Immediate Breast Reconstruction in an 11-year-old Girl with a Large Malignant Phyllodes Tumor

Abstract

Summary: Phyllodes tumors are rare fibroepithelial breast tumors representing less than 1% of all breast malignancies, with an extremely uncommon presence in the pediatric population.1 Although prognosis is favorable following excision given their indolent course, they often grow rapidly and frequently recur. As such, they can present unique oncologic and reconstructive challenges. Herein we present a case of a malignant phyllodes tumor in an 11-year-old girl treated with total skin-sparing mastectomy and adjustable saline implant, and explore the reconstructive challenges of this unique case.

Bilateral Phyllodes in a 12-Year-Old Adolescent: Report of a Rare Case

“…Prosthetic reconstruction also can be done immediately, provided the patient has already achieved her menarche [12]. In the case report by Serhan et al, an 11-year-old girl who had already attained her menarche was treated by a total skin-sparing mastectomy via an elliptical peri-areolar incision and immediate breast reconstruction with adjustable saline implants [8,13], whereas breast reconstruction was successfully done in cases even where the bottom skin of the nipple was involved causing nipple retraction. The surgery involved mobilization of the areola by skin flaps followed by insertion of implants [14].…”