Recurrent Phyllodes Tumour of Breast Infiltrating the Latissimus Dorsi Reconstruction Flap

Overview

Journal BMJ Case Rep

Specialty General Medicine

Date 2020 Dec 15

PMID 33318256

Citations 1

Authors

Pradeep Saxena

Ankit Lalchandani

Chirag Dausage

Affiliations

Soon will be listed here.

Abstract

Phyllodes tumour is a rare breast tumour with potential of malignancy. Recurrence in phyllodes tumour may also be suggestive of malignant transformation. We report a case of 29-year-old woman with recurrent phyllodes tumour infiltrating the latissimus dorsi reconstruction flap. Re-excision of the tumour along with excision of latissimus dorsi flap was done. Histopathology confirmed malignant phyllode tumour. A significantly higher incidence of recurrence is seen in phyllodes tumour of large size, tumours with infiltrative borders, increased mitotic activity, malignant histology and positive margins. Surgeons should always take into consideration the risk factors for recurrence before planning reconstructive breast surgery in recurrent phyllodes tumour. A preoperative MRI imaging and incisional biopsy are essential in planning surgery for these patients.

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