Bilateral Giant Juvenile Fibroadenomas of BreastsA Case Report英文文献资料.docVIP

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Bilateral Giant Juvenile Fibroadenomas of BreastsA Case Report英文文献资料.doc

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Bilateral Giant Juvenile Fibroadenomas of BreastsA Case Report英文文献资料

SAGE-HindawiAccesstoResearch PathologyResearchInternational Volume2011,ArticleID482046,4pages doi:10.4061/2011/482046 CaseReport BilateralGiantJuvenileFibroadenomasofBreasts:ACaseReport D.B.Nikumbh,S.R.Desai,P.S.Madan,N.J.Patil,andJ.V.Wader DepartmentofPathology,KrishnaInstituteofMedicalSciences,Karad,DistrictSatara,Maharashtra415110,India CorrespondenceshouldbeaddressedtoD.B.Nikumbh,drdhirajnikumbh@redi? Received9October2010;Revised4April2011;Accepted7April2011 AcademicEditor:ElizabethWiley Copyright?2011D.B.Nikumbhetal.ThisisanopenaccessarticledistributedundertheCreativeCommonsAttributionLicense, whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperlycited. Juvenile?broadenomaconstitutesonly4%ofthetotal?broadenomas.Theincidenceofgiantjuvenile?broadenomasisfoundto beonly0.5%ofallthe?broadenomas.Bilateralgiantjuvenile?broadenomasareextremelyrare,andonlyfourcaseshavebeen reportedintheliterature.Tothebestofourknowledge,wearepresentingthe?fthcaseofbilateralgiantjuvenile?broadenomasina 12-year-oldprepubertalgirl.Thediagnosiswasmadeon?ne-needleaspirationcytologywhichwascon?rmedonhistopathology. Inthispaper,wepresentthisrarecasetoillustratethediagnosisandmanagementofthistumourandtoemphasizethatthese tumoursarealmostalwaysbenignandshouldbetreatedwithbreast-conservingsurgerytoprovideahealthyphysicalandsocial lifetothepatient. 1.Introduction boththebreastswereseen,whichwere?rminconsistency. The overlying skin was tense and shiny with prominent super?cial veins. The right breast lump measured 15 × 12cms and left breast lump measured 17 × 15cms. On both the sides, the lumps were not ?xed to underlying structures.Therewasnodischargefromthenipple,andaxil- lary lymphadenopathy was absent. Routine hematological and biochemical examinations were within normal limits. Chest-Xraywas normal. Ultrasonographywas carried out whichshowedheterogenousparenchymalpatternsuggestive of bilateral ?broadenoma. The patient was subjected to ?ne-needle