Recurrent phyllodes tumour of breast infiltrating the latissimus dorsi reconstruction flap.
Phyllodes tumour is a rare breast tumour with potential of malignancy. Recurrence in phyllodes tumour may also be suggestive of malignant transformation. We report a case of 29-year-old woman with recurrent phyllodes tumour infiltrating the latissimus dorsi reconstruction flap. Re-excision of the tumour along with excision of latissimus dorsi flap was done. Histopathology confirmed malignant phyllode tumour. A significantly higher incidence of recurrence is seen in phyllodes tumour of large size, tumours with infiltrative borders, increased mitotic activity, malignant histology and positive margins. Surgeons should always take into consideration the risk factors for recurrence before planning reconstructive breast surgery in recurrent phyllodes tumour. A preoperative MRI imaging and incisional biopsy are essential in planning surgery for these patients.
['Saxena|Pradeep|P|http://orcid.org/0000-0002-7838-9752', 'Lalchandani|Ankit|A|', 'Dausage|Chirag|C|']
D000328:Adult D001943:Breast Neoplasms D005260:Female D006801:Humans D008279:Magnetic Resonance Imaging D000072662:Margins of Excision D015413:Mastectomy, Simple D009364:Neoplasm Recurrence, Local D003557:Phyllodes Tumor D012086:Reoperation D064171:Superficial Back Muscles D013524:Surgical Flaps D016896:Treatment Outcome
breast surgery breast cancer general surgery plastic and reconstructive surgery surgical oncology