Malignant Phyllodes Tumor Recurrence in the Pleural Cavity via the Deep Inferior Epigastric Perforator Flap and Internal Mammary Vessel Bundle: A Case Report. Issue 6 (June 2019)

• Record Type: Journal Article
• Authors: Fang, Chien-Liang; Hsu, Chin-Hao; Tu, Chin-Wen
• Is Part Of: Annals of plastic surgery. Volume 82:Issue 6(2019)
• Publication Date: 2019-06
• Subjects: DIEP flap -- internal mammary vessel bundle -- pathology exchange -- pleural cavity -- recurrence -- thoracoacromial vessel bundle; Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/SAP.0000000000001795
• Languages: English
• ISSNs: 0148-7043

Abstract

Abstract : Abstract: We report a rare case that after rapid recurrence there was pathological transition from a fibroadenoma and benign phyllodes tumor to borderline and malignant phyllodes tumor. Another rare finding included tumor dissemination in the pleural cavity via reconstructed deep inferior epigastric perforator flap edge and internal mammary vessel bundle. Hence, we eliminated the use of internal mammary vessel bundle as the recipient vessel for free-flap reconstruction to avoid recurrence in the pleural cavity. Remarkably, we achieved successful reconstruction of 2 huge defects (reconstruction of breast following mastectomy and that of chest wall following en bloc excision of recurrence) using 2 different free flaps.