USE OF THORACOEPIGASTRIC FLAP IN LARGE BREAST RESECTIONS
PHYLLODES TUMOR CASE REPORT
Keywords:
Phyllodes tumor, surgical flaps, breast neoplasmsAbstract
Phyllodes tumors are uncommon fibroepithelial breast neoplasms capable of displaying a diverse range of biological behaviors. In their less aggressive form, they behave as benign fibroadenomas, although with a propensity to local recurrence after excision with satisfactory margins. On the other hand, they can metastasize, sometimes degenerating histologically into sarcomatous lesions. Phyllodes tumors represent less than 0.5% of all breast pathologies. They are smooth, multinodular, well-defined, firm, mobile, and painless masses of variable sizes, which can reach 40 cm in large tumors, with bright and stretched skin. When they progress to large tumor masses, they become a challenge to mastologists who need surgical satisfaction and coverage of the resected area. The use of thoracoepigastric flap has been an important surgical tool for these large breast lesions. The present study describes a case report of a large malignant phyllodes tumor that used the thoracoepigastric flap for coverage and closure.
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Souza JA, Marques EF, Guatelli C, Girão DS, Queroz T, Graziano L, et al. Malignant phyllodes tumor of the breast: case report. Rev Assoc Méd Bras. 2011;57(5). http://dx.doi.org/10.1590/S0104-42302011000500003
Grabowski J, Salzsrein SL, Sadler GR, Blair SL. Malignant phyllodes tumors: a review of 752 cases. Am Surg. 2007;73:967-9.
Guillot E, Couturaud B, Reyal F, Curnier A, Ravinet J, Laé M, et al. Management of phyllodes breast tumors. Breast J. 2011;17:129-37. https://doi.org/10.1111/j.1524-4741.2010.01045.x
Burattini ACB, Piteri RCO, Ferreira LF, Silveira Junior VF, Broetto J, Richter CA, et al. Safety and viability of a new format of thoracoepigastric flap for reconstruction of the chest wall in locally advanced breast cancer: a cross-sectional study. Rev Bras Cir Plást. 2016;31(1):2-11. http://www.dx.doi.org/10.5935/2177-1235.2016RBCP0002
Matros E, Disa JJ. Uncommon Flaps for Chest Wall Reconstruction. Seminars Plastic Surg. 2011;25(1):55-9. https://dx.doi.org/10.1055%2Fs-0031-1275171
Reinfuss M, Mituś J, Duda K, Stelmach A, Ryś J, Smolak K. The treatment and prognosis of patients with phyllodes tumor of the breast: an analysis of 170 cases. Cancer. 1996;77:910-6.
Macdonald OK, Lee CM, Tward JD, Chappel CD, Gaffney DK. Malignant phyllodes tumor of the female breast: association of primary therapy with cause-specific survival from the Surveillance, Epidemiology, and End Results (SEER) program. Cancer. 2006;107:127-33. https://doi.org/10.1002/cncr.22228
Spitaleri G, Toesca A, Botteri E, Bottiglieri L, Rotmensz N, Boselli S, et al. Breast phyllodes tumor: a review of literature and a single center retrospective series analysis. Crit Rev Oncol Hematol. 2013;88:427-36. https://doi.org/10.1016/j.critrevonc.2013.06.005
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Copyright (c) 2018 Douglas de Miranda Pires, Guilherme Junqueira Souza, Bárbara Pace
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