Serhan Karolina A, Kemp Tamara L
Department of Plastic & Reconstructive Surgery, Naval Medical Center Portsmouth, Va.
Plast Reconstr Surg Glob Open. 2022 Mar 25;10(3):e4188. doi: 10.1097/GOX.0000000000004188. eCollection 2022 Mar.
Phyllodes tumors are rare fibroepithelial breast tumors representing less than 1% of all breast malignancies, with an extremely uncommon presence in the pediatric population. Although prognosis is favorable following excision given their indolent course, they often grow rapidly and frequently recur. As such, they can present unique oncologic and reconstructive challenges. Herein we present a case of a malignant phyllodes tumor in an 11-year-old girl treated with total skin-sparing mastectomy and adjustable saline implant, and explore the reconstructive challenges of this unique case.
叶状肿瘤是一种罕见的乳腺纤维上皮性肿瘤,占所有乳腺恶性肿瘤的比例不到1%,在儿科人群中极为罕见。尽管因其生长缓慢,切除后预后良好,但它们通常生长迅速且频繁复发。因此,它们可能带来独特的肿瘤学和重建方面的挑战。在此,我们报告一例11岁女孩的恶性叶状肿瘤,采用保留皮肤的全乳切除术和可调节盐水植入物进行治疗,并探讨这一独特病例的重建挑战。