Nipple sparing mastectomy with immediate silicone implant reconstruction for malignant phyllodes tumor in a 19-year-old girl

G. Libondi, M. Solinas, E.M. Martella, L. Cattelani

Cutaneous, Mininvasive, Regenerative and Plastic Surgery Unit, Department of Surgical Sciences, Parma University Hospital, Parma, Italy. guido_libondi@alice.it

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• Plastic Surgery

OBJECTIVE: Due to the rarity of MPT, the clinical records in the literature, collected along decades, lack to address a modern approach to breast reconstruction after mastectomy.

CASE PRESENTATION: We report a case of a teen-aged female diagnosed to have a malignant phyllodes in her right breast.

DISCUSSION: The surgical treatment of choice, taking in account the relation between the volume of the mass and the breast dimension, was considered to be a mastectomy. As the disease didn’t involve the skin envelope a nipple-areolar-sparing gland removal allowed an immediate prosthetic reconstruction with a contralateral augmentation for symmetrization, so obtaining a satisfactory aesthetic outcome.

CONCLUSIONS: At our knowledge we present for the first time this surgical approach that, in selected patients, can reach the oncologic radicality and an adequate cosmetic result too.

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