1 00:00:00.000 --> 00:00:00.675 It was about a month or two ago 2 00:00:00.675 --> 00:00:02.775 A patient came in with a phyllodes tumor 3 00:00:02.775 --> 00:00:03.975 that was 16 cm! 4 00:00:03.975 --> 00:00:05.174 It was huge, seriously 5 00:00:05.174 --> 00:00:06.674 Because phyllodes tumors grow rapidly 6 00:00:06.674 --> 00:00:07.774 [You can feel it growing] patients can literally feel the growth happening 7 00:00:07.774 --> 00:00:09.074 Phyllodes tumors grow so quickly 8 00:00:09.074 --> 00:00:10.624 that some patients say they can feel it getting bigger 9 00:00:10.624 --> 00:00:11.424 even within just a few days 10 00:00:11.424 --> 00:00:13.824 [What took you so long!] “What were you doing until it got that big?" 11 00:00:13.824 --> 00:00:17.023 [Wrong question] That kind of question doesn’t apply to phyllodes tumor patients 12 00:00:17.023 --> 00:00:17.823 They’re just like, “Uh… uh…” 13 00:00:17.823 --> 00:00:19.123 [This big..] and then suddenly it’s grown that big 14 00:00:19.973 --> 00:00:23.473 SHINYU CLINIC 15 00:00:23.473 --> 00:00:26.922 PD: “The patient who just came in finished quickly, huh?” 16 00:00:26.922 --> 00:00:28.972 Yeah, it was a phyllodes tumor case 17 00:00:28.972 --> 00:00:29.622 At first, 18 00:00:29.622 --> 00:00:30.872 this patient seemed really irritable 19 00:00:30.872 --> 00:00:32.872 A doctor from the countryside 20 00:00:32.872 --> 00:00:33.921 [Send a SOS to him] referred them to me 21 00:00:33.921 --> 00:00:35.521 But when someone seems irritable, 22 00:00:35.521 --> 00:00:37.421 it’s usually because they’ve been through a lot 23 00:00:37.421 --> 00:00:39.271 The tumor kept coming back, over and over 24 00:00:39.271 --> 00:00:40.721 It’s no wonder they ended up like that 25 00:00:40.721 --> 00:00:41.821 [Going crazy] They were just at their wits’ end 26 00:00:41.821 --> 00:00:44.220 [Repeated recurrence lowers trust in Doctors] Even if we say, "This is the right way," but they can't believe us 27 00:00:44.220 --> 00:00:46.220 “Is it really going to…” 28 00:00:46.220 --> 00:00:48.870 "Won’t I just be left with scars and a huge dent in my chest?" 29 00:00:48.870 --> 00:00:50.120 There were already significant scars and indentations 30 00:00:50.120 --> 00:00:52.219 So you came in with large scars and that condition 31 00:00:52.219 --> 00:00:53.769 "Can I even trust other doctors now..." 32 00:00:53.769 --> 00:00:54.969 You must have endured so much 33 00:00:54.969 --> 00:00:55.919 That must’ve been you holding it in 34 00:00:55.919 --> 00:00:58.169 Phyllodes tumors are different from general fibroadenomas 35 00:00:58.169 --> 00:01:00.169 Phyllodes Tumor Treatment: Need to take out the tumor and tissue around it (There's a risk it could turn cancerous, so it may spread into nearby tissue) 36 00:01:00.169 --> 00:01:02.168 But right now, we can’t be sure 37 00:01:02.168 --> 00:01:03.168 if it’s actually a phyllodes tumor 38 00:01:03.168 --> 00:01:04.568 Still, considering it keeps recurring 39 00:01:04.568 --> 00:01:06.168 There’s a high possibility it is a phyllodes tumor 40 00:01:06.168 --> 00:01:07.768 But since a large portion of your breast has already been removed, 41 00:01:07.768 --> 00:01:09.118 And you already have indentation in your breast, 42 00:01:09.118 --> 00:01:11.217 If we say we need to remove tissue from two more areas, 43 00:01:11.217 --> 00:01:13.567 [Almost nothing left of the breast] That would mean you'd lose about a quarter of your breast 44 00:01:13.567 --> 00:01:15.117 When doctors have to cut someone’s breast like that 45 00:01:15.117 --> 00:01:16.017 it really breaks our hearts.. 46 00:01:16.017 --> 00:01:17.317 We just want to do the best we can for you 47 00:01:17.317 --> 00:01:20.516 Even though it doesn't follow the standard surgical principles for phyllodes tumors, 48 00:01:20.516 --> 00:01:21.766 we only remove only the phyllodes tumor! 49 00:01:21.766 --> 00:01:22.516 [Insert joke] It's like digging out potatoes (?) PD) (Huh...?) 50 00:01:22.516 --> 00:01:23.966 You're not even from Gangwon-do;; 51 00:01:23.966 --> 00:01:26.266 I dig out phyllodes tumor like I dig potatoes 52 00:01:26.266 --> 00:01:27.966 So I pulled it out and picked it out really pretty 53 00:01:27.966 --> 00:01:29.766 In this patient, we had a 3cm incision, 54 00:01:29.766 --> 00:01:32.165 then we gathered the tissue to correct the depression 55 00:01:32.165 --> 00:01:34.615 So I removed it, but now that it's depression-corrected, 56 00:01:34.615 --> 00:01:35.565 the patient had faith in me, right? 57 00:01:35.565 --> 00:01:37.565 [Supposed to excise more around the tumor] The main mass has already been removed 58 00:01:37.565 --> 00:01:39.514 but you still need to remove more tissue around it 59 00:01:39.514 --> 00:01:41.264 So naturally, the breast will end up smaller 60 00:01:41.264 --> 00:01:44.114 [Fixing the indentation using nearby tissue] What I did was pull in the surrounding tissue to fill in the dent 61 00:01:44.114 --> 00:01:44.914 So this patient came 62 00:01:44.914 --> 00:01:46.864 and her face was bright 63 00:01:46.864 --> 00:01:49.513 [My breast became smaller, but their shape became pretty] I had surgery, and my breast got smaller, 64 00:01:49.513 --> 00:01:51.513 but I thought it was better looking 65 00:01:51.513 --> 00:01:53.963 When she did it at a hospital in Busan, 66 00:01:53.963 --> 00:01:57.163 the doctor ruined it and she fought with him 67 00:01:57.163 --> 00:01:58.662 If it's going to look this good, 68 00:01:58.662 --> 00:02:00.812 Patient: I'm not afraid of continuing to develop phyllodes tumors! 69 00:02:00.812 --> 00:02:01.462 That's exactly what she said 70 00:02:01.462 --> 00:02:02.562 PD) Wow~~ 71 00:02:02.562 --> 00:02:05.162 [Showing off] There's something I'm good at sometimes 72 00:02:05.162 --> 00:02:05.862 It was about a month or two ago 73 00:02:05.862 --> 00:02:07.961 a patient came in with a phyllodes tumor 74 00:02:07.961 --> 00:02:09.111 that was 16 cm! 75 00:02:09.111 --> 00:02:10.311 It was huge, seriously 76 00:02:10.311 --> 00:02:12.011 Then, in fact, the breast tissue is hollowed out 77 00:02:12.011 --> 00:02:13.261 There is nothing I can do Because it's widely removed 78 00:02:13.261 --> 00:02:15.261 [Still, gather the rest of the tissue and make the shape] But I should try to collect the rest of it 79 00:02:15.261 --> 00:02:17.310 and make it look like a breast 80 00:02:17.310 --> 00:02:20.510 You need proper surgery rather than beauty! 81 00:02:20.510 --> 00:02:22.010 Phyllodes tumors grow so fast 82 00:02:22.010 --> 00:02:23.110 [You Can Feel It Growing] that patients can actually feel them getting bigger 83 00:02:23.110 --> 00:02:24.410 Phyllodes tumors grow so quickly 84 00:02:24.410 --> 00:02:25.960 that some patients say they can feel it getting bigger 85 00:02:25.960 --> 00:02:26.759 even within just a few days 86 00:02:26.759 --> 00:02:29.159 [Why did you come to the hospital now?] Asking, “Why did you wait until it got to 15 or 16 cm?” 87 00:02:29.159 --> 00:02:32.359 [Wrong question] isn’t the right thing to say to someone with a phyllodes tumor 88 00:02:32.359 --> 00:02:33.159 While they were doing "Uh...", "Uh..." 89 00:02:33.159 --> 00:02:34.059 [It got this big...] It suddenly got bigger 90 00:02:34.059 --> 00:02:36.259 If you make a reservation for a college hospital, it's way past the date 91 00:02:36.259 --> 00:02:37.859 If you go to the doctor's office, 92 00:02:37.859 --> 00:02:39.358 you have to set a separate date for the test 93 00:02:39.358 --> 00:02:40.808 After the test, you have to make a reservation again 94 00:02:40.808 --> 00:02:41.958 An endless waiting 95 00:02:41.958 --> 00:02:43.658 But the advantage of a private hospital is 96 00:02:43.658 --> 00:02:46.107 I can't leave it anymore It's getting bigger 97 00:02:46.107 --> 00:02:48.057 Then, in the case of a private hospital, we can schedule surgery within a week 98 00:02:48.057 --> 00:02:49.607 [I need to make it up!] You have to step in and force yourself to do it 99 00:02:49.607 --> 00:02:51.807 You think you're going to live after surgery and removal of the phyllodes tumor 100 00:02:51.807 --> 00:02:54.107 [After the surgery, she looks lighter] That's why the patients' faces bloom 101 00:02:54.107 --> 00:02:57.656 A woman who came in with a 16cm phyllodes tumor was also in her 50s 102 00:02:57.656 --> 00:02:59.656 Her daughter is already in her 20s 103 00:02:59.656 --> 00:03:01.106 She came with her daughter 104 00:03:01.106 --> 00:03:02.606 So just imagine how worried her daughter must have been.. 105 00:03:02.606 --> 00:03:04.456 If that was really her mom (?) 106 00:03:04.456 --> 00:03:05.255 PD) That’s a bit... 107 00:03:05.255 --> 00:03:07.655 Just kidding... haha... 108 00:03:07.655 --> 00:03:13.980 Watch More Videos