在切除叶状肿瘤后，立即用盐水植入物和 AlloDerm 进行乳房即刻重建。

Immediate breast reconstruction with a saline implant and AlloDerm, following removal of a Phyllodes tumor.

机构信息

Department of Chemistry, Colorado State University, Fort Collins, CO 80523, USA.

出版信息

World J Surg Oncol. 2011 Mar 21;9:34. doi: 10.1186/1477-7819-9-34.

DOI:10.1186/1477-7819-9-34

PMID:21418652

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3070675/

Abstract

BACKGROUND

Phyllodes tumors are uncommon tumors of the breast that exhibit aggressive growth. While surgical management of the tumor has been reported, a single surgical approach with immediate breast reconstruction using AlloDerm has not been reported.

CASE PRESENTATION

A 22-year-old woman presented with a 4 cm mass in the left breast upon initial examination. Although the initial needle biopsy report indicated a fibroadenoma, the final pathologic report revealed a 6.5 cm × 6.4 cm × 6.4 cm benign phyllodes tumor ex vivo. Treatment was a simple nipple-sparing mastectomy coupled with immediate breast reconstruction. After the mastectomy, a subpectoral pocket was created for a saline implant and AlloDerm was stitched to the pectoralis and serratus muscle in the lower-pole of the breast.

CONCLUSIONS

Saline implant with AlloDerm can be used for immediate breast reconstruction post-mastectomy for treatment of a phyllodes tumor.

摘要

背景

叶状肿瘤是一种少见的乳腺肿瘤，具有侵袭性生长的特点。虽然已经有关于肿瘤手术治疗的报道，但使用 AlloDerm 即刻乳房重建的单一手术方法尚未见报道。

病例介绍

一位 22 岁女性，最初检查时发现左乳有 4 厘米的肿块。尽管最初的针吸活检报告提示为纤维腺瘤，但最终的病理报告显示为 6.5 厘米×6.4 厘米×6.4 厘米的良性叶状肿瘤。治疗方法是行保留乳头的单纯乳房切除术，同时即刻乳房重建。乳房切除术后，在胸肌下创建一个胸肌下袋，用于放置盐水植入物，并将 AlloDerm 缝合到乳房下极的胸肌和胸侧肌。