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2025, Vol. 7, Issue 2, Part B
Inverted-t shaped reduction mammoplasty in a 20-year-old woman with giant phyllodes tumor in Abakaliki, south-east Nigeria
Author(s): Ifeanyi Enyanwuma, Callistus Obinna Elegbua, Uche Eni, Onyeyirichi Otuu, Onyedikachi Nwokoro and Chinedu Egwu
Abstract:
Phyllodes tumors are rare fibroepithelial neoplasms of the breast, accounting for less than 1% of all breast tumors. These tumors exhibit a wide histopathological spectrum—benign, borderline, and malignant—with the benign variant being the most common. Giant phyllodes tumors, defined as those exceeding 10 cm in diameter, pose significant surgical and aesthetic challenges, often leading to breast ptosis and asymmetry post-excision. Oncoplastic surgical techniques play a crucial role in addressing these challenges by combining oncologic resection with immediate breast reconstruction to achieve both complete tumor removal and optimal cosmetic outcomes.
This report presents a case of a 1.2 kg giant benign phyllodes tumor managed through complete excision followed by oncoplastic breast reconstruction using the inverted-T technique of reduction mammoplasty with an inferior dermoglandular pedicle. Preoperative planning utilized the Wise pattern markings to ensure proper nipple-areolar complex (NAC) repositioning and symmetry with the contralateral breast. A 10 cm-wide inferior pedicle was employed, incorporating the 3rd and 4th intercostal branches of the internal mammary artery to maintain adequate vascularity and preserve NAC viability despite a long pedicle.
Postoperative recovery was uneventful, with satisfactory healing, no complications, preserved NAC function, and excellent aesthetic outcome. This case underscores the importance of tailored oncoplastic approaches, particularly the inverted-T reduction technique with an inferior pedicle, in managing giant benign phyllodes tumors to ensure oncologic safety while achieving aesthetic and functional restoration.
DOI: 10.22271/27081494.2025.v7.i2b.208
Pages: 93-96 | Views: 98 | Downloads: 34
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How to cite this article:
Ifeanyi Enyanwuma, Callistus Obinna Elegbua, Uche Eni, Onyeyirichi Otuu, Onyedikachi Nwokoro, Chinedu Egwu. Inverted-t shaped reduction mammoplasty in a 20-year-old woman with giant phyllodes tumor in Abakaliki, south-east Nigeria. Int J Case Rep Surg 2025;7(2):93-96. DOI: 10.22271/27081494.2025.v7.i2b.208
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