Swiss roll method of fibroadenoma excision: a case series

Abstract

Fibroadenoma of 5 cm or more is called as giant fibroadenoma. Cosmesis is an important consideration while making breast incisions, especially in young adults. In our case series 15 girls of age group 18-30 years having giant fibroadenoma in breast were considered for the study and underwent Swiss roll method of fibroadenoma excision. 3 cm and 4 cm incisions were made for giant fibroadenoma of ≤6 cm and >6 cm in size respectively. Post-operative scars and cosmetic results were documented. In our study, average size of fibroadenoma was 6.5 cm. 10 patients (66.66%) had 3cm incision and 5 patients (33.33%) had 4 cm incision. Breast shape and symmetry is maintained with acceptable scar in all our patients postoperatively. Swiss-roll operation can be considered as cosmetically acceptable surgery for giant fibroadenomas.