title: Immediate implant breast reconstruction with acellular dermal matrix for treatment of a large recurrent malignant phyllodes tumor.
abstract: Phyllodes tumors (PT) are rare fibroepithelial breast tumors representing less than 1 % of all breast malignancies. These tumors are unpredictable and fast growing with a high local recurrence rate, making this disease challenging to treat. Previous literature focused on surgical resection, and breast reconstruction following a mastectomy in patients with PT is rarely addressed. We report a case of a recurrent malignant PT treated with a nipple-sparing mastectomy followed by immediate single-stage silicone implant breast reconstruction. While PT is a rare breast malignancy that presents challenges with both surgical resection and reconstruction, we demonstrate that nipple-sparing mastectomy with immediate implant breast reconstruction with AlloMax is curative and can offer an appealing cosmetic option.
  
  
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authors.affiliation: Division of Plastic Surgery, Weill Cornell Medical College, 425 East 61st Street, 10th Floor, New York, NY, 10065, USA.
authors.forename: Gina T
authors.initials: GT
authors.lastname: Farias-Eisner
authors.forename: Kevin
authors.initials: K
authors.lastname: Small
authors.forename: Alexander
authors.initials: A
authors.lastname: Swistel
authors.forename: Ugur
authors.initials: U
authors.lastname: Ozerdem
authors.forename: Mia
authors.initials: M
authors.lastname: Talmor
mesh_terms: D062088:Acellular Dermis; D001707:Biopsy, Needle; D018427:Breast Implants; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D016462:Mammaplasty / Q000379:methods*; D015414:Mastectomy, Subcutaneous / Q000379:methods; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D003557:Phyllodes Tumor / Q000473:pathology / Q000601:surgery*; D035583:Rare Diseases; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology