Immediate Expander Implantation Following Simple Mastectomy of a Seven Kilograms Giant Phyllodes Tumor

Abstract

We report a case of a 45-year-old Chinese-American woman with a giant phyllodes tumor measuring 29×27×22 cm. The patient relied on traditional Chinese medicine (TCM) and physical massage for more than one year before surgery. A simple mastectomy with immediate expander implantation was performed. During the surgery, a suspicious lymph node was found which might be related to breast massage. We kept superior and inferior skin flaps to cover the skin defect and reconstruct a breast shape one-stage operation.