Recurrent cystosarcoma phylloides of breast: extensive full-thickness excision of chest wall with immediate repair using steel mesh and a latissimus dorsi myocutaneous flap

Br J Plast Surg. 1983 Oct;36(4):519-21. doi: 10.1016/0007-1226(83)90143-1.


The case of a young woman with a massive recurrent cystosarcoma phylloides of the breast is presented in whom a full thickness excision of the chest wall was carried out en bloc together with four ribs. The large full-thickness defect of the chest wall was reconstructed with stainless steel mesh and covered by a latissimus dorsi myocutaneous flap. The management of post-operative paradoxical movement is also described.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Breast Neoplasms / surgery*
  • Female
  • Humans
  • Intraoperative Complications
  • Mastectomy
  • Neoplasm Recurrence, Local / surgery
  • Phyllodes Tumor / surgery*
  • Skin Transplantation
  • Surgical Flaps*