Prague Med. Rep. 2015, 116, 161-166

Inframammarial Giant Fibroadenoma Removing and a Nipple-sparing Breast Reconstruction in an Adolescent: A Case Report

Ilhan Ciftci1, Tamer Sekmenli1, Seda Ozbek2, Mehtap Karamese3, Serdar Ugras4

1Department of Paediatric Surgery, Faculty of Medicine, Selcuk University, Konya, Turkey
2Department of Radiology, Faculty of Medicine, Selcuk University, Konya, Turkey
3Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Selcuk University, Konya, Turkey
4Department of Pathology, Konya Training and Research Hospital, Konya, Turkey

Received November 17, 2014
Accepted June 1, 2015

Fibroadenomas are common, benign breast tumors that usually affect women in the second and third decade of life. Giant fibroadenomas often cause significant concern for the patient or family regarding malignant potential and altered breast development. Most fibroadenomas are benign. Local excision of small lesions through a circumareolar or inframammary incision rather than radical surgery is appropriate. Breast ultrasound represents the most commonly used imaging modality for the study of pediatric female breast masses and fibroadenomas. Detailed descriptions of the sonographic appearances of fibroadenomas in young girls are sparse. We believe that surgical treatment for the patient should include tumor extirpation and immediate restoration of breast appearance, minimizing visible scars, protection of the developing breast bud, nipple, and areola. This modality reduces psychosocial comorbidity.


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