Ayşe Derya BULUS, Elif YAĞLI, Uğur Ufuk IŞIN, Ayla TEZER

Dev Juvenil Fibroadenom

Juvenil fibroadenom adolesan ve genç bayanlarda en sık görülen meme kitlesidir. Dev fibroadenom genellikle tek taraflı ve tekdir. Etyolojide adolesan dönemdeki östrojen düzeyi yüksekliği suçlansa da nedeni tam olarak anlaşılamamıştır. Juvenil meme fibroadenomunda, lezyonun büyüklüğüne bağlı olarak lokal eksizyondan basit mastektomiye kadar değişen tedavi seçenekleri bulunmaktadır. Bu makalede 16 yaşında, dev juvenil fibroadenom nedeniyle tanı ve tedavi uyguladığımız bir kız çocuğunu sunduk.

Anahtar Kelimeler:

Adolesan, juvenil, fibroadenom

Giant Juvenile Fibroadenoma

Juvenile fibroadenoma is a common cause of breast masses seen in adolescents and young women. Giant juvenile fibroadenomas are usually single and unilateral. The etiology is thought to be due to increased levels of estrogen during adolescence, although it is not yet fully understood.Treatment options range from simple excision to sub-cutaneous mastectomy according to the size of the lesion. In this paper we are presenting a case of giant juvenile fibroadenoma in a 16 years old girl which was diagnosed and treated by excision.

Keywords:

Adolescent, juvenile, fibroadenoma,

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1. Rosen PP. Fibroepithelial neoplasms. In Rosen PP. Rosen’s Breast Pathology. 3rd ed., Philadelphia, Lippincott Williams & Wilkins, 2009;187-229.
2. Thuruthiyath N, Das PC, Avabratha KS, Mascarenhas V, Marla N. Giant fibroadenoma of breast in an adolescent girl. Oman Med J 2012; 27: 314-315.
3. Çalışkan M, Acar A, Erdem H, Kurt MD, Subaşı İE, Alimoğlu O. Juvenil dev fibroadenom: Olgu Sunumu. Ümraniye Tıp Dergisi 2010; 3: 17-19.
4. Ugburo AO, Olajide TO, Fadeyibi IO, Mofikoya BO, Lawal AO, Osinowo AO. Differential diagnosis and management of giant fibroadenoma: comparing excision with reduction mammoplasty incision and excision with inframammary incision. J Plast Surg Hand Surg. 2012;46 :354–358.
5. Wang Z L, Li J L, Su L, Zhang Y F, Tang J. An evaluation of a 10-gauge vacuum-assisted system for ultrasound- guided excision of clinically benign breast lesions. Breast. 2009;18 :192–196.
6. Sosin M, Pulcrano M, Feldman ED, Patel KM, Nahabedian MY, Weissler JM, Rodriguez ED. Giant juvenile fibroadenoma: a systematic review with diagnostic and treatment recommendations. Gland Surg 2015;4:312-321.
7. Gaurav K, Chandra G, Neelam K, Kumar S, Singla H, Yadav SK. A pre-pubertal girl with giant juvenile fibroadenoma: A rare case report. Int J Surg Case Rep 2015;16:87-89.
8. Laitano FF, Neto FL, Zerwes FP. Bilateral giant juvenile fibroadenomas of the breasts- a rare indication for bilateral skin reducing mastectomy. Gland Surg. 2016 Aug;5:435-438.