Swiss roll method of fibroadenoma excision: a case series

Authors

  • Srinivas B. Kulkarni Department of General Surgery, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India
  • Naveen S. Department of General Surgery, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India
  • K. S. Hanumanthaiah Department of General Surgery, Rajarajeswari Medical College and Hospital, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20231969

Keywords:

Fibroadenoma, Giant fibroadenoma, Swiss roll method, Cosmesis

Abstract

Fibroadenoma of 5 cm or more is called as giant fibroadenoma. Cosmesis is an important consideration while making breast incisions, especially in young adults. In our case series 15 girls of age group 18-30 years having giant fibroadenoma in breast were considered for the study and underwent Swiss roll method of fibroadenoma excision. 3 cm and 4 cm incisions were made for giant fibroadenoma of ≤6 cm and >6 cm in size respectively. Post-operative scars and cosmetic results were documented. In our study, average size of fibroadenoma was 6.5 cm. 10 patients (66.66%) had 3cm incision and 5 patients (33.33%) had 4 cm incision. Breast shape and symmetry is maintained with acceptable scar in all our patients postoperatively. Swiss-roll operation can be considered as cosmetically acceptable surgery for giant fibroadenomas.

References

Ajmal M, Khan M, Van Fossen K. Breast Fibroadenoma. In: StatPearls. Treasure Island (FL): StatPearls Publishing. 2022.

McGrath MH. Benign tumors of the teenage breast. Plast Reconstr Surg. 2000;105:218-22.

Alagaratnam TT, Ng WF, Leung EXF. Giant fibroadenoma of the breast in an oriental community. J R Coll Surg Edinb. 1995;40:161-2.

Mizaushev BA, Kazdokhova ZHKH, Kantsaliev AL A comparative analysis of effectiveness of surgical treatment of fibroadenoma young girls. Vestn Khir Im II Greak. 2004;163:35-9.

Bauer BS, Jones KM, Talbot CW. Mammary mass in the adolescent female. Surg Gynecol Obstet. 1987;165:63-5.

Farqharson M, Moran B. Surgery of breast and axilla. In: Koster J, Burrows S, editors. Farquharson’s textbook of operative general surgery, 9th edition. Great Britain: Edward Arnold. 2005;21-32.

Kaufman CS, Bachman B, Littrup PJ, White M, Carolin KA, Freman-Gibb LN et al. Office- based ultrasound-guided cryoablation of breast fibroadenomas. Am J Surg. 2002;184:394-400.

Soomro SA, Memon SA, Mohammad N, Maher M. Swiss roll operation for giant fibroadenoma. J Ayub Med Coll Abbottabad. 2009;21(1):76-8.

Downloads

Published

2023-06-28

Issue

Section

Case Series