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Ann Thorac Surg 2007;83:2196-2197
© 2007 The Society of Thoracic Surgeons

Case Reports

Full-Thickness Chest Wall Resection for Recurrent Breast Phyllodes Tumor

Jose D. Andrade Neto, MDa, Ricardo M. Terra, MDa,*, Angelo Fernandez, MD, PhDa, Viviane Rawet, MDb, Fabio B. Jatene, MD, PhDa

a Department of Thoracic Surgery, Hospital das Clinicas, University of São Paulo Medical School, São Paulo-SP, Brazil
b Department of Pathology, Hospital das Clinicas, University of São Paulo Medical School, São Paulo-SP, Brazil

Accepted for publication January 2, 2007.

* Address correspondence to Dr Terra, Av. Dr. Enéas de Carvalho Aguiar, 255 Sala 9117, São Paulo-SP, CEP 05403-000, Brazil (Email: rmterra{at}uol.com.br).

Phyllodes tumor is a rare breast neoplasm. We present the case of a woman who underwent multiple surgical procedures for phyllodes tumor treatment. Even after bilateral mastectomy and radiotherapy, local recurrences developed. We performed a full-thickness chest wall resection with wide margins, a procedure rarely reported in medical literature for this purpose. Only after this approach did we obtain disease control, with no signs of further recurrence at 4 years’ follow-up.






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Copyright © 2007 by The Society of Thoracic Surgeons.