In this study, a recurrent massive
phyllodes tumor of the
breast was surgically removed and the grafting was used to repair the local
skin defects. A 29-y
female patient had recurring
breast phyllodes tumor of extremely large size in the
chest wall after the excision of a previous
tumor. The massive
phyllodes tumor was eliminated by completely removing the layers of the
skin and
tissues above the costal
bones with incisal margin being 2 cm away from the
tumor lesion. The
latissimus dorsi myocutaneous flap, lateral thoracic
skin flap, and
rectus abdominis myocutaneous flap were grafted to replace the lost
tissues due to the
surgery. Anti-
infection and anticoagulation
treatments were used after the
surgery. The
graft flaps had sufficient
blood supply and good
blood circulation,and the incisions mostly healed. The outcome of the
surgery was acceptable. For the surgical
treatment of the massive
phyllodes tumor in the
chest wall, it is an alternative of choice to use
latissimus dorsi myocutaneous flap, lateral thoracic
skin flap and
rectus abdominis myocutaneous flap in combination for
skin grafting.