title: A pre-pubertal girl with giant juvenile fibroadenoma: A rare case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Dept. of Surgery, RIMS, Ranchi 834009, India.
authors.forename: Kumar
authors.initials: K
authors.lastname: Gaurav
authors.affiliation: Dept. of Surgery, RIMS, Ranchi 834009, India.
authors.forename: Gautam
authors.initials: G
authors.lastname: Chandra
authors.affiliation: Dept. of Surgery, Rajendra Institute of Medical Sciences Ranchi, Jharkhand 834009, India.
authors.forename: Kumari
authors.initials: K
authors.lastname: Neelam
authors.affiliation: Dept. of Medicine, GMC, Rajnandgaon, C.G., India.
authors.forename: Sanjeet
authors.initials: S
authors.lastname: Kumar
authors.affiliation: GRS Charitable Clinic, Panchkula, India.
authors.forename: Harish
authors.initials: H
authors.lastname: Singla
authors.affiliation: Dept. of Surgery, Rajendra Institute of Medical Sciences Ranchi, Jharkhand 834009, India. Electronic address: sky1508@gmail.com.
authors.forename: Sanjay Kumar
authors.initials: SK
authors.lastname: Yadav
keywords: Breast conservation surgery; Giant fibroadenoma; Pre-pubertal girl