C. A. Mohd Firdausa, A. J. Norjazlineyb, Nor Faezan Abdul Rashida*
aDepartment of Surgery, Faculty of Medicine, Universiti Teknologi MARA 47000 Sungai Buloh, Selangor, Malaysia, bDepartment of General Surgery, Hospital Selayang, Lebuh Raya Selayang‑Kepong, 68100 Batu Caves, Selangor, Malaysia
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
Breast lesions are rare prepubescents. The majority of breast lesions in this age group are benign. The most common of these rare lesions is juvenile fibroadenoma, which accounts for only 0.5% of all fibroadenomas. It is uncommon to have a palpable lesion in juveniles as very small lesions show obvious asymmetry. Fibroadenomas can grow to a large size, and surgical intervention is cosmetically challenging, especially in achieving symmetry in a developing breast. A 12‑year‑old girl presented with right breast swelling associated with tenderness. The mass had initially been small on self‑discovery 1 year previously and grew with time. There was no overlying skin changes or any significant risk factors for breast malignancy. Triple assessment showed features of fibroadenoma, but we were unable
to rule out a phyllodes tumor. She subsequently underwent excision biopsy of the right breast lesion for symptomatic control and histopathology examination (HPE) of the lesion. The HPE report confirmed the diagnosis of fibroadenoma. The patient recovered well postoperatively with no complications. Juvenile breast lesions are rare, and it is a challenge to provide an adolescent with the best treatment in terms of clinical and psychological care. A surgical approach requires meticulous planning to ensure a fine balance between adequate resection and the best cosmetic outcome for a developing breast.
Keywords: Benign breast lesion, Case report, Juvenile fibroadenoma
