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Largest giant juvenile fibroadenoma of the breast
  1. Shariful Islam1,
  2. Sabrina Saroop2,
  3. Vinoo Bheem1 and
  4. Vijay Naraynsingh3
  1. 1 Specialised Breast Surgeon, Department of Surgery, San Fernando General Hospital, San Fernando, Trinidad and Tobago
  2. 2 Department of Clinical Surgical Science, University of the West Indies, St Augustine, Trinidad and Tobago
  3. 3 University of the West Indies, St Augustine, Trinidad and Tobago
  1. Correspondence to Dr Shariful Islam, sssl201198{at}


Juvenile giant fibroadenoma is a rare benign tumour of the breast accounting for 0.5% of all fibroadenomas. The presentation can be very dramatic and may result in breast deformity and may mimic a rare malignant tumour. It is indeed a great challenge to provide the best treatment for these patients in terms of clinical and psychological care. Meticulous surgical planning is required to ensure a fine balance between adequate resection and the best cosmetic outcome for a developing breast. Every effort should be made to preserve the developing breast irrespective of the size of the tumour as it is in this case. We report the world’s largest juvenile fibroadenoma of the breast in a 16-year-old girl who presented to our hospital with a 28×25 cm mass on her left breast in which breast conservation was done. A detailed literature search and management of these lesions are discussed.

  • breast cancer
  • breast surgery
  • plastic and reconstructive surgery

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  • Contributors SI, SS, VB have helped in collecting data, designing and helped in discussion and writing up the manuscript. VN has helped in writing and critically analyzing the manuscript.

  • 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.