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Case report
Recurrent phyllodes tumour of breast infiltrating the latissimus dorsi reconstruction flap
  1. Pradeep Saxena,
  2. Ankit Lalchandani and
  3. Chirag Dausage
  1. General Surgery, All India Institute of Medical Science—Bhopal, Bhopal, Madhya Pradesh, India
  1. Correspondence to Professor Pradeep Saxena; pradeep{at}bhopalsurgery.com

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.

  • breast cancer
  • breast surgery
  • general surgery
  • surgical oncology
  • plastic and reconstructive surgery

https://doi.org/10.1136/bcr-2020-238306

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    Footnotes

    • Twitter @pradeepsaxena05

    • Contributors PS, AL and CD have contributed to: conception and design, acquisition of data or analysis and interpretation of data; drafting the article or revising it critically for important intellectual content; and final approval of the version published. All the three authors agree to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.