Treatment of Giant Fibroadenoma in Young Women: Results after Tumor Excision without Reconstructive Surgery.
Introduction:Giant fibroadenoma (GFA) of the breast is defined as fibroadenoma larger than 5 cm, usually presenting unilaterally and manifesting as breast asymmetry or deformity of the breast.Material and Methods:A retrospective database search was done of all patients with giant fibroadenoma who underwent surgery for GFA in the breast center of Hanover Medical School between 2007 and 2014; all patients with GFA were followed up. Data were analyzed with regard to tumor and patient characteristics and esthetic outcome.Results:A total of 13 patients with symptomatic GFA underwent surgery between 2007 and 2014. Mean patient age was 21.2 years (range 14-31 years). In 8 of 13 patients the tumor had resulted in breast deformity and/or breast asymmetry. Average size of the mass was 10.2 cm (range 8.5-12 cm) and average weight was 203.6 g (range 151.2-323.5 g). Initial clinical suspicion of GFA was confirmed by ultrasound examination. Preoperative core biopsy revealed fibroadenoma in 8/13 cases, cellular fibroepithelial lesions with a differential diagnosis of benign phyllodes tumor in 3 cases and unspecific histological findings in the remaining 2 cases.Conclusion:Excision was done using an inframammary or periareolar approach without reconstructive plasty. The cosmetic results were good, as were the outcomes on follow-up. We therefore favor this surgical technique to treat giant fibroadenoma of similar size to those described above.
Frauenklinik, Medizinische Hochschule Hannover, Hannover.
U
U
Hille-Betz
Frauenklinik, Medizinische Hochschule Hannover, Hannover.
R
R
Klapdor
Klinik für Plastische Chirurgie, Medizinische Hochschule Hannover, Hannover.
H
H
Henseler
Frauenklinik, Medizinische Hochschule Hannover, Hannover.
P
P
Soergel
Institut für Pathologie, Medizinische Hochschule Hannover, Hannover.
F
F
Länger
breast asymmetry; fibroadenoma; giant fibroadenoma