Abstract
Fibroadenoma is the most common benign biphagic breast tumour which usually occurs in young women under 30 years of age. Fibroadenoma is termed as complex fibroadenoma when it contains cysts larger than 3 mm & there is presence of sclerosing adenosis, epithelial calcification or papillary apocrine changes.The reported case is a 26 years old unmarried girl from Majuli, Jorhat who presented with left sided painless mobile breast lump of 2 years duration. The lump showed presence of coarse calcification on chest X-ray. FNAC of the lump revealed mostly calcified material with occasional ductal element. Histopathological study revealed occasional tubules lined by cuboidal epithelium , numerous cystic spaces of varying sizes with abundant connective tissue stroma showing hyalinization & extensive calcification. Histopathological diagnosis was made as complex fibroadenoma. There is recurrence free follow up till date.
Highlights
Fibroadenomas are the most common benign biphagic breast tumour having epithelial & stromal components
Complex fibroadenomas are reported to be associated with a greater risk for subsequent breast carcinoma than classical fibroadenoma and overall risk of development of invasive carcinoma is 2.17% [5]
Complex fibroadenoma occurs in older patients compared to simple fibroadenoma and often it is smaller in size (1.3 cm average diameter) [7]
Summary
Fibroadenomas are the most common benign biphagic breast tumour having epithelial & stromal components. It usually occurs in young women under 30 years of age. In an Indian study by Kulkarni et al, fibroadenoma was found to be the most common benign lesion viz 62.32% in females followed by fibrocystic disease in 11.59% of the patients [3]. Another Indian study by Desai M. showed that the incidence of fibroadenoma was as high as 85.47% whereas Malik et al reported 55.00% in their study [3,4]. Complex fibroadenomas are reported to be associated with a greater risk for subsequent breast carcinoma than classical fibroadenoma and overall risk of development of invasive carcinoma is 2.17% [5]
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