Gaurav Kumar, Chandra Gautam, Neelam Kumari, Kumar Sanjeet, Singla Harish, Yadav Sanjay Kumar
Dept. of Surgery, RIMS, Ranchi 834009, India.
Dept. of Surgery, Rajendra Institute of Medical Sciences Ranchi, Jharkhand 834009, India.
Int J Surg Case Rep. 2015;16:87-9. doi: 10.1016/j.ijscr.2015.09.026. Epub 2015 Sep 28.
Fibroadenomas are benign neoplasms usually arising between the ages of 15-25 years. Approximately 0.4% fibroadenomas arise in juvenile age group. Usually the diagnosis is straightforward by clinical examination and FNAC. But sometimes rapid growth and giant size may pose difficulty in clinical approach.
In this paper we are presenting a rare case of giant juvenile fibroadenoma in a 10 years old girl which was diagnosed by FNAC and treated by excision. Diagnosis was confirmed by histopathology.
Giant juvenile fibroadenomas are over 5cm in diameter and tend to show rapid growth mimicking a carcinoma. But histological features are similar to smaller fibroadenomas and can be enucleated.
Through this case we want to emphasize that these giant benign neoplasms should be suspected in any pre-pubertal girl with breast lump and should always be treated with breast conserving surgery.
纤维腺瘤是一种良性肿瘤,通常发生于15至25岁之间。约0.4%的纤维腺瘤发生于青少年年龄组。通常通过临床检查和细针穿刺抽吸活检(FNAC)即可明确诊断。但有时快速生长和巨大尺寸可能给临床处理带来困难。
本文报告一例罕见的10岁女童巨大青少年纤维腺瘤病例,通过FNAC确诊并经手术切除治疗。组织病理学证实了诊断。
巨大青少年纤维腺瘤直径超过5厘米,往往呈快速生长,类似癌。但其组织学特征与较小的纤维腺瘤相似,可完整摘除。
通过本病例,我们想强调,任何青春期前乳房肿块的女童都应怀疑有这些巨大良性肿瘤,且应始终采用保乳手术治疗。