Skin-reducing mastectomy and direct-to-implant reconstruction in giant phyllodes tumour of breast: case report

Abstract

HighlightsWe present a singular case of early breast cancer and reconstruction with prosthesis.The giant phylloides tumors are often malignant, but in this case the histological examination has been atypical.The technique we offer allows for effective reconstruction in a single time.Few cases in literature have dealt with this issue.

Skin reducing nipple sparing mastectomy with immediate breast reconstruction for huge borderline phyllodes tumor of the breast: Case report

“…The recurrence of the phyllodes in the NAC in a nipple sparing mastectomy is very rare with the first case being reported in 2020 [18] . Autologous flaps are another option albeit time consuming, associated with greater morbidity, post-operative complications as well as a greater biological cost [19] .…”

Recurrent borderline phyllodes tumor of the breast submitted to mastectomy and immediate reconstruction: Case report

“…Histologically, PTs have leaf-like cellular lobulations and biphasic fibro-epithelial constitution, with predominance of stromal elements over epithelial cells. The World Health Organization classifies them as benign (60–75%), borderline (13–26%) and malignant (10–20%) [2,3,5]. Because they do not present typical clinical manifestations, it is difficult to distinguish them macroscopically from FA and even to distinguish among their subtypes.…”

“…On the left side, mammaplasty was performed to achieve symmetry, followed by sub-glandular prosthesis implantation, with substantial volume reduction and flap rotation involving the nipple-areola complex, aiming at aesthetic and functional preservation. In patients with large breast volume and superficial cutaneous involvement, such as in our patient, this approach is associated with less aesthetic and psychological damage, enabling preservation of the nipple-areola complex and greater surgical radicality [5].…”

“…They are fibroepithelial tumors, composed of stromal and epithelial elements, differing from fibroadenomas (FA) by the greater abundance of the stromal component [3]. Because of local recurrence and metastatic potential, they are surgically treated with wide local excision and mastectomy [[2], [3], [4], [5]].…”

Surgical excision and oncoplastic breast surgery in 32 patients with benign phyllodes tumors

“…The relapse-free survival (RFS) in patients underwent surgical excision is good than those received UGVAB alone [ 10 ]. Moreover, several previous studies mentioned that it is possible to choose an ideal prosthesis to reconstruct the tissues [ 11 ]. These can also be regarded as good methods to keep breast shape.…”