Abstract
Giant fibroadenomas are exceptional in pregnancy and in most of cases, diameter doesn’t reach more than 15 cm. However, our case is a rare one that reached 18 cm in a 23-year-old female referred post-partum for evaluation of a huge left breast mass. On the other hand, there is a persistent debate regarding the best modality of the surgical approach to giant tumors; most of the experts recommend the enulceation of the tumor after delivery while others argue that extirpation during pregnancy is the best since we have to exclude malignancy. In our patient, the whole tumor was excised at the postpartum period and the pathology did not show any sign of malignancy. Even if our case does not clearly reveal the long term result of the postpartum excision of a giant fibroadenoma, the short term result we have had after this approach was satisfying. Further studies are important to be published in order to confirm pros and cons of the postpartum approach.
Highlights
Fibroadenomas are benign solid breast tumors of unknown etiology that contain both glandular and fibrous tissue
There is a persistent debate regarding the best modality of the surgical approach to giant tumors; most of the experts recommend the enulceation of the tumor after delivery while others argue that extirpation during pregnancy is the best since we have to exclude malignancy
Further studies are important to be published in order to confirm pros and cons of the postpartum approach
Summary
Fibroadenomas are benign solid breast tumors of unknown etiology that contain both glandular and fibrous tissue. They are usually small and can be treated conservatively. Up to 2% of fibroadenomas will show a rapid growth reaching the stage of giant fibroadenoma with an important breast deformity where malignancy is highly suspected and cannot be excluded. These tumors are very rare and in most of cases, their diameter doesn’t reach more than 15 cm [1]. We hereby present the case of a fibroadenoma of the breast that reached 18 cm
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