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Surgical Treatment of Giant Recurrent Breast Phyllodes Tumor
引用本文:샮쾯죧,퇮퓋릦,췵붨뚫,십뇹,뷺풮뎯,샮죙. Surgical Treatment of Giant Recurrent Breast Phyllodes Tumor[J]. 华中科技大学学报(医学英德文版), 2008, 28(6): 688-692. DOI: 10.1007/s11596-008-0617-4
作者姓名:샮쾯죧  퇮퓋릦  췵붨뚫  십뇹  뷺풮뎯  샮죙
作者单位:Department of General Surgery, General Hospital of People's Liberation Army, Beijing 100853, China
摘    要:In this study, a recurrent massive phyllodes tumor of the breast was surgically removed and the grafting was used to repair the local skin defects. A 29-y female patient had recurring breast phyllodes tumor of extremely large size in the chest wall after the excision of a previous tumor. The massive phyllodes tumor was eliminated by completely removing the layers of the skin and tissues above the costal bones with incisal margin being 2 cm away from the tumor lesion. The latissimus dorsi myocutaneous flap, lateral thoracic skin flap, and rectus abdominis myocutaneous flap were grafted to replace the lost tissues due to the surgery. Anti-infection and anticoagulation treatments were used after the surgery. The graft flaps had sufficient blood supply and good blood circulation, and the incisions mostly healed. The outcome of the surgery was acceptable. For the surgical treatment of the massive phyllodes tumor in the chest wall, it is an alternative of choice to use latissimus dorsi myocutaneous flap, lateral thoracic skin flap and rectus abdominis myocutaneous flap in combination for skin grafting.

关 键 词:乳腺叶状肿瘤  手术治疗  复发性  背阔肌肌皮瓣  腹直肌肌皮瓣  皮肤缺损  侧胸皮瓣  移植皮瓣

Surgical treatment of giant recurrent breast phyllodes tumor
Xiru Li,Yungong Yang,Jiandong Wang,Bing Ma,Yuanchao Jin,Rong Li. Surgical treatment of giant recurrent breast phyllodes tumor[J]. Journal of Huazhong University of Science and Technology. Medical sciences, 2008, 28(6): 688-692. DOI: 10.1007/s11596-008-0617-4
Authors:Xiru Li  Yungong Yang  Jiandong Wang  Bing Ma  Yuanchao Jin  Rong Li
Affiliation:Department of General Surgery, General Hospital of People's Liberation Army, Beijing 100853, China
Abstract:In this study, a recurrent massive phyllodes tumor of the breast was surgically removed and the grafting was used to repair the local skin defects. A 29-y female patient had recurring breast phyllodes tumor of extremely large size in the chest wall after the excision of a previous tumor. The massive phyllodes tumor was eliminated by completely removing the layers of the skin and tissues above the costal bones with incisal margin being 2 cm away from the tumor lesion. The latissimus dorsi myocutaneous flap, lateral thoracic skin flap, and rectus abdominis myocutaneous flap were grafted to replace the lost tissues due to the surgery. Anti-infection and anticoagulation treatments were used after the surgery. The graft flaps had sufficient blood supply and good blood circulation, and the incisions mostly healed. The outcome of the surgery was acceptable. For the surgical treatment of the massive phyllodes tumor in the chest wall, it is an alternative of choice to use latissimus dorsi myocutaneous flap, lateral thoracic skin flap and rectus abdominis myocutaneous flap in combination for skin grafting.
Keywords:phyllodes tumor  combination use of flaps  surgery
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