Phyllodes tumour presenting in a rare location: a case report and literature review

Authors

  • Vandhana Rajgopal Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India http://orcid.org/0000-0001-8168-8801
  • Saugata Sammader Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
  • Piyush Ranjan Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
  • Mohammed Fawaz Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20221910

Keywords:

Phyllodes tumour, Rare location, Reconstruction, Radiotherapy

Abstract

Phyllodes tumors are rare fibro-epithelial tumors that are known to grow very rapidly in a short period. The tumor is known for its propensity to recur locally despite adequate wide excisions and even mastectomies. This case report is of a woman who had a recurrent Phyllodes tumor in a peculiar location. Phyllodes tumours are generally confined to arising from the breast; however, in this case, we found it arising from the anterior abdominal wall. The tumour was removed with a 2 cm margin of excision. The large defect that remained after excision was reconstructed using a latissimus dorsi flap, along with a split skin graft. The immediate post-operative period was uneventful. Ultrasonography did not detect a recurrence after 12 months. We presented relevant literature highlighting tumor infiltration into the anterior abdominal wall, our surgical management and reconstructive planning for closure of a large post-excision defect. In order to prevent a recurrence of phyllodes tumour, it is important to excise the tumour with wide margins of 2 cm. A multi-disciplinary team approach is essential for the reconstruction of the remaining defect.

Author Biography

Vandhana Rajgopal, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

Senior Resident, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India

References

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Published

2022-07-26

Issue

Section

Case Reports