Giant Juvenile Fibroadenoma of the breast in a 13-year-old Pakistani girl with excellent cosmetic outcome after subareolar enucleation – A case report

Oncoplastic Breast Reconstruction for Large Pediatric Breast Tumors

“…In addition, Srivastava et al 22 performed a free nipple graft for the excision and reconstruction of a giant fibroadenoma in a 12-year-old female. Concentric circumareolar incisions, performed by Lai et al 24 and Wang et al, 18 and the use of a single circumareolar incision or Swiss-roll technique, performed by Naraynsingh et al 25 and Zeeshan et al, 26 have both been shown to provide satisfactory outcomes for fibroadenoma excision by reducing scarring. Chang et al 3 used McKissock bipedicle technique for breast reconstruction after mass excision to preserve breast parenchyma, adjust the skin envelope, and obtain nipple-areola symmetry.…”

“…In addition, Srivastava et al 22 performed a free nipple graft for the excision and reconstruction of a giant fibroadenoma in a 12-year-old female. Concentric circumareolar incisions, performed by Lai et al 24 and Wang et al, 18 and the use of a single circumareolar incision or Swiss-roll technique, performed by Naraynsingh et al 25 and Zeeshan et al, 26 As in choosing the appropriate breast cancer patient for breast conservation therapy with lumpectomy and oncoplastic breast reduction, patient selection for this technique in the pediatric population is also critical. Perhaps the most important component of patient selection is evaluating and estimating the breast volume that will remain after mass removal.…”

Giant Juvenile Fibroadenoma of the Breast in a 13-Year-Old Girl: a Case Report. Diagnostic Features

“…Гигантские ФА наиболее распространены у афроамериканок, а также жительниц Восточной Азии [14]. При поиске клинических случаев гигантской ФА у девочек-подростков до 15 лет в PubMed найдены только четыре зарубежных описания [15][16][17][18]. Так, в статье S.U.…”

“…Проведено иссечение опухоли [15]. Описаны также следующие гигантские ФА: у 13-летней девушки ФА размером 12 см [16], 15-летней -многоузловая ФА (пять узлов -10 см, два по 7см, два по 5 см) [17], 13-летней -11 см [18]…”

Juvenile Adenofibroma, is a Good Aesthetic Result Still Possible?

“…It is a unilateral breast mass, with a size greater than 5 cm or a weight greater than 500 g. Its size can double in 3 to 6 months and can reach 20 cm, which can lead to a worrying aesthetic prejudice for patients in their teenage years with a bad psychological impact [3]. Its physiopathology is still undetermined but a hormonal incrimination is suspected with excessive estrogenic stimulation and/or increased sensitivity of estrogenic receptors or a decrease in the sensitivity of the estrogenic antagonists [4]. Its diagnosis is based on the classic triad: a complete clinical examination imaging: in particular breast ultrasound for this age group, given its age group due to its non-irradiating character and an anatomical and pathological examination [5].…”