Figure 3 - uploaded by Amal Alhefdhi
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Final histopathology. A: Elongated dilated duct with surrounding fibrotic stroma and sclerosing adenosis. B: Focal areas showing slit like spaces lined by uniform spindle cells compatible with pseudoangiomatous stromal hyperplasia. C: Focal smooth muscle metaplasia in the stroma.
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Benign breast diseases (BBDs) are common and associated with breast cancer risk, yet the etiology and risk of BBDs have not been extensively studied.
Objective
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Background
Breast lesions are not common in children and adolescents. The aim of this study is to retrospectively survey the clinicopathological pattern of breast lesions in children and adolescents in our setting.
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Citations
... In spite of well-documented and well-established discriminating radiological features, routine breast radiographic evaluations can fail to differentiate giant fibroadenoma from phyllodes tumors in many cases [15,16]. ...
Fibroadenoma and phyllodes tumor are fibroepithelial lesions, thus may have similar histopathological appearance and share overlapping clinical as well as radiological features. The distinction between these two lesions is clinically important as both lesions have different management. There is substantial overlap between fibroadenomas and phyllodes tumors. We present a similar case report of a 23 years-old female patient with classical radiological features of phyllodes tumor, which turned out to be a giant type of fibroadenoma on histopathology after surgical excision.
... It is important to distinguish giant fibroadenoma from phyllodes tumor because they have different management approachs. [7]. ...
... The current case posed a diagnostic challenge as it masqueraded as a phyllodes tumor. Similar diagnostic dilemma has been documented in the literature in females of different age groups [13][14][15][16]. Phyllodes tumor is a very rare breast tumor and constitutes 0.3-1.0% of mammary tumors and 2-3% of fibroepithelial neoplasms of the breast. ...
Giant breast masses are entities of great concern as they continue to pose a diagnostic as well as a therapeutic challenge. We present a case of giant fibroadenoma of the right breast in a 35-year-old woman which simulated as a phyllodes tumor, creating a diagnostic conundrum.
Giant fibroadenomas are rare breast lesions in elderly women especially post-menopausal women and accounting for 0.5-2% of all cases of fibroadenomas. They pose diagnostic as well as therapeutic challenge because resemblance of its clinical and imaging features with other breast lesions, especially phylloides tumor. We present a rare case of giant fibroadenoma of breast in postmenopausal female of 53 year of age mimicking phylloides tumor. Ultrasonography and fine needle aspiration cytology (FNAC) suggestive of fibroadenoma. Tumor was completely excised and diagnosis of giant fibroadenoma was confirmed by histopathology. Breast conserving surgery is the gold standard treatment.
