BACKGROUND The phyllodes tumour of the breast comprises about 0.5% of all neoplasms of the breast. CASE REPORT we present the case of a female patient (55 years old) suffering from giant phyllodes tumour (>10cm) of the left breast, who underwent Skin Reducing Mastectomy (SRM) and reconstruction with silicone breast implant (Bostwick Technique). DISCUSSION AND CONCLUSION In selected patients...

BACKGROUND Immediate breast reconstruction following neoadjuvant chemotherapy raises concerns about increased perioperative complications and has the potential to delay planned adjuvant radiotherapy. This study examined the effect of neoadjuvant chemotherapy on reconstructive outcomes and the commencement of postoperative radiotherapy. METHODS A retrospective review of a single surgeon's imme...

alloderm® (lifecell corp.; brancburg, nj) is an acellular dermal matrix (adm) that serves as an immunologically inert scaffold in plastic surgery. in breast reconstruction, it is used as a filler for lumpectomy defects and can be used to create the inferolateral portion of the tissue expander pocket or implant pocket in postmastectomy patients. however, there are limited reports of the radiolog...

BACKGROUND Patients undergoing mastectomy and prosthetic breast reconstruction have significant acute postsurgical pain, routinely mandating inpatient hospitalization. Liposomal bupivacaine (LB) (Exparel; Pacira Pharmaceuticals, Inc., Parsippany, N.J.) has been shown to be a safe and effective pain reliever in the immediate postoperative period and may be advantageous for use in mastectomy and ...

To the Editor: Breast cancer is the most feared type of cancer among women. It is estimated that 4.4 million living women have had a diagnosis of breast cancer in the last 5 years (1–3). Modified radical mastectomy (MRM) remains the most frequent surgical treatment (4–6), and has been combined with breast reconstruction with the aims of enhancing body image and consequently improving quality of...

BACKGROUND The current standard of care for breast implant reconstruction after mastectomy is 2-stage reconstruction with placement of tissue expanders followed by implants. The immediate use of implants at the time of mastectomy, which eliminates the need for a second operative procedure, has been sparsely reported and is not yet accepted as the standard of care. This study describes a 1-stage...

Aim: Autologous tissue is considered the “gold standard” for breast reconstruction today. However, little is known about deep inferior epigastric perforator (DIEP) flap reconstruction in combination with tissue expander (TE)/implant. The authors describe a series of combined DIEP flap/TE reconstruction, including its indications and technique to ensure protection of the pedicle during the expan...

PurPoSe: Acellular dermal matrix (ADM) has gained popularity to enhance lower pole coverage in immediate implant or expander reconstruction. Advantages of ADM include improved rapid reconstruction, postoperative expander filling and lower capsular contracture. Potential trade-offs include higher seroma, infection and cost. Alternatives for implant coverage include local fascial flaps and inferi...

BACKGROUND: Immediate, implant-only breast reconstruction is traditionally discouraged inpatients who receive radiation therapy for reasons of the significant morbidity associated withthis approach. It is not clear however, whether this widely-recognized mantra of breastreconstruction is actually currently observed in practice. The aim of this study is thus to evaluatereconstruc...