Adolescent fibroadenoma (Breast “Mouse”) – role of Radiology in assisting diagnosis: a case report

Sharma, Bharat Bhushan; Bhardwaj, Neerja; Dewan, Sakshi; Aziz, Mir Rizwan

doi:10.24911/ejmcr/1/2

Cited by 3 publications

(5 citation statements)

References 12 publications

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“…Fibroadenoma is known to present as smaller or bigger "rubbery", painless masses, freely mobile under the skin [2,4,5]. Despite that, 34.5% of our patients reported that the mass was painful.…”

Section: Discussionmentioning

confidence: 64%

“…Fibroadenoma is quite common during reproductive period, approximately 25% of women, while incidence in adolescent girls is approximately 2% [5,18]. These tumors may occur at any age, but the peak incidence is reported in the second and third decade [18,20].…”

Section: Discussionmentioning

confidence: 99%

“…The mass is most commonly found in the upper outer breast quadrant [4]. In 85-90% of cases, breast fibroadenoma is unilateral, but bilateral presentations as well as tumor multiplicity may be observed as well [5].…”

Section: Introductionmentioning

confidence: 99%

“…However, during physical examination they usually present as smaller or bigger rubbery, painless breast masses, and freely mobile under the skin. Because of their mobility, these tumors are often called "breast mice tumors" [5].…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment for breast tumors in children

et al. 2019

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Introduction/Objective Fibroadenoma, often called "breast mice tumors" due to their mobility, are the most common breast tumors in pediatric population. Considering that some tumors have a potential for rapid growth, breast tissue damage, and that an ideal diagnostic tool has yet to be found, complete mass extirpation might be the treatment of choice. The aim of the study was to present our clinical experience in treating children with breast masses. Methods A retrospective review (2011-2018) of patients treated for breast tumors at the Institute for Child and Youth Health Care of Vojvodina in Novi Sad was conducted. Results In this study 29 girls (mean age 15.8 ± 1.8) were included. The majority of masses were located in the upper outer (27.6%) or lower inner (24.1%) breast quadrant. The mean mass diameter was 39.7 mm. It has been observed that the mean mass diameter in the group of girls with positive family history for breast diseases was significantly lower (p < 0.05) than in those with negative family history (27.5 vs. 43.2 mm). There were no proven malignant tumors and all tumors have been completely extirpated. The mean postoperative stay was 1.5 ± 1.02 days. Conclusion An appropriate radical operative technique dependent on mass size and localization is still the "gold standard" for treating breast masses in pediatric patients. Cooperation with experts in the field of oncologic breast surgery enables implementing these operative techniques in clinical practice of pediatric surgeons.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical treatment for breast tumors in children

et al. 2019

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“…3 A close mimicker of fibroadenoma is phyllodes tumor, subtle imaging differences like large lesions with lobulated margins, internal cystic clefts, prominent internal vascularity, and posterior acoustic enhancement should raise a suspicion of phyllodes tumor and a tissue diagnosis should be done. 4,6,7 These require wide local excision, because of the potential of local recurrence and possibility of malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

When Friend Becomes Foe: Complications of Fibroadenoma Imaging Spectrum

Kar,

Arora

2023

Indographics

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Fibroadenoma are the most common benign breast lesions. Complications in fibroadenoma although rare in occurrence, are reported. It is important to be aware of the possible complications, both benign and malignant which may require surgical management. Commonly encountered benign complications in a fibroadenoma are infarction, rapid increase in size, and lactational changes. A common differential of a giant fibroadenoma is phyllodes tumor which has subtle imaging differences. Malignant transformation of a fibroadenoma is very rare although cases are reported (0.02%). Breast is a dynamic organ and is influenced by the hormone surges occurring typically during pregnancy and lactation, it causes changes in morphology of prior existing fibroadenoma which may mimic like a malignancy and hence knowledge of these benign complications in a fibroadenoma is also important. To identify the subtle radiologic imaging features which may suggest complication developing in a known fibroadenoma, prompting for a histopathological examination correlation. In this article, we discuss the imaging features of complications in a fibroadenoma—benign and malignant. Sinister etiology secondarily engulfing a fibroadenoma and sinister focus developing in a fibroadenoma will be discussed. Also, the benign complications in a fibroadenoma like lactational changes, spontaneous infarction within a fibroadenoma, and excessive increase in the size of fibroadenoma with degenerative changes due to the estrogen and progesterone effect which can mimic like a malignancy will be illustrated. A careful history, meticulous scanning, close monitoring, and histopathological correlation is invaluable to identify these complications in a known fibroadenoma and thus guide in the appropriate management of these lesions.

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Adolescent fibroadenoma diagnosis via ultrasound and mammography

2022

Biomed. Lett.

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Fibroadenomas are quite common benign lesions in the adolescent age group, but it is a cause of concern for the individual and the family. These may remain asymptomatic or may present with pain. Aesthetic distortion of the breast symmetry may lead to psychosocial morbidity in adolescent females. The diagnosis is initially made by ultrasound. Magnetic Resonance Imaging is done in some cases where the underlying pathology is doubtful. A 13-year-old female patient presented to the Radiology department with the complaint of pain in the left breast for the past 10-13 days. The patient had no family history of breast cancer and drug intake. Her unilateral mammography (owing to age) and ultrasound of the breast was performed. After examination and ultrasound Surgical removal of this tumor was decided and the patient was referred to the surgery department for excision. Proper diagnosis and treatment at an early stage are necessary as it can lead to the progression of mass and can be turned into cancer.

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Adolescent fibroadenoma (Breast “Mouse”) – role of Radiology in assisting diagnosis: a case report

Cited by 3 publications

References 12 publications

Surgical treatment for breast tumors in children

Surgical treatment for breast tumors in children

When Friend Becomes Foe: Complications of Fibroadenoma Imaging Spectrum

Adolescent fibroadenoma diagnosis via ultrasound and mammography

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