title: Swiss roll operation for giant fibroadenoma.
abstract: BACKGROUND
  Fibroadenoma 5 cm or more is called giant fibroadenoma. Giant fibroadenoma can distort the shape of breast and causes asymmetry, so it should be excised. There are several techniques for excision of giant fibroadenoma. In our technique we remove them through cosmetically acceptable circumareolar incision to maintain the shape and symmetry of breast. The objectives were to assess the cosmetic results of Swiss roll operation for giant fibroadenoma. The study was conducted for six years from January, 2002 to December, 2007.
  
  
  METHODS
  Seventy patients of giant fibroadenoma were included in this study. They were diagnosed on history and clinical examination supported by ultrasound and postoperative histopathological examination. Data were collected from outpatient department and operation theatre. Swiss roll operation was performed under general anaesthesia.
  
  
  RESULTS
  Mean tumor size was 6.38 cm. Three cm and 4 cm incisions were used for tumour < or = 6 cm and > 6 cm in size respectively. Skin closed with Vicryl 3/0 subcuticular stitches. Sixteen out of 70 patients had no scar while others hadminimal scar. All patients had normal shape and symmetry of breast. On histopathology fibroadenoma was confirmed.
  
  
  CONCLUSIONS
  Giant fibroadenoma should be removed through cosmetically acceptable cicumareolar incision especially in unmarried young females who have small breast. Swiss-roll operation is superior in maintaining the shape and symmetry of breast. No major complication was found in our series except seroma formation in 10 patients.
authors.affiliation: Department of Surgery, Jinnah Postgraduate Medical Centre, Karachi. salimsoomrobreastclinic@yahoo.com
authors.forename: Saleem A
authors.initials: SA
authors.lastname: Soomro
authors.forename: Sohail A
authors.initials: SA
authors.lastname: Memon
authors.forename: Noor
authors.initials: N
authors.lastname: Mohammad
authors.forename: Mumtaz
authors.initials: M
authors.lastname: Maher
mesh_terms: D000293:Adolescent; D000328:Adult; D001941:Breast Diseases / Q000473:pathology / Q000601:surgery*; D005260:Female; D018226:Fibroadenoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D015412:Mastectomy, Segmental / Q000379:methods* / Q000592:standards; D011446:Prospective Studies; D019651:Plastic Surgery Procedures; D055815:Young Adult