title: Bilateral Florid Juvenile Fibroadenomas of the Breast in an Adolescent: A Rare Indication for Subcutaneous Mastectomy.
abstract: BACKGROUND
  Juvenile fibroadenomas are rare and constitute about 0.5% to 4% of all fibroadenomas. They present as circumscribed, often large breast masses in adolescent females and are usually managed with simple enucleation.
  
  
  METHODS
  A 15-year-old girl presented with a 6-month history of rapidly growing breasts. On examination, she was found to have large, diffusely nodular breasts with marked asymmetry. Ultrasound and fine needle aspiration cytology results were suggestive of fibroadenomas, and the patient was planned for excision through a submammary incision.
  
  
  CONCLUSIONS
  During surgery, both the breasts were found to be studded with nodules of varying sizes with very little normal breast tissue. A bilateral subcutaneous mastectomy was performed for complete removal of the fibroadenomas. Histopathology was reported as multiple juvenile fibroadenomas. Both breasts were later reconstructed with a latissimus dorsi myocutaneous flap with implants. We present this case to highlight a rare indication for bilateral subcutaneous mastectomy for a benign condition of the breast.
authors.affiliation: Department of Surgery, University College of Medical Services and Guru Tegh Bahadur Hospital, University of Delhi, Delhi, India. Electronic address: dr_navkaur@hotmail.com.
authors.forename: Navneet
authors.initials: N
authors.lastname: Kaur
authors.affiliation: Department of Surgery, University College of Medical Services and Guru Tegh Bahadur Hospital, University of Delhi, Delhi, India.
authors.forename: Shashank
authors.initials: S
authors.lastname: Saini
authors.affiliation: Department of Surgery, University College of Medical Services and Guru Tegh Bahadur Hospital, University of Delhi, Delhi, India.
authors.forename: Soumya
authors.initials: S
authors.lastname: Somasekhar
authors.affiliation: Department of Surgery, University College of Medical Services and Guru Tegh Bahadur Hospital, University of Delhi, Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Gupta
mesh_terms: D000293:Adolescent; D001940:Breast / Q000002:abnormalities; D001943:Breast Neoplasms / Q000473:pathology* / Q000601:surgery; D005260:Female; D018226:Fibroadenoma / Q000473:pathology* / Q000601:surgery; D006801:Humans; D006984:Hypertrophy; D016462:Mammaplasty; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D019736:Prostheses and Implants
keywords: Excision; Giant fibroadenomas; Juvenile fibroadenoma; Subcutaneous mastectomy