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Full-thickness chest wall resection for recurrent breast phyllodes tumor
Jose D Andrade Neto1, Ricardo M Terra, Angelo Fernandez
1Department of Thoracic Surgery, Hospital das Clinicas, University of São Paulo Medical School, São Paulo-SP, Brazil.
The Annals of Thoracic Surgery
|May 29, 2007
Summary
Phyllodes tumors are rare breast neoplasms. A rare full-thickness chest wall resection achieved long-term disease control after multiple failed treatments for a recurrent phyllodes tumor.
Area of Science:
- Oncology
- Surgical Oncology
- Breast Neoplasms
Background:
- Phyllodes tumors are rare malignant neoplasms of the breast.
- Recurrent phyllodes tumors present significant treatment challenges.
Observation:
- A patient with recurrent phyllodes tumor underwent multiple treatments, including bilateral mastectomy and radiotherapy.
- Local recurrences persisted despite extensive prior treatment.
Findings:
- A rare surgical approach, full-thickness chest wall resection with wide margins, was performed.
- This extensive resection resulted in disease control with no recurrence at 4 years post-surgery.
Implications:
- Full-thickness chest wall resection may be a viable option for managing locally advanced or recurrent phyllodes tumors.
- This case highlights the importance of aggressive surgical management for rare and aggressive breast neoplasms.
- Further research is warranted to establish the role of this surgical technique in phyllodes tumor treatment.
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