title: Nipple sparing mastectomy with immediate silicone implant reconstruction for malignant phyllodes tumor in a 19-year-old girl.
abstract: OBJECTIVE
  Due to the rarity of MPT, the clinical records in the literature, collected along decades, lack to address a modern approach to breast reconstruction after mastectomy.
  
  
  METHODS
  We report a case of a teen-aged female diagnosed to have a malignant phyllodes in her right breast.
  
  
  CONCLUSIONS
  The surgical treatment of choice, taking in account the relation between the volume of the mass and the breast dimension, was considered to be a mastectomy. As the disease didn't involve the skin envelope a nipple-areolar-sparing gland removal allowed an immediate prosthetic reconstruction with a contralateral augmentation for symmetrization, so obtaining a satisfactory aesthetic outcome.
  
  
  CONCLUSIONS
  At our knowledge we present for the first time this surgical approach that, in selected patients, can reach the oncologic radicality and an adequate cosmetic result too.
authors.affiliation: Cutaneous, Mininvasive, Regenerative and Plastic Surgery Unit, Department of Surgical Sciences, Parma University Hospital, Parma, Italy. guido_libondi@alice.it.
authors.forename: G
authors.initials: G
authors.lastname: Libondi
authors.forename: M
authors.initials: M
authors.lastname: Solinas
authors.forename: E M
authors.initials: EM
authors.lastname: Martella
authors.forename: L
authors.initials: L
authors.lastname: Cattelani
mesh_terms: D018427:Breast Implants; D001943:Breast Neoplasms / Q000175:diagnosis / Q000601:surgery*; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods; D015412:Mastectomy, Segmental / Q000379:methods*; D009558:Nipples / Q000601:surgery; D003557:Phyllodes Tumor / Q000175:diagnosis / Q000601:surgery*; D020034:Silicone Gels / Q000008:administration & dosage; D055815:Young Adult
chemical_list: D020034:Silicone Gels