Article Text

Multimodality approach in the diagnosis and management of bilateral giant juvenile breast fibroadenoma
  1. Noora Rafeek1,
  2. Rajeswaran Rangasami1,
  3. Kamakshi Dhanraj2,
  4. Santhosh Joseph3
  1. 1Department of Radiology, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  2. 2Department of Plastic and Reconstructive Surgery, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  3. 3Department of Neuro and Interventional Radiology, Sri Ramachandra University Medical College, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Noora Rafeek, rafeeknoora{at}


Juvenile giant fibroadenoma is a very rare breast disease affecting young girls of premenarche and adolescent ages. It is a benign fibroepithelial tumour characterised by stromal and epithelial proliferation that causes rapidly growing breast mass. Bilateral symmetrical involvement is extremely rare. In this article, we describe this entity in a girl aged 13 years who presented with bilateral gigantically enlarged breasts. Ultrasonography and MRI showed large, multilobulated masses involving both breasts entirely. Endovascular embolisation of bilateral internal mammary arteries and lateral thoracic arteries supplying the masses was performed prior to surgery to reduce their vascularity. The patient subsequently underwent excision of bilateral breast masses and reduction mammoplasty. Histopathologically, bilateral breast masses were confirmed to be juvenile fibroadenomas.

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  • Contributors NR and RR made the radiological diagnosis. SJ performed the endovascular embolisation of the masses. KD performed the surgery and involved in patient follow-up. NR acquired the data and wrote the manuscript, RR edited the manuscript; KD and SJ acquired the data, reviewed and approved of the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

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

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