Limits...
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 lumpectomy specimens.
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Related In: Results  -  Collection


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fig3: Gross appearance of bilateral lumpectomy specimens.

Mentions: Background showed bare nuclei and myxoid stromal fragments. Based on the cytological findings, diagnosis of benign proliferative lesion without atypia suggestive of bilateral fibroadenomas was given. The patient underwent total excision of bilateral breast lumps conserving the normal breast tissue, nipple, and areola by the plastic surgeon. The two resected specimens were sent for histopathological study in the department of pathology. The right-sided excised lump measured 15 × 12 × 6.5 cms and weighed 800 gms. The left-sided excised lump measured 17 × 15 × 5 cms and weighed 950 gms. Overlying skin was unremarkable. External surface was bosselated, and both the lumps were well circumscribed and encapsulated (Figure 3). Cut sections from both the lumps showed multiple gray white nodules showing myxoid, gray white appearance along with occasional slit-like spaces and tiny cysts (Figure 4).


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 lumpectomy specimens.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

fig3: Gross appearance of bilateral lumpectomy specimens.
Mentions: Background showed bare nuclei and myxoid stromal fragments. Based on the cytological findings, diagnosis of benign proliferative lesion without atypia suggestive of bilateral fibroadenomas was given. The patient underwent total excision of bilateral breast lumps conserving the normal breast tissue, nipple, and areola by the plastic surgeon. The two resected specimens were sent for histopathological study in the department of pathology. The right-sided excised lump measured 15 × 12 × 6.5 cms and weighed 800 gms. The left-sided excised lump measured 17 × 15 × 5 cms and weighed 950 gms. Overlying skin was unremarkable. External surface was bosselated, and both the lumps were well circumscribed and encapsulated (Figure 3). Cut sections from both the lumps showed multiple gray white nodules showing myxoid, gray white appearance along with occasional slit-like spaces and tiny cysts (Figure 4).

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