The Concept of Oncoplastic Breast Surgery Applied in Surgery for a Giant Fibroadenoma

Abstract

The treatment of a 40-year-old woman with a giant fibroadenoma in her left breast is presented. The fibroadenoma measured 14 × 5 × 3 cm and weighed 170 g. We demonstrate that the surgical strategy and the reconstructive techniques in oncoplastic breast cancer surgery successfully can be applied to the treatment of these rare benign tumours improving the cosmetic and functional outcome.

Oncoplastic Approach to Giant Benign Breast Tumors Presenting as Unilateral Macromastia

“…Since both these patients refused modifying the normal breast, an attempt was made to mimic the ptosis and nipple position of the unaffected side Oncoplasty, which is a blend of breast oncosurgery and plastic surgery, utilizes mainly three techniques-volume displacement, volume replacement and volume reduction. 7 The volume displacement technique has been utilized in both these cases, where the available parenchyma and skin are rearranged to restore a symmetrical breast mound. In the second case, where there was significant parenchymal atrophy due to the long-standing nature of the lesion, the entire skin envelope outside the wise pattern is de-epithelized and used to auto-augment the breast like a "Goldilock's mastectomy," as described by Richardson and Ma.…”