Breast conservation with batwing mastopexy for the management of giant juvenile fibroadenoma: A case report of a 12-year-old girl

Abstract

Fibroadenomas are benign breast tumours consisting of epithelial and stromal components. Most of them are about 1 to 2cm in size. It is defined as “giant” when the fibroadenoma is larger than 5cm, weighs more than 500 g or occupies for at least 80% of breast volume. It is usually encountered in patients of less than 20 years of age. Progressively growing mass and its large size cause a suspicion of malignancy. It presents as unilateral macromastia that causes breast asymmetry. Excellent cosmetic results cannot be obtained with simple excision in this situation. We aimed to present a case of a 12-year-old patient with a diagnosis of giant juvenile fibroadenoma. In this case, we performed surgical excision with Batwing mastopexy of the breast to achieve optimal symmetry with contralateral breast.

Keywords

• Batwing
• Fibroadenoma
• mastopexy
• breast
• symmetry

Dev juvenil fibroadenomun yönetiminde batwing mastopeksi yöntemi ile birlikte meme koruyucu cerrahi: 12 yaşinda kız olgu sunumu

Öz

Fibroadenomlar, epitel ve stromal bileşenlerden oluşan iyi huylu meme tümörleridir. Çoğu yaklaşık 1 ila 2 cm boyutlarındadır. Fibroadenom 5 cm'den büyükse, 500 g'dan fazla ağırlığa sahipse veya meme hacminin en az % 80'ini kapladığında "dev" olarak tanımlanır. Genellikle 20 yaş altı hastalarda görülür. Kitlenin progresif olarak büyümesi ve boyutları, malignite şüphesine neden olur. Genellikle meme asimetrisine neden olan tek taraflı makromasti olarak kendini gösterir. Bu durumda basit eksizyon ile mükemmel kozmetik sonuçlar elde edilemeyebilir. Dev juvenil fibroadenom tanısı alan 12 yaşında bir hastayı sunmaktayız. Bu durumda, kontralateral meme ile optimal simetri elde etmek için Batwing mastopeksi tekniği ile cerrahi eksizyon yaptık.

Anahtar Kelimeler

• Batwing
• fibroadenom
• mastopeksi
• meme
• simetri

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