Recurrent juvenile fibroadenoma of the breast in an adolescent: A case report. Issue 20 (May 2018)

• Record Type: Journal Article
• Authors: Huang, I-Ching; Li, Pei-Chen; Ding, Dah-Ching
• Other Names: NA. section editor.
• Is Part Of: Medicine. Volume 97:Issue 20(2018)
• Publication Date: 2018-05
• Subjects: adolescent -- fibroadenoma -- juvenile -- recurrence; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000010765
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Rationale: Most breast masses are benign and are rare in adolescent girls. The most frequent tumor is fibroadenoma. Juvenile fibroadenoma is a rare variant of fibroadenoma and is characterized by rapidly enlarging, painless, and unilateral masses occurring at ages between 10 and 18 years. Patient concerns: A 17-year-old girl who first presented to a hospital due to a left breast tumor. Diagnoses: Juvenile fibroadenoma of the left breast. Interventions: She underwent fibroadenoma excision, but she complained of a mass that presented in her left breast 3 months after surgery. After 2 years of observation, the mass became tender and enlarged. We conducted a wide excision of the tumor. Recurrent juvenile fibroadenoma with hypercellular fibromyxoid stroma of the breast was noted. Outcomes: The patient is in good general condition without tumor relapses during the 4 months of follow-up. Lessons: Recurrent fibroadenomas, particularly those of a large size with a rapid growth rate, in the same breast suggest a high possibility of transformation. We recommend wide tumor resection.