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Complex chest wall reconstruction after excision of malignant phyllodes tumour
  1. Komal Gupta,
  2. Gopal Puri,
  3. Kamal Kataria and
  4. Jnaneshwari Jayaram
  1. Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Jnaneshwari Jayaram; jnaneshwari.j{at}gmail.com

Abstract

Phyllodes tumour is a rare breast tumour which is locally invasive, and full thickness chest wall involvement by phyllodes is rarely reported. A woman presented with recurrent phyllodes tumour and multilobulated exophytic mass of size 18.5×5.3 cm in anterior chest wall which was abutting the right 2nd−7th rib, left 3rd−5th rib and costal cartilages. She underwent wide excision of the left chest wall tumour with excision of left 3rd−5th rib, with polypropylene mesh and pedicled lattismus dorsi myocutaneous flap reconstruction. After recovery, 3 weeks later, she underwent wide excision of the phyllodes tumour on the right chest wall with excision of 2nd–7th rib, lateral border of sternum, right crus of the diaphragm and the lower lobe of the right lung. Anterior chest wall was reconstructed using scaffold made from Steinmann pins and polypropylene mesh with greater omentum pedicled flap and split thickness skin graft.

  • Breast cancer
  • Pathology
  • Breast surgery
  • Plastic and reconstructive surgery
  • Surgical oncology

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Footnotes

  • Contributors All authors contributed to the patient care and the writing of this case report immensely. Conception and design, acquisition of data or analysis and interpretation of data was performed by KG and GP. Drafting the article or revising it critically for important intellectual content was performed by KG, KK and JJ. Final approval of the version published was approved by all authors involved. Agreement to be accountable for the article and to ensure that all questions regarding the accuracy or integrity of the article are investigated and resolved was ensured by KK and JJ.

  • 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.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

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