title: Cyclosporine-A therapy-induced multiple bilateral breast and accessory axillary breast fibroadenomas: a case report.
abstract: BACKGROUND
  Breast adenoma is common. However, in the setting of post-transplantation immune suppression it may be expressed differently.
  
  
  METHODS
  A 35-year-old Sudanese woman, with a history of renal transplantation two and half years prior to presentation, was on a single immune suppression therapy in the form of cyclosporine-A since the transplantation. During a regular follow-up visit, she was noticed to have gingival hypertrophy and bilateral breast and axillary swellings. She underwent successful surgical resection of the bilateral fibroadenomas.
  
  
  CONCLUSIONS
  Cyclosporine-A therapy post renal transplantation is associated with an increased incidence of benign breast changes as fibroadenoma. Regular follow-up and appropriate selection of immunosuppressant therapy are essential in the post transplantation management of these patients.
authors.affiliation: P,O, Box 102, Department of Surgery, Faculty of Medicine, University of Khartoum, Sudan. aomnasr@hotmail.com.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Darwish
authors.forename: Ayman O
authors.initials: AO
authors.lastname: Nasr
authors.forename: Lamya A
authors.initials: LA
authors.lastname: El Hassan
authors.forename: Ahmed H
authors.initials: AH
authors.lastname: Fahal