scholarly journals Malignant phyllodes tumor of the breast with rapid progression: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Hajime Abe ◽  
Atsuko Teramoto ◽  
Yumiko Takei ◽  
Yoshihito Tanaka ◽  
Genichiro Yoneda

Abstract Background Malignant phyllodes tumors (PTs) of the breast occur infrequently and are difficult to treat with adjuvant therapy. Here, we present a case of a female patient with a huge malignant PT with rapid progression in a short period. Case presentation A 44-year-old woman presented to our hospital with a rapid growth mass in her right breast, measuring 20 cm. She was initially diagnosed as having a borderline phyllodes tumor by core needle biopsy and underwent total mastectomy and artificial dermis was grafted, 20 days later, latissimus dorsi muscle flap and free skin grafting were performed. Two courses of doxorubicin–ifosfamide therapy were administered because of recurrence, but the patient died 4 months after the mastectomy. Conclusions A standard therapeutic strategy for malignant PTs is needed in urgently to reduce the risk of tumor recurrence.

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Nangole F. Wanjala ◽  
Khainga Ominde Stanley

Persistent posttraumatic CSF fluid leakage may present a challenge to manage. Failure to address the leakage may result in complications such as meningitis, septicemia, radiculopathy, muscle weakness, and back pains. While the majority of the leakages may be managed conservatively, large dura defects as a result of gunshot wounds or motor vehicle accidents are best managed by surgical interventions. This may range from primary closure of the defect to fascial grafts, adhesive glues, and flaps. We present our experience with the use of flaps in a patient who had sustained such wounds in the thoracic spine. An island latissimus dorsal flap and a perforator fasciocutaneous flap were used to close the defect. Postoperatively the patient recovered well and the wounds healed without any complications.


2006 ◽  
Vol 22 (03) ◽  
Author(s):  
H. Molina ◽  
R. Gomez ◽  
W. Calderon ◽  
C. Ramos ◽  
P. Marchetti ◽  
...  

2007 ◽  
Vol 2 (2) ◽  
pp. 88-93
Author(s):  
G. Balakrishnan ◽  
A. Sivakumar ◽  
S. Vijayaragavan

Microsurgery ◽  
1992 ◽  
Vol 13 (4) ◽  
pp. 208-213 ◽  
Author(s):  
Xiaolu Li ◽  
Brian C. Cooley ◽  
Suzann M. Gruel ◽  
Zhong Ye ◽  
John S. Gould

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