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采用脱细胞真皮基质即刻植入进行乳房重建治疗复发性巨大恶性叶状肿瘤

Immediate implant breast reconstruction with acellular dermal matrix for treatment of a large recurrent malignant phyllodes tumor.

作者信息

Farias-Eisner Gina T, Small Kevin, Swistel Alexander, Ozerdem Ugur, Talmor Mia

机构信息

Division of Plastic Surgery, Weill Cornell Medical College, 425 East 61st Street, 10th Floor, New York, NY, 10065, USA.

出版信息

Aesthetic Plast Surg. 2014 Apr;38(2):373-8. doi: 10.1007/s00266-014-0283-9. Epub 2014 Feb 26.

Abstract

UNLABELLED

Phyllodes tumors (PT) are rare fibroepithelial breast tumors representing less than 1 % of all breast malignancies. These tumors are unpredictable and fast growing with a high local recurrence rate, making this disease challenging to treat. Previous literature focused on surgical resection, and breast reconstruction following a mastectomy in patients with PT is rarely addressed. We report a case of a recurrent malignant PT treated with a nipple-sparing mastectomy followed by immediate single-stage silicone implant breast reconstruction. While PT is a rare breast malignancy that presents challenges with both surgical resection and reconstruction, we demonstrate that nipple-sparing mastectomy with immediate implant breast reconstruction with AlloMax is curative and can offer an appealing cosmetic option.

LEVEL OF EVIDENCE V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

未标注

叶状肿瘤(PT)是罕见的纤维上皮性乳腺肿瘤,占所有乳腺恶性肿瘤的比例不到1%。这些肿瘤生长难以预测且迅速,局部复发率高,使得这种疾病的治疗具有挑战性。以往的文献主要关注手术切除,而PT患者乳房切除术后的乳房重建很少被提及。我们报告一例复发性恶性PT患者,采用保留乳头的乳房切除术,随后立即进行单阶段硅胶植入乳房重建。虽然PT是一种罕见的乳腺恶性肿瘤,在手术切除和重建方面都存在挑战,但我们证明保留乳头的乳房切除术联合使用AlloMax立即进行植入式乳房重建具有治愈性,并且可以提供一个有吸引力的美容选择。

证据水平V:本刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266

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