A RARE CASE OF JUVENILE FIBROADENOMA REPORTED TO TERTIARY CARE TEACHING HOSPITAL
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Abstract
INTRODUCTION:- Juvenile fibroadenoma is a rare variant of fibroadenoma and is characterized by rapidly enlarging, painless, and unilateral masses.
CASE REPORT :- We have reported a rare case of juvenile fibroadenoma of the breast in a 13 year old girl, presented with complaints of rapidly growing mass in the left breast for 3 months duration. On local examination a solitary, firm, mobile, unilateral, non-tender mass was felt in the upper and lower outer quadrant of the left breast, measuring 6.4 x 4.0 x 3.4cm. The overlying skin was normal. There was no axillary lymphadenopathy.
RESULTS:- The ultrasonography of the left breast showed a single, oval, hypoechoic, well circumscribed mass lesion with cleft like spaces features suggestive of complex fibroadenoma BIRADS IV a. On fine needle aspiration cytology showed sheets of hyperplastic benign ductal epithelial cells with myoepithelial cells and a background of benign bipolar nuclei and blood, without inflammatory cells. It was suggestive of fibroadenoma. She underwent left lumpectomy with breast
conservation. We received left breast lumpectomy specimen. On gross showed a well-circumscribed, grey white, firm mass m 6.2 x 4.0 x 3.1 cm. On histologic features reported as juvenile fibroadenoma left breast. The postoperative period was uneventful and the patient recovered well and advised for regular follow up.
Conclusion: In Fibroadenomas, Juvenile type of fibroadenoma are reported as rare case that should be differentiated from other types of breast masses.
In this we reported a rare case of Juvenile fibroadenoma for its clinicopathological , Imaging(ultrasonography breast) and management.
Keywords:- Rare , Fibroadenoma, breast,tumour