Importance of classification ANDI for the inmediate breast reconstruction in recurrent phyllodes tumor.

Abstract

Immediate breast reconstructive surgery offers to a patient relief in secondary symptoms due to deformities caused by tumours that in spite of the fact of being harmless, for instance in some phyllodes tumours, alter life quality since they produce pain, malformations and inconveniences to clothes’ employment. These symptoms are in proportion to lesion size and disease duration. Integral management by the same experts’ surgical team allows a complete resection of a benign giant lesion as well as an immediate reconstruction. The immediate breast reconstruction was performed in a 39 year old patient with a homolateral extended latissimus dorsi flap that replaced the breast volume removed; for skin covering an autologous tissue kept during surgical procedure for tumour ablation was used. Results related to disease management were adequate. The tumour, which measured 17x15x9 cm, weight 1000 g and occupied almost 90 per cent of the breast, was completely extirpated. Aesthetic result for patient (and for the surgical team) was acceptable and satisfactory. End outcome has persisted 30 months post-surgery; presently there are no symptoms and no tumour recurrences have been detected. This type of management establishes the importance of having in mind those concepts clearly given on breast benign pathology classification (ANDI) in order to follow reconstructive surgical techniques in women older tan 35 years, with benign tumours in whom breast tissues’ involution have already begun.

Authors

• Nora Beatriz Sánchez Universidad del Valle