Giant juvenile fibroadenoma: a case report

Prashant Pareek; Priyanka Pareek

doi:10.18203/2349-2902.isj20181155

Authors

Prashant Pareek Department of General Surgery, Pareek Hospital and Research Centre, Agra, Uttar Pradesh, India
Priyanka Pareek Department of Anaesthesia and Critical Care, Pareek Hospital and Research Centre, Agra, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20181155

Keywords:

Breast, Fibroadenoma, Juvenile

Abstract

Breast Lumps are not a common occurrence in paediatric patients. When encountered, they call for a thorough workup and meticulous treatment plan. Like in adults, fibroadenomas can be seen in children. These are termed 'juvenile fibroadenomas'. When these are larger than 5cm or weigh more than 500gm, they can be called 'giant juvenile fibroadenomas'. These comprise 1-8% of breast lumps in adolescent population. We report here a case of a 10 years old girl who presented with a rapidly growing unilateral breast lump which provided a diagnostic dielemma but was diagnosed as giant juvenile fibroadenoma on histopathology performed post excision. She was successfully treated surgically by removing the entire well-defined lump intact after raising overlying breast flaps. The post-operative period was uneventful. The patient shows no signs of recurrence or co-morbidity even now at follow up OPD visits.

Metrics

Metrics Loading ...

References

Arca MJ, Caniano DA. Breast disorders in the adolescent patient. Adolesc Med Clin. 2004.;15(3):473-85

Jayasinghe Y, Simmons PS. Fibroadenomas in adolescence. Curr Opin Obstet Gynecol. 2009;21:402-6.

Fallat ME, Ignacio RC. Breast disorders in children and adolescents. J. Pediatr Adolesc Gynecol. 2008;21(6):311-6.

Chang DS, Mc Grath MH. Management of benign tumors of the adolescent breast. Plast Reconstr Surg. 2007;120:13e-9.

Thuruthiyath N, Das PC, Anabratha KS, Mascarenhas V, Marla N. Giant fibroadenoma of breast in an adolescent girl. Oman Med J. 2012;27(4):314-5.

Anani BL, Mishev GG, Ivanov GP. Giant Fibroadenoma of the breast. Folia Med (Plovdiv). 2002;44(4):50-2.

Stehr KG, Lebeau A, Stehr M, Grantzow R. Fibroadenoma of the breast in an 11 years old girl. Eur J Pediatr Surg. 2004;14(1):56-9.

Sosin M, Pulcrano M, Feldman ED, Patel KM. Giant juvenile fibroadenoma: A systematic review with diagnostic and treatment recommendations. Gland Surg. 2015;4(4):312-21.

Templeman C, Hertureck SP. Breast disorders in the pediatric and adolescent patient. Obstet Gynecol Clin North Am. 2000;27:19-34.

Sosin M, Feldman E. Giant juvenile fibroadenoma: a case and review of novel modalities in treatment. Breast Dis. 2012;34:35-8.

Park CA, David LR, Argenta LC. Breast asymmetry: presentation of a giant fibroadenoma. Breast J. 2006;12:451-61.