Giant Fibroadenoma in A Pre-menarchal Girl:A Case Report

Authors

  • Surasak Sangkhathat Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
  • Somboon Waiprib Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
  • Winyou Mitarnund Department of Pathology, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand
  • Sakda Patrapinyokul Pediatric Surgery Unit, Department of Surgery, Faculty of Medicine, Prince of Songkla University, Songkla, Thailand

Abstract

                   We reported a case of giant fibroadenoma in a pre-menarchal girl, presenting as a large ulcerated fungating breast mass, protruding out of the overlying skin for 2 years. The clinical appearance and initial biopsy cannot be differentiated from cystosarcoma phyllodes. A limited simple mastectomy for this benign tumor gave a satisfactory outcome and no necurrence was evident after our two years of follow-up.

References

1. Stone AM, Shenker LR, McCarthy K. Adolescent breast mass. Am J Surg 1977;134: 275-7.

2. Ferguson CM, Powell RW. Breast mass in young women. Arch Surg 1989; 124:1338-41.

3. Palmer ML, Tsangaris TN. Breast biopsy in women 30 years old or less. Am J Surg 1993; 165: 708-12.

4. Baxi M, Agarwal A, Mishra A, et al. Multiple bilateral giant juvenile fibroadenomas of breast. Eur J Surg 2000; 166: 828-30.

5. Greydanus DE, Parks Ds, Farrel EG. Breast disorders in children and adolescents. Pediatr Clin North Am 1989; 36:601-39.

6. Davis C, Patel V. Surgical problems in the management of giant fibroadenoma of the breast. Am J Obstet Gynecol 1985;152:1010-5.

7. Umekita Y, Yoshida H. Immunohistochemical study of hormone receptor and hormone regulated protein expression in phyllodes tumour: comparison with fibroadenoma. Virchows Arch 1998; 433: 311-4.

8. Mies C, Rosen PP. Juvenile fibroadenoma with atypical epithelial hyperplasia. Am J Surg Pathol 1987:11: 184-90.

9. Seltzer MH, Skiles MS, Diseases of the breast in young women. Surg Gynecol Obstet 1980; 150: 360-2.

10. Rogers DA, Lobe TE, Rao BN, et al. Breast malignancy in children. J Pediatr Surg. 1994; 29: 48-51.

11. West KW, Rescorla FJ, III LRS, Grosfeld JL. Diagnostic and treatment of breast masses in pediatric population. J Pediatr Surg 1995: 30: 182-7.

12. Davis SE, Wallace AM. A 19 year old with complete androgen insensitivity syndrome and juvenile fibroadenoma of the breast. Breast J 2001;7: 430-3.

13. Tochka N, Ogawa Y, Kumon M, et al. Rapid growing fibroadenoma in an adolescent. Breast Cancer 1998; 25:321-4.

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Published

2002-12-27

How to Cite

1.
Sangkhathat S, Waiprib S, Mitarnund W, Patrapinyokul S. Giant Fibroadenoma in A Pre-menarchal Girl:A Case Report. Thai J Surg [Internet]. 2002 Dec. 27 [cited 2024 Nov. 23];23(4):125-8. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243041

Issue

Vol. 23 No. 4 (2002): October - December

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.