Iranian Society of Gynecology Oncology


1 Moroccan Military Field Hospital, Juba, South Sudan

2 Department of Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco


Introduction: Giant fibroadenomas are an uncommon breast tumor accounting for 0.5% to 2% of all cases of fibroadenomas. Diagnosis is difficult due to the rarity of giant fibroadenomas and the resemblance of its clinical and imaging features with other breast neoplasms, especially phyllodes tumor.
Case Presentation: The authors report a rare case of giant fibroadenoma in a 14-year-old South Sudanese female, which was suspected clinically, ultrasonography, and by fine needle aspiration cytology and confirmed by histopathology after total mass excision.
Conclusions: Fibroadenomas presenting a very large diameter could be mistaken with malignancy and other benign breast lesions. Fine needle aspiration biopsy and core needle biopsy appears fundamental to evaluate their benign nature. Conservative surgery using sub-mammary incision is the gold standard of treatment with good cosmesis.


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