Abstract
Background
We report a rare case of a teenage girl, with a bizarre clinical presentation of a
benign breast condition that too is uncommon at her age.
Case
A 14-year-old premenarchal girl presented with a rapidly progressing lump that involved
the entire breast within 3 months. It was associated with ulceration of the overlying
skin along with destruction of the nipple-areola complex. During the pre- operative
workup, a neoplastic etiology was suspected, but post-operative histopathology revealed
it to be giant juvenile fibroadenoma.
Summary and Conclusion
This case emphasizes the benign character of breast masses in the adolescent age group.
Despite the massive volume and appearance, the opportunity for a conservative surgical
approach should be sought.
Key Words
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric and Adolescent GynecologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Breast masses in childhood and adolescence. A presentation of 17 cases and a review of the literature.Pediatr Radiol. 1994; 24: 81
- Fibroadenomas in adolescence.Curr Opin Obstet Gynecol. 2009; 21: 402
- Bilateral florid juvenile fibroadenomas of the breast in an adolescent: a rare indication for subcutaneous mastectomy.J Pediatr Adolesc Gynecol. 2015; 28: e135
- Breast asymmetry: presentation of a giant fibroadenoma.Breast J. 2006; 12: 451
- Diagnosis and management of fibroadenomas in the adolescent breast.Semin Plast Surg. 2013; 27: 23
- Giant fibroadenoma presenting like fungating breast cancer in a Nigerian teenager.Afr Health Sci. 2013; 13: 162
- Giant fibroadenoma of the breast in adolescents: report of 2 cases.J Pediatr Surg. 2009; 44: e39
- Florid juvenile (cellular) fibroadenomatosis in the adolescent: a case for subcutaneous mastectomy?.Aesthet Plast Surg. 1999; 23: 413
- Differential diagnosis and management of giant fibroadenoma: comparing excision with reduction mammoplasty incision and excision with inframammary incision.J Plast Surg Hand Surg. 2012; 46: 354
- Giant fibroadenoma with massive infarction masquerading as malignancy: a case report.Int Cancer Conf J. 2017; 6: 167
- Histopathologic, immunophenotypic, and proteomics characteristics of low-grade phyllodes tumor and fibroadenoma: more similarities than differences.NPJ Breast Cancer. 2020; 6: 1
Article info
Publication history
Published online: January 28, 2021
Accepted:
January 20,
2021
Received in revised form:
January 4,
2021
Received:
November 19,
2020
Identification
Copyright
© 2021 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
