Unusual Presentation of Benign Breast Disease in an Adolescent Girl

Srivastava, Vivek; Jha, Pratik K; Samhitha, Chigurupati Veda; Khanna, Seema

doi:10.1007/s12262-020-02548-6

Cited by 1 publication

(2 citation statements)

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“…19,23 Like our cases, Wechselberger et al 19 and Ng et al 20 used a superior-based pedicle Wise pattern technique for pediatric breast reconstruction and fibroadenoma excision. 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.…”

Section: Discussionmentioning

confidence: 99%

“…Oncoplastic reconstruction has also been demonstrated to be valuable in removing giant pediatric fibroadenomas, but the literature has limited guidance for surgical planning 17,18 . In addition, few studies have discussed using a free nipple graft and Wise pattern for pediatric oncoplastic reconstruction after giant fibroadenoma excision 19–22 . This case series offers the surgical techniques of 3 pediatric females who underwent giant fibroadenoma excision by breast surgical oncology and oncoplastic reconstruction by plastic surgery and aims to provide further guidance for surgical teams.…”

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confidence: 99%

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Oncoplastic Breast Reconstruction for Large Pediatric Breast Tumors

et al. 2023

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Large breast fibroadenomas in pediatric females may cause discomfort, asymmetry, and psychological stress, and patients may elect for surgical excision. There are no criteria for reconstruction after the excision of these masses, and the research is limited in describing oncoplastic techniques in pediatric fibroadenoma excision. Nononcoplastic techniques, such as mastectomy with implant or flap reconstruction, have been used for pediatric fibroadenoma excision reconstruction. Oncoplastic techniques using Wise pattern or circumareolar incisions have shown to have efficacious outcomes. In addition, pediatric females undergoing breast surgery risk long-term complications such as continued breast asymmetry due to further breast growth, nipple and breast hypoesthesia, and future breastfeeding difficulty. This case series describes the oncoplastic techniques used for large benign mass excision and reconstruction of 3 pediatric females. A Wise pattern technique was used for all 3 patients, and 2 underwent a free-nipple graft. Oncoplastic techniques for pediatric breast mass excision provide satisfactory aesthetic outcomes with minimal surgical morbidity. Further research assessing the long-term effects of pediatric breast mass excision and reconstruction would be beneficial.

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