Clin Surg | Volume 8, Issue 1 | Case Report | Open Access

Excision of Giant Juvenile Fibroadenoma through Circumareolar Incision

Nelson L*, Horattas I and Horattas M

Department of Surgery, Cleveland Clinic Akron General, USA

*Correspondance to: Louis Nelson 

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Fibroadenomas account for approximately 5% of breast tumors. Giant juvenile fibroadenoma is a classification of tumors that measure greater than 5 cm in diameter, 500 g in mass, or replace 80% of the breast tissue volume. Typically, giant juvenile fibroadenomas occur in young females in the second and third decades of life. These tumors do not generally progress to malignancy. However, they can cause pain, grow rapidly, and result in asymmetry. Given the importance of cosmesis in breast surgery, particularly in younger populations, we explored a surgical technique to excise a large breast lesion while achieving a cosmetic result. This case involved a 23-year-old female who presented with a large palpable right breast mass. Magnetic Resonance Imaging (MRI) of the breast demonstrated a 12.1 cm × 7.5 cm × 6.3 cm mass centered in the lateral aspect of the right breast that was characteristic of a fibroadenoma. Using a circumareolar incision, we were able to excise the mass completely with excellent cosmetic results. Over the next 18 months we followed the patient to observe the cosmetic results through this healing period. This case demonstrates a surgical technique to remove large, benign lesions while maintaining cosmesis.


Nelson L, Horattas I, Horattas M. Excision of Giant Juvenile Fibroadenoma through Circumareolar Incision. Clin Surg. 2023; 8: 3637.

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