de la Garza-Lozano O, Díaz-Manjarrez V, Paz-Salinas M, Rodríguez-Arredondo JP, Apodaca-Ramos I

Language: Spanish
References: 10
Page: 616-620
PDF size: 433.84 Kb.

ABSTRACT

Background: Giant fibroadenoma is rare; It usually appears in women between 10 and 18 years old. It is characterized by the rapid growth of an encapsulated tumor. From 0.5 to 4% correspond to a special form described as giant or juvenile fibroadenoma. Ultrasound is the method of choice for primary diagnosis. Although the main cause of an asymmetric mammary mass in girls is benign, early surgical removal is the best way to ensure a good aesthetic result.
Clinical case: Female patient of 12 years, taken to the consultation due to the increase in size of the left breast in the span of the three previous months. No significant personal history, no previous surgeries, no medication and no known allergies. On physical examination, the asymmetry of the breasts was seen due to the increase in size of the left; the shape of the areola and nipple without alterations. A tumor of delimited edges was palpated, smooth homogenous consistency that occupied the entire mammary gland of approximately 20 cm.
Conclusions: The juvenile fibroadenoma is a rapidly growing and exponential lesion that distorts the asymmetry and affects the quality of life of the patient. It is important to establish the difference diagnosis with mammary tumors in order to clarify the doubts of our patients about their prognosis. In young patients it is important to consider only one access for reconstruction.

REFERENCES

1. Garcia-Rodríguez R y col. Fibroadenoma gigante juvenil. Clin Invest Gine Obst. 2008;35(6): 221-4.

2. Ng KW, et al. Juvenile fibroadenoma of the breast: Treatment and literature review. https://doi. org/10.1177/229255031101900308

3. Guerra I y col. Fibroadenoma gigante en una adolescente. Hospital Clínico-Quirúrgico Universitario Dr. Ambrosio Grillo Portuondo, Santiago de Cuba, Cuba. Medisan 2014;18(4):569. http://scielo.sld.cu/scielo.php?script=sci_ arttext&pid=S1029-30192014000400016

4. Sulleyman U y col. Fibroadenoma gigante juvenil de mama: presentación de un caso clínico. http://dx.doi.org/10.5546/ aap.2017.e428

5. Quintero S y col. Fibroadenoma juvenil (gigante) bilateral. Un caso poco común. V Congreso Virtual Hispanoamericano de Anatomía Patológica. [en línea] Dirección URL: https://conganat.uninet.edu/autores/trabajos/T122/ (Consultado diciembre 2017)

6. Wolfram D, et al. Unilateral gigantomastia related to juvenile fibroadenoma with idiopathic thoracic scoliosis. https://doi.org/10.1016/j.jpag.2008.01.076

7. Stehr K, et al. Fibroadenoma of the breast in an 11-Year-old girl. Eur J Pediatr Surg. 2004;14(1): 56-59.

8. Song BS, et al. Gigant juvenile fibroadenoma of the breast: a case report and brief literature review. doi: 10.6065/ apem.2014.19.1.45

9. Santino A y col. Patología quirúrgica de mama en pacientes pediátricos. Rev Peru Ginecol Obstet. 2012; 58: 177-82.

10. Souba WW. Evaluation and treatment of benign breast disorders. In: Bland KI, Copeland III. Philadelphia: Saunders, 1999; 715-19.