Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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Treatments of Phyllodes Tumor in Breast and Immediate Breast Reconstruction

유방에 발생한 엽상종양의 치료 및 즉시 유방재건

  • Kang, Tae Jo (Department of Plastic & Reconstructive Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine) ;
  • Kim, Young Seok (Department of Plastic & Reconstructive Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine) ;
  • Roh, Tai Suk (Department of Plastic & Reconstructive Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine) ;
  • Yoo, Won Min (Department of Plastic & Reconstructive Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine) ;
  • Tark, Kwan Chul (Institute for Human Tissue Restoration, Yonsei University College of Medicine) ;
  • Jeong, Joon (Department of Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine)
  • 강태조 (연세대학교 의과대학 영동세브란스병원 성형외과) ;
  • 김영석 (연세대학교 의과대학 영동세브란스병원 성형외과) ;
  • 노태석 (연세대학교 의과대학 영동세브란스병원 성형외과) ;
  • 유원민 (연세대학교 의과대학 영동세브란스병원 성형외과) ;
  • 탁관철 (연세대학교 의과대학 인체조직복원연구소.성형외과학교실) ;
  • 정준 (연세대학교 의과대학 영동세브란스병원 외과)
  • Received : 2008.06.04
  • Accepted : 2008.08.19
  • Published : 2008.10.15
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Abstract

Purpose: There have been limited reports on breast reconstruction after excision of phyllodes tumor. This paper reports four patients who had immediate reconstruction of the breast following excision of phyllodes tumor. Methods: We retrospectively reviewed the medical records of 14 patients from March 2000 to March 2008. Clinical data were analyzed including age, presenting symptoms and signs, type of surgery and metastasis. Results: The mean age was 38.6 years. The mean follow-up period was 40.6 months. Reconstruction was performed with latissimus dorsi musculocutaneous flap in 3 patients and transverse rectus abdominis musculocutaneous flap in 1 patient. Other cases were covered with skin graft or primary repair. 2 local recurrent cases were noted. Conclusion: The breast affected by phyllodes tumor must undergo complete excision. Followed by mastectomy, immediate reconstruction of breast improved cosmetic results, and allowed a wider surgical excision margin of tumor.

Keywords

References

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