Juvenile giant fibroadenomas with apparent breast asymmetry successfully managed by round-block technique

Lai, Hung-Wen; Lee, Chih-Wei; Li, Yu-Hsien; Chen, Chih‐Jung; Chen, Dar‐Ren; Kuo, Shou‐Jen; Chen, Shou‐Tung

doi:10.1016/j.jpra.2015.07.001

Cited by 5 publications

(5 citation statements)

References 4 publications

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“…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 have both been shown to provide satisfactory outcomes for fibroadenoma excision by reducing scarring. Chang et al 3 used McKissock bipedicle technique for breast reconstruction after mass excision to preserve breast parenchyma, adjust the skin envelope, and obtain nipple-areola symmetry.…”

Section: Discussionmentioning

confidence: 99%

“…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. Perhaps the most important component of patient selection is evaluating and estimating the breast volume that will remain after mass removal.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

“…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. Perhaps the most important component of patient selection is evaluating and estimating the breast volume that will remain after mass removal.…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic Breast Reconstruction for Large Pediatric Breast Tumors

et al. 2023

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“…Los FA juveniles son tumores mamarios poco frecuentes, se presentan en el 1-2% de las adolescentes (9). Generalmente se manifiestan como una masa de crecimiento rápido, bien delimitada, no dolorosa.…”

Section: Discussionunclassified

“…Pueden permanecer con el mismo tamaño o resolverse espontáneamente hasta en un 10 y 40 % de los casos (1,4-8). El FA gigante juvenil corresponde al 0.5-2.0% de todos los FA y representa 7% de las lesiones mamarias descritas en adolescentes (9,10). El objetivo es presentar un caso clínico de FA juvenil gigante.…”

Section: Introductionunclassified

Fibroadenoma gigante en una adolescente.

2016

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Introducción: el fibroadenoma (FA) es un tumor benigno de tejido glandular y estromal, representa la neoplasia mamaria más frecuente en adolescentes. Cabe resaltar, que cuando su tamaño excede los 5 cm de diámetro o su peso los 500 g, se denomina FA gigante, cuya incidencia es de 0.5-2.0%. En algunas situaciones estos pueden permanecer con el mismo tamaño por largos períodos de tiempo o resolverse espontáneamente entre el 10-40% de los casos.Caso clínico: paciente femenina de 16 años de edad, quien consultó por el aumento anormal del tamaño de su mama derecha. En el examen físico presentó asimetría mamaria, a expensas del lado derecho, con masa palpable firme, móvil y no dolorosa.Se realizó ecografía que reportó masa sólida de 13 cm de diámetro. Estudio de biopsia por aspiración con agua fina mostró abundantes células epiteliales y mioepiteliales cohesivas, sin atipias, compatible con tumor fibroestromal benigno. Finalmente, se practicó una resección local del tumor, la cual se efectuó sin complicaciones. El estudiohistopatológico concluyó que se trataba de FA juvenil gigante. Conclusión: debe considerar la extirpación del FA en pacientes cuyo tumor crece de manera rápida, cuando son de gran tamaño o cuando se generen cuadros de ansiedad en la paciente. El examen físico y los estudios de imagen sugieren el diagnóstico, el cual debe confirmarse con estudio histopatológico. Rev.cienc.biomed. 2016;7(2):323-327.

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“…Complete local excision with sparing of breast tissue, as done in our case is often the treatment modality of choice. To excise it, numerous surgical techniques, such as conventional local excision, reduction mammoplasty, or inframammary excision, round-block technique have been reported, 28,29 The biological behavior of the giant fibroadenoma is usually benign. It may recur after complete excision however, the chances of recurrence become less after third decade of life.…”

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confidence: 99%