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Treatments of Phyllodes Tumor in Breast and Immediate Breast Reconstruction  

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)
Publication Information
Archives of Plastic Surgery / v.35, no.5, 2008 , pp. 539-544 More about this Journal
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
Phyllodes tumor; Breast reconstruction; Mastectomy;
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