Affiliations: [a] Department of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL 60068, USA
| [b] James R. & Helen D. Russell Institute for Research & Innovation, Advocate Lutheran General Hospital, Park Ridge, IL 60068, USA
| [c] Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL 60064, USA
Correspondence:
[*]
Corresponding author: Brian Yep, Rosalind Franklin University of Medicine and Science 3333 Green Bay Road, North Chicago, IL 60064. E-mail: brian.yep@my.rfums.org
Abstract: Juvenile fibroadenoma is the most common breast mass in adolescents accounting for 0.5–4% of all cases of fibroadenomas. Giant fibroadenomas are well-circumscribed, firm breast masses characterized by proliferation of epithelial and connective tissue. They are defined as being larger than 5 cm or weighing more than 500 g. The peak age has been reported between the ages of 17 and 20, with less than 5% of these in patients less than 18-years-old. We present a 9-year-old, pre-menstrual, Nigerian female with no known family history of breast masses or cancers who developed spontaneous giant fibroadenoma measuring approximately 13
cm × 13 cm. Rapid growth of a breast mass can be of great concern to such young patients whose breasts are in the early formative stages. It is important to promptly rule out malignant processes or phyllodes tumor, and educate young patients and their families on treatment options that fit their unique concerns and circumstances.
Keywords: breast mass, giant fibroadenoma, juvenile fibroadenoma
DOI: 10.3233/BD-160250
Journal: Breast Disease, vol. 37, no. 2, pp. 95-98, 2017
