title: Immediate breast reconstruction with a saline implant and AlloDerm, following removal of a Phyllodes tumor.
abstract: BACKGROUND
  Phyllodes tumors are uncommon tumors of the breast that exhibit aggressive growth. While surgical management of the tumor has been reported, a single surgical approach with immediate breast reconstruction using AlloDerm has not been reported.
  
  
  METHODS
  A 22-year-old woman presented with a 4 cm mass in the left breast upon initial examination. Although the initial needle biopsy report indicated a fibroadenoma, the final pathologic report revealed a 6.5 cm × 6.4 cm × 6.4 cm benign phyllodes tumor ex vivo. Treatment was a simple nipple-sparing mastectomy coupled with immediate breast reconstruction. After the mastectomy, a subpectoral pocket was created for a saline implant and AlloDerm was stitched to the pectoralis and serratus muscle in the lower-pole of the breast.
  
  
  CONCLUSIONS
  Saline implant with AlloDerm can be used for immediate breast reconstruction post-mastectomy for treatment of a phyllodes tumor.
authors.affiliation: Department of Chemistry, Colorado State University, Fort Collins, CO 80523, USA. screnshs@rams.colostate.edu
authors.forename: Shirley A
authors.initials: SA
authors.lastname: Crenshaw
authors.forename: Michael D
authors.initials: MD
authors.lastname: Roller
authors.forename: Jeffery K
authors.initials: JK
authors.lastname: Chapman
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D003094:Collagen; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D003557:Phyllodes Tumor / Q000473:pathology / Q000601:surgery*; D012965:Sodium Chloride
chemical_list: C440568:Alloderm; D012965:Sodium Chloride; D003094:Collagen