Full-thickness chest-wall resection followed by thorax reconstruction for recurrent malignant phyllodes tumor.
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.
Ito
Tokiko
T
Division of Breast and Endocrine Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
Ito
Ken-ichi
K
Okada
Toshihiro
T
Murayama
Koichi
K
Hanamura
Toru
T
Kanai
Toshiharu
T
Maeno
Kazuma
K
Mochizuki
Yasuhiro
Y
Kondo
Ryoichi
R
Amano
Jun
J
Osada
Yoshiro
Y
Asano
Koji
K
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*