Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report
Phyllodes tumors (PTs) are a rare group of mammary fibroepithelial lesions accounting for up to 1% of breast tumors. They display biologic diversity, ranging from benign to malignant. PTs of the breast are mostly found in females aged 35–55 years and are rare in adolescents and the elderly. They usu...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Surgical Society of Kenya
2023-07-01
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| Series: | The Annals of African Surgery |
| Subjects: | |
| Online Access: | https://www.annalsofafricansurgery.com/latissimus-dorsi-myocutaneous-flap-reconstruction |
| _version_ | 1797776403098238976 |
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| author | Mohamed Dahir Daniel Ojuka Eric Hungu Alex Wamalwa |
| author_facet | Mohamed Dahir Daniel Ojuka Eric Hungu Alex Wamalwa |
| author_sort | Mohamed Dahir |
| collection | DOAJ |
| description | Phyllodes tumors (PTs) are a rare group of mammary fibroepithelial lesions accounting for up to 1% of breast tumors. They display biologic diversity, ranging from benign to malignant. PTs of the breast are mostly found in females aged 35–55 years and are rare in adolescents and the elderly. They usually present as a fast growing, painless breast mass. The treatment of choice for PTs is complete excision with clear margins. In patients with large PTs, breast reconstruction results in better outcome and increased satisfaction.
Our patient, a 39-year-old female presented with an enlarging breast mass over a period of 6 months. Physical examination showed a large, ulcerated mass involving the entire right breast. Histopathology revealed features of a malignant PT. Total mastectomy and immediate reconstruction with a pedicled latissimus dorsi myocutaneous flap and symmetrization reduction mastopexy of the left breast was done. At 6 months, the patient has not shown any gross tumor recurrence with acceptable cosmesis. |
| first_indexed | 2024-03-12T22:49:25Z |
| format | Article |
| id | doaj.art-c935566bc5694ab7b417028a2c100240 |
| institution | Directory Open Access Journal |
| issn | 1999-9674 2523-0816 |
| language | English |
| last_indexed | 2024-03-12T22:49:25Z |
| publishDate | 2023-07-01 |
| publisher | Surgical Society of Kenya |
| record_format | Article |
| series | The Annals of African Surgery |
| spelling | doaj.art-c935566bc5694ab7b417028a2c1002402023-07-20T17:20:11ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162023-07-01203103107http://dx.doi.org/10.4314/aas.v20i3.6Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case ReportMohamed Dahir0https://orcid.org/0000-0002-1981-5766Daniel Ojuka1https://orcid.org/0000-0003-4303-6719Eric Hungu2https://orcid.org/0000-0001-6542-5139Alex Wamalwa3https://orcid.org/0000-0003-2750-7971Department of Surgery, University of Nairobi, College of Health Sciences, KenyaDepartment of Surgery, University of Nairobi, College of Health Sciences, KenyaDepartment of Surgery, Kenyatta National Hospital, Kenya Department of Surgery, Kenyatta National Hospital, Kenya Phyllodes tumors (PTs) are a rare group of mammary fibroepithelial lesions accounting for up to 1% of breast tumors. They display biologic diversity, ranging from benign to malignant. PTs of the breast are mostly found in females aged 35–55 years and are rare in adolescents and the elderly. They usually present as a fast growing, painless breast mass. The treatment of choice for PTs is complete excision with clear margins. In patients with large PTs, breast reconstruction results in better outcome and increased satisfaction. Our patient, a 39-year-old female presented with an enlarging breast mass over a period of 6 months. Physical examination showed a large, ulcerated mass involving the entire right breast. Histopathology revealed features of a malignant PT. Total mastectomy and immediate reconstruction with a pedicled latissimus dorsi myocutaneous flap and symmetrization reduction mastopexy of the left breast was done. At 6 months, the patient has not shown any gross tumor recurrence with acceptable cosmesis.https://www.annalsofafricansurgery.com/latissimus-dorsi-myocutaneous-flap-reconstructionphyllodes tumormastectomybreast reconstructionbreast imagingcase report |
| spellingShingle | Mohamed Dahir Daniel Ojuka Eric Hungu Alex Wamalwa Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report The Annals of African Surgery phyllodes tumor mastectomy breast reconstruction breast imaging case report |
| title | Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report |
| title_full | Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report |
| title_fullStr | Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report |
| title_full_unstemmed | Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report |
| title_short | Latissimus Dorsi Myocutaneous Flap Reconstruction Post Resection of a Giant Malignant Phyllodes Tumor of the Breast: A Case Report |
| title_sort | latissimus dorsi myocutaneous flap reconstruction post resection of a giant malignant phyllodes tumor of the breast a case report |
| topic | phyllodes tumor mastectomy breast reconstruction breast imaging case report |
| url | https://www.annalsofafricansurgery.com/latissimus-dorsi-myocutaneous-flap-reconstruction |
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