tailieunhanh - báo cáo khoa học: "Immediate breast reconstruction with a saline implant and AlloDerm, following removal of a Phyllodes tumor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Immediate breast reconstruction with a saline implant and AlloDerm, following removal of a Phyllodes tumor | Crenshaw et al. World Journal of Surgical Oncology 2011 9 34 http content 9 1 34 5 T WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Immediate breast reconstruction with a saline implant and AlloDerm following removal of a Phyllodes tumor Shirley A Crenshaw1 Michael D Roller2t Jeffery K Chapman3t Abstract Background Phyllodes tumors are uncommon tumors of the breast that exhibit aggressive growth. While surgical management of the tumor has been reported a single surgical approach with immediate breast reconstruction using AlloDerm has not been reported. Case presentation A 22-year-old woman presented with a 4 cm mass in the left breast upon initial examination. Although the initial needle biopsy report indicated a fibroadenoma the final pathologic report revealed a cm X cm X cm benign phyllodes tumor ex vivo. Treatment was a simple nipple-sparing mastectomy coupled with immediate breast reconstruction. After the mastectomy a subpectoral pocket was created for a saline implant and AlloDerm was stitched to the pectoralis and serratus muscle in the lower-pole of the breast. Conclusions Saline implant with AlloDerm can be used for immediate breast reconstruction post-mastectomy for treatment of a phyllodes tumor. Background Cystosarcoma phyllodes was first described in 1838 by Johannes Muller but was not found to be malignant until 1943 by Cooper and Ackerman 1 . It is now commonly called phyllodes tumor. It is less than 1 of breast tumors and exhibits unpredictable behaviour. Reports in literature have been focused on surgical approaches to the tumor removal. Although patient assessment prior to tumor removal often includes plans for immediate breast reconstruction these approaches are rarely reported unless the tumor is classified as giant or is in an adolescent female 2-5 . Usual tumor treatment is wide local excision and simple mastectomy 6-8 . However there have been few reports on breast reconstruction with phyllodes tumors .