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Bilateral giant juvenile fibroadenomas of breasts:a case report.

Nikumbh DB, Desai SR, Madan PS, Patil NJ, Wader JV - Patholog Res Int (2011)

Bottom Line: To the best of our knowledge, we are presenting the fifth case of bilateral giant juvenile fibroadenomas in a 12-year-old prepubertal girl.The diagnosis was made on fine-needle aspiration cytology which was confirmed on histopathology.In this paper, we present this rare case to illustrate the diagnosis and management of this tumour and to emphasize that these tumours are almost always benign and should be treated with breast-conserving surgery to provide a healthy physical and social life to the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Krishna Institute of Medical Sciences, Karad, District Satara, Maharashtra 415110, India.

ABSTRACT
Juvenile fibroadenoma constitutes only 4% of the total fibroadenomas. The incidence of giant juvenile fibroadenomas is found to be only 0.5% of all the fibroadenomas. Bilateral giant juvenile fibroadenomas are extremely rare, and only four cases have been reported in the literature. To the best of our knowledge, we are presenting the fifth case of bilateral giant juvenile fibroadenomas in a 12-year-old prepubertal girl. The diagnosis was made on fine-needle aspiration cytology which was confirmed on histopathology. In this paper, we present this rare case to illustrate the diagnosis and management of this tumour and to emphasize that these tumours are almost always benign and should be treated with breast-conserving surgery to provide a healthy physical and social life to the patient.

No MeSH data available.


Related in: MedlinePlus

Gross appearance of bilateral breasts tumors.
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Related In: Results  -  Collection


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fig1: Gross appearance of bilateral breasts tumors.

Mentions: A 12-year-old premenarche girl presented with bilateral, rapidly enlarging breast lumps for three months (Figure 1). There was history of dull ache in the breasts. There was no family history. History of trauma, nipple discharge, fever, anorexia, or weight loss was absent. On local examination bilateral slightly tender, huge, well-circumscribed masses in both the breasts were seen, which were firm in consistency. The overlying skin was tense and shiny with prominent superficial veins. The right breast lump measured 15 × 12 cms and left breast lump measured 17 × 15 cms. On both the sides, the lumps were not fixed to underlying structures. There was no discharge from the nipple, and axillary lymphadenopathy was absent. Routine hematological and biochemical examinations were within normal limits. Chest-X ray was normal. Ultrasonography was carried out which showed heterogenous parenchymal pattern suggestive of bilateral fibroadenoma. The patient was subjected to fine-needle aspiration cytology (FNAC) of bilateral breast lumps which revealed cellular smears comprising of many branching monolayer sheets along with myoepithelial cells (Figure 2).


Bilateral giant juvenile fibroadenomas of breasts:a case report.

Nikumbh DB, Desai SR, Madan PS, Patil NJ, Wader JV - Patholog Res Int (2011)

Gross appearance of bilateral breasts tumors.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3108471&req=5

fig1: Gross appearance of bilateral breasts tumors.
Mentions: A 12-year-old premenarche girl presented with bilateral, rapidly enlarging breast lumps for three months (Figure 1). There was history of dull ache in the breasts. There was no family history. History of trauma, nipple discharge, fever, anorexia, or weight loss was absent. On local examination bilateral slightly tender, huge, well-circumscribed masses in both the breasts were seen, which were firm in consistency. The overlying skin was tense and shiny with prominent superficial veins. The right breast lump measured 15 × 12 cms and left breast lump measured 17 × 15 cms. On both the sides, the lumps were not fixed to underlying structures. There was no discharge from the nipple, and axillary lymphadenopathy was absent. Routine hematological and biochemical examinations were within normal limits. Chest-X ray was normal. Ultrasonography was carried out which showed heterogenous parenchymal pattern suggestive of bilateral fibroadenoma. The patient was subjected to fine-needle aspiration cytology (FNAC) of bilateral breast lumps which revealed cellular smears comprising of many branching monolayer sheets along with myoepithelial cells (Figure 2).

Bottom Line: To the best of our knowledge, we are presenting the fifth case of bilateral giant juvenile fibroadenomas in a 12-year-old prepubertal girl.The diagnosis was made on fine-needle aspiration cytology which was confirmed on histopathology.In this paper, we present this rare case to illustrate the diagnosis and management of this tumour and to emphasize that these tumours are almost always benign and should be treated with breast-conserving surgery to provide a healthy physical and social life to the patient.

View Article: PubMed Central - PubMed

Affiliation: Department of Pathology, Krishna Institute of Medical Sciences, Karad, District Satara, Maharashtra 415110, India.

ABSTRACT
Juvenile fibroadenoma constitutes only 4% of the total fibroadenomas. The incidence of giant juvenile fibroadenomas is found to be only 0.5% of all the fibroadenomas. Bilateral giant juvenile fibroadenomas are extremely rare, and only four cases have been reported in the literature. To the best of our knowledge, we are presenting the fifth case of bilateral giant juvenile fibroadenomas in a 12-year-old prepubertal girl. The diagnosis was made on fine-needle aspiration cytology which was confirmed on histopathology. In this paper, we present this rare case to illustrate the diagnosis and management of this tumour and to emphasize that these tumours are almost always benign and should be treated with breast-conserving surgery to provide a healthy physical and social life to the patient.

No MeSH data available.


Related in: MedlinePlus