good postoperative outcome, and the surgical treatment remarkably improved her quality of life. Because chemotherapy and radiation are not established for treating malignant phyllodes tumors, an aggressive surgical approach should be considered for patients with a locally advanced malignant phyllodes tumor.
authors: Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
authors: Tokiko
authors: T
authors: Ito
authors: Ken-ichi
authors: K
authors: Ito
authors: Toshihiro
authors: T
authors: Okada
authors: Koichi
authors: K
authors: Murayama
authors: Toru
authors: T
authors: Hanamura
authors: Toshiharu
authors: T
authors: Kanai
authors: Kazuma
authors: K
authors: Maeno
authors: Yasuhiro
authors: Y
authors: Mochizuki
authors: Ryoichi
authors: R
authors: Kondo
authors: Jun
authors: J
authors: Amano
authors: Yoshiro
authors: Y
authors: Osada
authors: Koji
authors: K
authors: Asano
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D003557:Phyllodes Tumor / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods; D013524:Surgical Flaps; D013526:Surgical Mesh; D019616:Thoracic Surgical Procedures / Q000379:methods; D035441:Thoracic Wall / Q000601:surgery*