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Giant juvenile papillomatosis of the breast in a Nigerian girl
  1. Sefiya Adebanke Olarinoye-Akorede1,
  2. Bilkisu Farouk2,
  3. Almustapha Aliyu Liman3 and
  4. Gbenga Abimbola Kajogbola4
  1. 1 Radiology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
  2. 2 Radiology, Barau Dikko Teaching Hospital Kaduna, Kaduna, Nigeria
  3. 3 Histopathology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
  4. 4 Radiology, ASI Ukpo Diagnostic and Medical Center, Calabar, Nigeria
  1. Correspondence to Dr Sefiya Adebanke Olarinoye-Akorede, olarinoyebs{at}


Juvenile papillomatosis is a benign epithelial proliferative tumour of young women. It was recognised as a distinct clinicopathological entity with defining criteria by Rosen et al since 1980. However, giant juvenile papillomatosis is rare. We report a case of a 14-year-old girl who presented to our institution’s breast clinic with a huge right breast mass measuring 20 cm × 15 cm. She had no personal history of previous breast disease and there was no family history of breast cancer. Our initial preoperative diagnosis was of a phylloides tumour. The patient had a total excision of her breast mass which revealed florid juvenile papillomatosis at histology. This presentation highlights the clinical presentation and imaging features of juvenile papillomatosis. The classical histopathological characteristics, unusual microscopic findings and management of a huge-sized tumour in an adolescent Nigerian patient are also presented.

  • breast surgery
  • radiology
  • pathology

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  • Contributors SAO-A and BF: conception/design and acquisition. AAL, GAK, and SAO-A: analysis and interpretation. All authors revised the manuscript for critical content and gave final approval for the manuscript to be submitted to BMJ case reports.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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