Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review
Abstract Background The phyllodes tumors are rare neoplastic disease which exhibits a benign behavior in adolescents female. After resection of a large benign breast tumor, insufficient breast contour may result with nipple areola complex malposition. As symmetry of the breast is psychologically ext...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-06-01
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| Series: | Journal of the Egyptian National Cancer Institute |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s43046-020-00036-2 |
| _version_ | 1818082640486465536 |
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| author | Mahmoud A. Hifny Mohamed Yousef A. Asmaa Gaber R. Mohamed Abdelshafy Mohamed Mahmoud Abdelhameid |
| author_facet | Mahmoud A. Hifny Mohamed Yousef A. Asmaa Gaber R. Mohamed Abdelshafy Mohamed Mahmoud Abdelhameid |
| author_sort | Mahmoud A. Hifny |
| collection | DOAJ |
| description | Abstract Background The phyllodes tumors are rare neoplastic disease which exhibits a benign behavior in adolescents female. After resection of a large benign breast tumor, insufficient breast contour may result with nipple areola complex malposition. As symmetry of the breast is psychologically extremely crucial, especially in adolescents, in such cases, an immediate mammoplasty-like breast reduction or mastopexy technique of the affected breast will be necessary to provide symmetry of the bilateral breasts at the initial surgery. Case presentation A 16-year-old woman reported rapid enlargement of a large mass in her left breast over 12 months. The physical examination revealed a huge mass that occupied the lower quadrants of her left breast causing expansion of both the overlying skin and the nipple areolar complex. A biopsy was constant with a benign phyllodes tumor. We have applied a periareolar mastopexy technique to allow tumor resection through exposure incision at the lower half of the outer periareolar circular incision. At the same time, we reduced the expanded skin envelope and mobilized the nipple–areola complex to restore breast symmetry. Conclusion The periareolar mastopexy approach provides a wide surgical exposure, allows excision of benign giant breast tumor, and simultaneous restoration of the breast shape with favorable aesthetic results and minimal postoperative scarring. |
| first_indexed | 2024-12-10T19:25:19Z |
| format | Article |
| id | doaj.art-03725097df82416698a81426f2c69b77 |
| institution | Directory Open Access Journal |
| issn | 2589-0409 |
| language | English |
| last_indexed | 2024-12-10T19:25:19Z |
| publishDate | 2020-06-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Journal of the Egyptian National Cancer Institute |
| spelling | doaj.art-03725097df82416698a81426f2c69b772022-12-22T01:36:23ZengSpringerOpenJournal of the Egyptian National Cancer Institute2589-04092020-06-013211310.1186/s43046-020-00036-2Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature reviewMahmoud A. Hifny0Mohamed Yousef A.1Asmaa Gaber R.2Mohamed Abdelshafy Mohamed3Mahmoud Abdelhameid4Plastic Surgery Department, Faculty of Medicine, Qena University Hospital, South Valley UniversityGeneral Surgery Department, Faculty of Medicine, Qena University Hospital, South Valley UniversityGeneral Surgery Department, Faculty of Medicine, Qena University Hospital, South Valley UniversityGeneral Surgery Department, Faculty of Medicine, Qena University Hospital, South Valley UniversityGeneral Surgery Department, Faculty of Medicine, Qena University Hospital, South Valley UniversityAbstract Background The phyllodes tumors are rare neoplastic disease which exhibits a benign behavior in adolescents female. After resection of a large benign breast tumor, insufficient breast contour may result with nipple areola complex malposition. As symmetry of the breast is psychologically extremely crucial, especially in adolescents, in such cases, an immediate mammoplasty-like breast reduction or mastopexy technique of the affected breast will be necessary to provide symmetry of the bilateral breasts at the initial surgery. Case presentation A 16-year-old woman reported rapid enlargement of a large mass in her left breast over 12 months. The physical examination revealed a huge mass that occupied the lower quadrants of her left breast causing expansion of both the overlying skin and the nipple areolar complex. A biopsy was constant with a benign phyllodes tumor. We have applied a periareolar mastopexy technique to allow tumor resection through exposure incision at the lower half of the outer periareolar circular incision. At the same time, we reduced the expanded skin envelope and mobilized the nipple–areola complex to restore breast symmetry. Conclusion The periareolar mastopexy approach provides a wide surgical exposure, allows excision of benign giant breast tumor, and simultaneous restoration of the breast shape with favorable aesthetic results and minimal postoperative scarring.http://link.springer.com/article/10.1186/s43046-020-00036-2Giant phyllodes tumorBreastPeriareolar mastopexy |
| spellingShingle | Mahmoud A. Hifny Mohamed Yousef A. Asmaa Gaber R. Mohamed Abdelshafy Mohamed Mahmoud Abdelhameid Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review Journal of the Egyptian National Cancer Institute Giant phyllodes tumor Breast Periareolar mastopexy |
| title | Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review |
| title_full | Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review |
| title_fullStr | Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review |
| title_full_unstemmed | Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review |
| title_short | Application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry: a case report and literature review |
| title_sort | application of periareolar mastopexy technique for giant phyllodes tumor resection in an adolescent female with breast asymmetry a case report and literature review |
| topic | Giant phyllodes tumor Breast Periareolar mastopexy |
| url | http://link.springer.com/article/10.1186/s43046-020-00036-2 |
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