Case Report

Extreme Oncoplasty; Combining Oncoplastic Techniques for Breast Conserving Excision of A Large Phyllodes Tumor

Authors: Jamila Alazhri, Eman Hamza.

DOI: 10.33425/2689-1093.1096

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Abstract

Phyllodes are large fibroepithelial tumors of the breast that have the potential for rapid growth. Excision with a negative margin is necessary to reduce the risk of recurrence. When the size of the tumor is very large, it is challenging to conserve an aesthetically acceptable breast after excision. Mastectomy with or without reconstruction is a frequently chosen option by breast and plastic surgeons. However, it is associated with higher rates of depression, lower self-esteem, poor quality of life (QOL), and surgical complications. Extreme oncoplasty is a promising surgical concept that has allowed successful large-volume breast conserving surgery (BCS) excision, and reduced the need for mastectomy and the subsequent operations for breast reconstruction. Here, we describe the combined utilization of two oncoplastic techniques to excise a large phyllodes tumor while conserving the breast with an acceptable cosmetic outcome.

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