Inframammary Approach for Removal of Giant Juvenile Fibroadenomas

Biggers, Brian; Lamont, Jeff; Etufugh, Chukwuemeka N.; Knox, Sally K.

doi:10.1016/j.jamcollsurg.2009.02.064

Cited by 18 publications

(13 citation statements)

References 8 publications

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“…These lesions can grow very large, with reports of some tumours being 17 cm in diameter or greater. The largest giant fibroadenoma in adolescence reported recently was 15 cm in diameter (3,4). This is the third documented case of a large giant fibroadenoma in the literature.…”

Section: Introductionmentioning

confidence: 70%

Giant Fibroadenoma of the Breast in an Adolescent

Can¹,

Malbora²,

Karabulut³

et al. 2012

Gazi Med J

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A 15-years-old girl was admitted to our Paediatric Surgery Department with a history of rapidly increasing enlargement of the right breast over the previous five months. Sonography revealed a non-infiltrative large tumour located in the right breast. The mass was excised and the histopathological examination established a diagnosis of giant fibroadenoma of the breast. The postoperative period was uneventful, and cosmetic intervention was accepted by the patient. Giant fibroadenoma is a rare pathology, usually presenting in adolescence, characterised by massive and rapid enlargement of an encapsulated mass. Currently, there are some preoperative difficulties in distinguishing it from cystosarcoma phyllodes, which has benign and malignant forms. It is important to differentiate the two pathologies before surgery as they have a different therapeutic approach and different follow-up. In cases of fibroadenoma, breast tumours over 5 cm in diameter and showing rapid enlargement should be excised and a histopathological diagnosis must be made.

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Section: Introductionmentioning

confidence: 70%

Giant Fibroadenoma of the Breast in an Adolescent

Can¹,

Malbora²,

Karabulut³

et al. 2012

Gazi Med J

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“…Another report of four adolescent patients who underwent inframammary excision without reconstruction with follow‐up times ranging from 1 month to 8 years did not indicate recurrence or need for additional surgery. Although the authors conclude that this technique has the ideal cosmetic results and that reconstruction, if needed, should be addressed after a prolonged period of time after excision, they acknowledge that there was no comparative data . In addition, Gobbi et al.…”

Section: Discussionmentioning

confidence: 99%

Intermediate and Long-term Outcomes of Giant Fibroadenoma Excision in Adolescent and Young Adult Patients

et al. 2015

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Giant fibroadenomas (5 cm or greater) are benign breast masses that often present in adolescence and require surgical excision. Long-term outcomes, recurrence rates, and the need for additional reconstructive surgery in this population are unknown. Patients aged 11-25 years whose pathology reports indicated the presence of a giant fibroadenoma were eligible for this study. Medical records were reviewed for presentation, treatment, and outcomes. A subset of patients completed an investigator-designed long-term outcome survey to measure additional outcomes and the desire or need for subsequent reconstructive surgery. Forty-six patients with at least one giant fibroadenoma (mean size 7.4 ± 2.8 cm) were identified. Most patients underwent excision with a periaroeolar incision (n = 31), and an enucleation technique (n = 41), and four patients underwent immediate breast reconstruction. Thirty-three patients had complete medical records with a mean follow-up time of 2.2 ± 4.1 years and no complaints of asymmetry, additional breast deformities, or reconstructive surgery procedures documented. In addition, nine patients completed the investigator-designed survey with a mean follow-up time of 10.1 ± 8.7 years (range 1.5-27.0). Three of these patients reported postoperative breast asymmetry and the desire to pursue reconstructive surgery. Aesthetic outcomes of giant fibroadenoma excision may be satisfactory for many patients without immediate reconstruction, but for others, the need for reconstructive surgery may arise during development. Providers should address this potential need prior to discussing treatment options and during postoperative follow-up. Caution should be exercised before recommending immediate reconstruction.

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“…Fibroadenoma is the most common breast tumor in adolescent girls, as noted in 70 to 95% of breast biopsies in this age group 1 . Giant juvenile fibroadenomas are rare, accounting for only 0.5 to 2% of the total diagnosed fibroadenomas and are differentiated from the simple ones based on their large sizes, occasional rapid growth, and the young patient's age 5 .…”

Section: Discussionmentioning

confidence: 99%

Treatment of giant juvenile fibroadenoma: result after minimally invasive approach without reconstructive surgery

Lima¹,

Lima²

2018

Mastology

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Fibroadenomas são tumores benignos comuns da mama feminina. Aqueles que apresentam rápido crescimento excedendo a 5 centímetros de diâmetro ou que pesam mais que 500 gramas em mulheres jovens são classificados como fibroadenomas gigantes juvenis. Estes tumores são raros e, devido seu excessivo crescimento, são comumente enucleados para descartar uma origem maligna, diferenciar de tumores filóides e para evitar deformidades da mama. Este relato de caso detalha uma abordagem cirúrgica em uma adolescente de 14 anos com preservação da mama e bom resultado estético.

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Inframammary Approach for Removal of Giant Juvenile Fibroadenomas

Cited by 18 publications

References 8 publications

Giant Fibroadenoma of the Breast in an Adolescent

Giant Fibroadenoma of the Breast in an Adolescent

Intermediate and Long-term Outcomes of Giant Fibroadenoma Excision in Adolescent and Young Adult Patients

Treatment of giant juvenile fibroadenoma: result after minimally invasive approach without reconstructive surgery

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