Cargando…

The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report

Fibroadenoma is the most common benign tumor of the breast, but giant juvenile fibroadenoma exceeding 20 cm is much rare. This report presents the largest and heaviest giant juvenile fibroadenoma in an 18-year-old Chinese girl. DIAGNOSIS AND INTERVENTIONS: An 18-year-old adolescent girl with a 2-yea...

Descripción completa

Detalles Bibliográficos
Autores principales: Zhang, Yuanxin, Huang, Junhua, Zhou, Ling, Leng, Ying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063306/
https://www.ncbi.nlm.nih.gov/pubmed/37000060
http://dx.doi.org/10.1097/MD.0000000000033422
_version_ 1785017684468957184
author Zhang, Yuanxin
Huang, Junhua
Zhou, Ling
Leng, Ying
author_facet Zhang, Yuanxin
Huang, Junhua
Zhou, Ling
Leng, Ying
author_sort Zhang, Yuanxin
collection PubMed
description Fibroadenoma is the most common benign tumor of the breast, but giant juvenile fibroadenoma exceeding 20 cm is much rare. This report presents the largest and heaviest giant juvenile fibroadenoma in an 18-year-old Chinese girl. DIAGNOSIS AND INTERVENTIONS: An 18-year-old adolescent girl with a 2-year history of a large left breast mass with progressive expansion over 11 months. A 28 × 21 cm soft swelling occupied the entire outer quadrants of the left breast. The huge mass sagged below the belly button, resulting in high asymmetry of the shoulders. Contralateral breast examination results were normal except for hypopigmentary detected on the nipple-areola complex. Under general anesthesia, the lump was completely excised along the outer envelope of the tumor, while reserving excessive resection of the skin. The patient’s postoperative recovery was uneventful, and the surgical wound healed well. OUTCOMES: A radial incision operation was finally performed to remove the huge mass and to preserve the normal breast tissue and the nipple-areolar complex, not only considering the aesthetics but also preserving the ability to lactate. LESSONS: Currently, there is a lack of clear guidelines regarding the diagnostic and treatment modalities for a giant juvenile fibroadenoma. The principle of surgical choice is to balance aesthetics and function preservation.
format Online
Article
Text
id pubmed-10063306
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-100633062023-03-31 The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report Zhang, Yuanxin Huang, Junhua Zhou, Ling Leng, Ying Medicine (Baltimore) 7400 Fibroadenoma is the most common benign tumor of the breast, but giant juvenile fibroadenoma exceeding 20 cm is much rare. This report presents the largest and heaviest giant juvenile fibroadenoma in an 18-year-old Chinese girl. DIAGNOSIS AND INTERVENTIONS: An 18-year-old adolescent girl with a 2-year history of a large left breast mass with progressive expansion over 11 months. A 28 × 21 cm soft swelling occupied the entire outer quadrants of the left breast. The huge mass sagged below the belly button, resulting in high asymmetry of the shoulders. Contralateral breast examination results were normal except for hypopigmentary detected on the nipple-areola complex. Under general anesthesia, the lump was completely excised along the outer envelope of the tumor, while reserving excessive resection of the skin. The patient’s postoperative recovery was uneventful, and the surgical wound healed well. OUTCOMES: A radial incision operation was finally performed to remove the huge mass and to preserve the normal breast tissue and the nipple-areolar complex, not only considering the aesthetics but also preserving the ability to lactate. LESSONS: Currently, there is a lack of clear guidelines regarding the diagnostic and treatment modalities for a giant juvenile fibroadenoma. The principle of surgical choice is to balance aesthetics and function preservation. Lippincott Williams & Wilkins 2023-03-31 /pmc/articles/PMC10063306/ /pubmed/37000060 http://dx.doi.org/10.1097/MD.0000000000033422 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 7400
Zhang, Yuanxin
Huang, Junhua
Zhou, Ling
Leng, Ying
The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report
title The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report
title_full The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report
title_fullStr The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report
title_full_unstemmed The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report
title_short The largest and heaviest giant juvenile fibroadenoma of the breast in the Chinese population: A case report
title_sort largest and heaviest giant juvenile fibroadenoma of the breast in the chinese population: a case report
topic 7400
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10063306/
https://www.ncbi.nlm.nih.gov/pubmed/37000060
http://dx.doi.org/10.1097/MD.0000000000033422
work_keys_str_mv AT zhangyuanxin thelargestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT huangjunhua thelargestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT zhouling thelargestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT lengying thelargestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT zhangyuanxin largestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT huangjunhua largestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT zhouling largestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport
AT lengying largestandheaviestgiantjuvenilefibroadenomaofthebreastinthechinesepopulationacasereport