SURGICAL-MANAGEMENT OF LARGE BREAST-TUMORS IN THE ADOLESCENT

The management of adolescent females with giant cystosarcoma phylloide s remains controversial. Since in this age group the overwhelming majo rity of these neoplasms are benign, aesthetic outcome is as important as adequate tumor resection. Traditionally, treatment has been wide lo cal excision, which may lead to substantial breast deformity. In addit ion, inadequate planning with improper incision placement may result i n visible scarring and impair immediate or subsequent breast reconstru ction. The treatment of four adolescent females with large breast mass es using breast-sparing techniques is discussed.