Treatments of Phyllodes Tumor in Breast and Immediate Breast Reconstruction.

Kang, Tae Jo; Kim, Young Seok; Roh, Tai Suk; Yoo, Won Min; Tark, Kwan Chul; Jeong, Joon

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(5):539-544.
Published online September 1, 2008.

Treatments of Phyllodes Tumor in Breast and Immediate Breast Reconstruction.

Tae Jo Kang, Young Seok Kim, Tai Suk Roh, Won Min Yoo, Kwan Chul Tark, Joon Jeong

¹Department of Plastic & Reconstructive Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. rohts@yuhs.ac
²Department of Surgery, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
³Department of Plastic & Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, Korea.

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