A harmless evil: giant fungating benign breast mass in an adolescent mimicking malignancy - case report

Heng, Sophia Si Ling and Maya Mazuwin Yahya and Wan Azman Wan Sulaimana and Arman Zaharil Mat Saad (2021) A harmless evil: giant fungating benign breast mass in an adolescent mimicking malignancy - case report. International Journal of Surgery Case Reports, 80. pp. 1-5. ISSN 2210-2612

	Text A harmless evil giant fungating benign breast mass in an adolescent mimicking malignancy FULL TEXT.pdf Restricted to Registered users only Download (333kB) \| Request a copy
	Text A harmless evil_ giant fungating benign breast mass in an adolescent mimicking malignancy ABSTRACT.pdf Download (65kB)

URL: https://www.sciencedirect.com/science/article/pii/...

Abstract

Introduction: Juvenile giant fibroadenoma is a rare type of fibroadenoma characterized by rapid growth of a breast tumor in an adolescent. Benign in nature, they rarely present as fungating and ulcerating tumors. Benign tumors masquerading as malignancies are surgical conundrums. No co nsensus exists yet on the management of these cases. We aim to discuss the dilemma in managing a bleeding, fungating giant fibroadenoma in an adolescent female and highlight risks of alternative therapies. Presentation of case: A 19-year-old lady presented with a bleeding, fungating breast mass worsened with topical herbal concoction. Examination revealed a 10 Ã— 15 cm fungating breast mass that obliterated her nipple- areolar complex (NAC). Computed Tomography (CT) scan reported a huge heterogeneously enhancing mass 10.6 — 14.5 — 15.1 cm with loss of normal fat plane with the overlying skin but a clear fat plane with the pectoralis muscle posteriorly. Discussion: Giant breast masses that fungate and ulcerate usually indicate a sinister pathology. Traditional remedies have been reported to exacerbate growth. In cases where most of the breast parenchyma and NAC has been destroyed, it is no longer possible to proceed with breast conserving techniques. Breast reconstruction is crucial in adolescents and should be tailored to the patient's existing breast size as well as body habitus. Conclusion: In juvenile giant fibroadenomas where breast parenchyma and NAC has been destroyed, breast reconstruction is the goal. The lack of consensus in both diagnosis and management further compounds the difficulty in dealing with this sensitive population. Awareness needs to be raised regarding negative effects related to traditional medicine.

Item Type:	Article
Keyword:	Adolescent , Breast neoplasms , Case-report , Fibroadenoma , Mammoplasty
Subjects:	R Medicine > RC Internal medicine > RC31-1245 Internal medicine > RC254-282 Neoplasms. Tumors. Oncology Including cancer and carcinogens
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	20 Sep 2021 10:39
Last Modified:	20 Sep 2021 10:39
URI:	https://eprints.ums.edu.my/id/eprint/29071

Actions (login required)

View Item