Affiliations: [a] Georgetown University Hospital, Department of Surgery, Washington, DC, USA | [b] Georgetown University Hospital, Department of Surgery, Division of Breast Surgery, Washington, DC, USA
Correspondence:
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Corresponding author: Michael Sosin, MedStar Georgetown University Hospital, General Surgery, 3800 Reservoir Road, NW, Pasquerilla Health Center (PHC), Fourth Floor, Washington, DC 20007, USA. Tel.: +1 202 444 7200; Fax: +1 877 376 241; E-mail: sosinmi@gmail.com
Abstract: A giant juvenile fibroadenoma is defined as a fibroadenoma greater than 5 centimeters in size occurring in the pediatric population. It frequently affects adolescents. Rapid growth of the mass may result in breast asymmetry and deformity. Varying techniques in surgical extirpation have been described in order to optimize aesthetics and minimize distortion. The advent of new methods to remove benign breast disease is in its infancy stages. Many practitioners are unaware of the novel options that are emerging in the treatment of fibroadenoma. We describe an excision of a 12 centimeter giant juvenile fibroadenoma and adjacent juvenile fibroadenoma using a strategically atypical incision that resulted in excellent cosmesis and contour of the breast without subsequent reconstruction. Multiple modalities of removing a fibroadenoma are described with a review of the associated risks, benefits, and long term implications as well as a discussion on the indication for reconstructive surgery in patients with giant juvenile fibroadenoma.
