Bilateral Giant Juvenile Fibroadenoma of Breast

Breast fibroadenomas: a review in the light of current literature

<br><b>Introduction:</b> Fibroadenomas are one of the most common benign tumors of the breast in the adolescent females accounting for about 2/3<sup>rd</sup> of all the breast lumps and more than half of all the biopsied breast lesions. They come into being due to overgrowth of glandular tissue under the influence of hormonal changes that the girls undergo at the time of puberty. Due to the wide prevalence of fibroadenomas and the psychosocial morbidity associated with the finding of a breast mass, it is imperative for physicians treating adolescent patients to be thoroughly familiar and updated with this disease. <br><b>Aim:</b> The article aims at providing a brief review of the classification, presentation, diagnosis, and update on the management of breast fibroadenomas on the basis of recent literature.

Giant juvenile fibroadenoma in an adolescent female: A case report

Giant juvenile fibroadenoma in adolescents should be dealt with utmost caution as this may be associated with anxiety, fear, and emotional factors. The treatment should aim for preserving the normal contour of the breast along with appealing scar.

Mammotome-assisted removal with minimal incision of large juvenile fibroadenoma of breast: A case report

INTRODUCTION

Giant juvenile breast fibroadenoma can cause deformity and should be excised. Cosmesis is an important consideration in young patients.

PATIENT CONCERNS

The patient was admitted to our hospital for a mass of 6 × 6 cm in her left breast.

DIAGNOSE

A giant juvenile fibroadenoma.

INTERVENTIONS

With the help of Mammotome, we translated the larger mass to smaller one and removed it via a small circumareolar incision with no residual tumor.

OUTCOMES

There was no recurrence of disease after 2 years.

CONCLUSION

Mammotome-combined resection is a new approach that can be used to excise giant fibroadenomas with a minimal incision, and provides a favorable contour to the breast.

Giant fibroadenoma of the breast: A rare case in a mature woman

•

We experienced giant fibroadenoma of breast, a rare case in a mature woman.

•

We suspected a malignant tumor, due to the size and ulceration and bleeding.

•

Total mastectomy and skin grafting were needed for complete resection.

•

An early diagnosis and treatment could prevent total mastectomy.

Introduction

Fibroadenomas are common benign lesions of the breast that are usually found young patients. Giant fibroadenomas are uncommon benign lesions, defined as fibroadenomas of >5 cm in size, which are usually found in patients of less than 20 years of age.

Presentation of case

A 39-year-old premenopausal woman presented with a right breast tumor that had rapidly increased in size and which showed ulceration and bleeding. Needle biopsy showed mixed connective tissue and an epithelial tumor without a leaf-like pattern, but indeterminate. Total mastectomy and skin grafting were performed. Histopathology confirmed the diagnosis of giant fibroadenoma.

Discussion

In comparison to all previous reports on patients with giant fibroadenoma, this patient was relatively old and the etiology was unknown. Although rare, an appropriate therapeutic strategy should be decided according to the results of a histopathological examination.

Conclusion

Early treatment could allow breast preserving surgery and patients should be recommended to undergo reexamination with awareness of progression.