Treatment of unilateral giant fibroadenoma by breast reduction skin incision: The inverted "T" technique

Ju, Achebe; Njeze, GE; Okwesili, Obinna Remigius

doi:10.4103/1119-3077.122835

Cited by 17 publications

(12 citation statements)

References 12 publications

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“…While some authors recommended simple enucleation of the mass using appropriately sited peri-areolar or inframammary cosmetic incision relying on the remaining displaced breast tissue to fill in the space left by the excised giant fibroadenoma so negating the need for reconstruction, others advised the use of mastopexy or reduction mammoplasty technique using the inverted T-incision technique [4,9,[11][12][13][14][15][16]. Achebe et al considered significant breast asymmetry, i.e., the difference in the position of the nipple areola complex of 6 cm, as an indication for reduction mammoplasty [17]. In some cases of larger fibroadenoma, an adapted version of the Goldilock's technique had been used successfully [18].…”

Section: Discussionmentioning

confidence: 99%

Lipomodelling of the Breast Following Excision of a Giant Juvenile Fibroadenoma

Al-Ishaq¹,

Sikdar²,

Roy³

et al. 2020

SCR

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Giant juvenile fibroadenomas form 1-8% of breast lesions in the adolescent population. We report a case of giant fibroadenoma in a 17-year-old girl who underwent simple lump excision through a lateral breast fold incision followed by lipomodelling to correct the dimpling of the breast. With this dual approach, excellent cosmetic outcome can be achieved for average-sized giant fibroadenoma without the need for more complex technique.

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Section: Discussionmentioning

confidence: 99%

Lipomodelling of the Breast Following Excision of a Giant Juvenile Fibroadenoma

Al-Ishaq¹,

Sikdar²,

Roy³

et al. 2020

SCR

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“…In recent years, percutaneous rotary cutting and in situ ablation technology have been applied in breast fibroma resection. These techniques significantly ameliorated the cosmetic problem; however, as the tumor leaves residue, these two methods are not appropriate in cases of large tumors . Thus, a surgical resection procedure that can thoroughly resect the tumor, along with a small amount of normal tissue, is needed.…”

Section: Discussionmentioning

confidence: 99%

“…These techniques significantly ameliorated the cosmetic problem; however, as the tumor leaves residue, these two methods are not appropriate in cases of large tumors. 9 Thus, a surgical resection procedure that can thoroughly resect the tumor, along with a small amount of normal tissue, is needed. To achieve aesthetic requirements, scars should be hidden as much as possible.…”

Section: Discussionmentioning

confidence: 99%

Advantages of the modified double ring areolar incision over the traditional areolar incision in multicentric breast fibroadenoma surgery

et al. 2017

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BackgroundThis study was conducted to investigate the clinical advantages of modified double ring areola incision (MDRAI) compared to ordinary areola incision (OAI) in multicentric breast fibroadenoma in women.MethodsSixty cases of multicentric benign breast tumor were recruited from the First Affiliated Hospital of Bengbu Medical College from January to December 2016. The cases were divided into two groups according to surgical approach: MDRAI (n = 20) and OAI (n = 40). The operation duration, intraoperative blood loss, drainage time, and postoperative recurrence rate in the first six months were compared.ResultsThe mean age and tumor locations were not statistically different between the groups (P > 0.05). However, more lesions and larger tumor diameter were found in the MDRAI group than in the OAI group, with statistical difference (P < 0.05). The operation duration and drainage time of the two groups were not statistically different for unilateral or bilateral lesions (P > 0.05). However, the intraoperative blood loss was statistically different between the two groups (P < 0.05). All 60 cases received six months of follow‐up. Eight recurrent cases were found in the OAI group, but none in the MDRAI group. The recurrence rate was significantly different (χ2 = 4.62, P < 0.05).ConclusionCompared with OAI, MDRAI offers greater advantages in the aspects of blood loss and recurrence for the treatment of breast benign tumor, especially for multicentric larger lesions.

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“…Breast fibroids, also referred to as fibroadenomas, are benign breast lesions caused by the proliferation of fibrous tissue and glandular epithelial tissue, and are mainly found in young women. 1,2 The occurrence of breast fibroadenomas is affected by the patient’s family history, fertility, breastfeeding status, and endocrine function. 3,4 The incidence of breast fibroids has recently been increasing, with associated disruptions to patients’ lives.…”

Section: Introductionmentioning

confidence: 99%

Use of ultrasound combined with magnetic resonance imaging for diagnosis of breast masses and fibroids

et al. 2019

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Objective To investigate the clinical value of ultrasound plus magnetic resonance imaging (MRI) for the diagnosis of breast masses and fibroids. Methods Clinical data for 357 patients with breast masses diagnosed at our hospital were analyzed retrospectively. The diagnostic performances were compared between 243 patients who underwent routine ultrasound examinations (control group) and 114 patients who underwent routine ultrasound plus MRI (test group). Results The overall accordance rates of routine ultrasound and routine ultrasound plus MRI for the diagnosis of breast masses, based on postoperative pathological diagnoses, were 70.78% (172/243) and 90.35% (103/114). The addition of MRI significantly improved the overall diagnostic performance of routine ultrasound for breast masses. The diagnostic accordance rate of routine ultrasound for the diagnosis of breast fibroids (fibroadenomas) was 74.12% (63/85 cases) compared with 93.94% (31/33 cases) for routine ultrasound plus MRI. The diagnostic performance of routine ultrasound plus MRI was therefore also significantly higher than routine ultrasound alone for diagnosing breast fibroids. Conclusions Routine ultrasound plus MRI can greatly improve the diagnostic accordance rates for breast masses and fibroadenomas.

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Treatment of unilateral giant fibroadenoma by breast reduction skin incision: The inverted "T" technique

Abstract: In GFA with a significant breast asymmetry, excision through inverted "T" technique was successful in achieving postoperative symmetry with the opposite breast in these patients. Complications were minimal.

Cited by 17 publications

References 12 publications

Lipomodelling of the Breast Following Excision of a Giant Juvenile Fibroadenoma

Lipomodelling of the Breast Following Excision of a Giant Juvenile Fibroadenoma

Advantages of the modified double ring areolar incision over the traditional areolar incision in multicentric breast fibroadenoma surgery

Use of ultrasound combined with magnetic resonance imaging for diagnosis of breast masses and fibroids

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