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Immediate Breast Reconstruction in an 11-year-old Girl with a Large Malignant Phyllodes Tumor
Karolina A Serhan1, Tamara L Kemp1
1Department of Plastic & Reconstructive Surgery, Naval Medical Center Portsmouth, Va.
Insights
Malignant phyllodes tumors are rare in children. This case highlights surgical reconstruction challenges in an 11-year-old girl with a malignant phyllodes tumor, treated with skin-sparing mastectomy and implant.
Area of Science:
- Oncology
- Breast Surgery
- Pediatric Surgery
Background:
- Phyllodes tumors are rare fibroepithelial breast neoplasms, accounting for less than 1% of breast malignancies.
- They are exceptionally uncommon in pediatric patients, posing unique clinical challenges.
Observation:
- A case of a malignant phyllodes tumor in an 11-year-old girl is presented.
- The tumor exhibited rapid growth and presented significant oncologic and reconstructive challenges.
Findings:
- The patient underwent a total skin-sparing mastectomy.
- Reconstruction was achieved using an adjustable saline implant, addressing the unique reconstructive needs.
Implications:
- This case underscores the importance of tailored surgical approaches for pediatric malignant phyllodes tumors.
- Effective reconstruction strategies are crucial for managing these rare breast malignancies in young patients.
Abstract:
Phyllodes tumors are rare fibroepithelial breast tumors representing less than 1% of all breast malignancies, with an extremely uncommon presence in the pediatric population.1 Although prognosis is favorable following excision given their indolent course, they often grow rapidly and frequently recur. As such, they can present unique oncologic and reconstructive challenges. Herein we present a case of a malignant phyllodes tumor in an 11-year-old girl treated with total skin-sparing mastectomy and adjustable saline implant, and explore the reconstructive challenges of this unique case.
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