Nipple sparing mastectomy for a giant phyllodes tumor; a case report

Area of Science:

• Oncoplastic surgery
• Breast surgery
• Tumor reconstruction

Background:

• Oncoplastic surgery is increasingly used for breast cancer treatment.
• This report details the application of oncoplastic surgery for phyllodes tumor (PT), a benign breast neoplasm.
• Giant PTs often require mastectomy and reconstruction.

Purpose of the Study:

• To evaluate the efficacy of nipple sparing mastectomy (NSM) with autologous tissue reconstruction for benign phyllodes tumor (PT).
• To assess the oncological safety and cosmetic outcome of this treatment approach.

Main Methods:

• A case of a 45-year-old female with a large, recurrent benign PT was treated.
• Nipple sparing mastectomy (NSM) combined with immediate breast reconstruction using a latissimus dorsi muscle flap was performed.
• The patient was followed for 7 years post-surgery.

Main Results:

• The patient experienced no recurrence of the phyllodes tumor during the 7-year follow-up period.
• The reconstructed breast provided satisfactory cosmetic results.
• This case adds to the limited reports on NSM with breast reconstruction for PT.

Conclusions:

• Nipple sparing mastectomy (NSM) with autologous tissue reconstruction is a safe and effective treatment option for benign phyllodes tumors (PT).
• Autologous reconstruction offers potential advantages over implant reconstruction, including natural aging and reduced risk of complications like lymphoma.
• This approach achieves long-term, recurrence-free survival with good cosmetic results.