Mammaplasty using an inverted-T technique following the excision of a giant phyllodes tumor

Abstract

We report the case of a woman with a giant phyllodes tumor who successfully underwent a mammaplasty after breast-conserving surgery (BCS). The patient was a 40-year-old woman with a 25-cm lump in the left breast. The lesion was diagnosed as a phyllodes tumor by core needle biopsy. The patient was informed about the risks and benefits of BCS and total mastectomy. She selected BCS, and a mammaplasty using an inverted-T technique was performed after the complete resection of the tumor. The skin was expanded, and the nipple–areola was transplanted as a free graft to achieve breast symmetry. The mass was histopathologically diagnosed as a benign phyllodes tumor. The patient was satisfied with the cosmetic results. This method is considered to be one of the options for the treatment of giant phyllodes tumors.