Recurrent cystosarcoma phylloides of breast: extensive full-thickness excision of chest wall with immediate repair using steel mesh and a latissimus dorsi myocutaneous flap.

The case of a young woman with a massive recurrent cystosarcoma phylloides of the breast is presented in whom a full thickness excision of the chest wall was carried out en bloc together with four ribs. The large full-thickness defect of the chest wall was reconstructed with stainless steel mesh and covered by a latissimus dorsi myocutaneous flap. The management of post-operative paradoxical movement is also described.