Title: A Rare Case of 12 Year Old Girl with Giant Fibroadenoma with Phylloides Tumour showing Features of Intraductal Papilloma
Authors: Kush Pathak, Mohammad Athar, Manjushree Sachan, Ashish Kumar Chaudhary, Shahroz Jamal, Siddhanth Singh
DOI: https://dx.doi.org/10.18535/jmscr/v4i11.38
Breast tumours in prepubertal females are usually rare. Most commonly they present as adult type Fibroadenoma (FA).We reporta rare case of 12 year old girl who presented to our side with a painless progressive breast lump (Left side) since 5 months. The final histopathological diagnosis made was that of a giant fibroadenoma with phylloides tumour showing features of intraductal papilloma. 1. Pettinato G, Manivel JC, Kelly DR, et al. Lesions of the breast in children exclusive of typical fibroadenoma and gynecomastia. Aclinicopathologic study of 113 cases. Pathol Annu 1989;24(Pt 2):296-328. 2. Dehner LP, Hill DA, Deschryver K. Pathology of the breast inchildren, adolescents, and young adults. Semin Diagn Pathol 1999;16:235-47. 3. Pike AM, Oberman HA. Juvenile (cellular) adenofibromas. Aclinicopathologic study. Am J Surg Pathol 1985;9:730-6. 4. Mueller J, Wilcox R, Taxy JB. The breast. In: Stocker TJ, Dehner LP,Husain AN, editors. Pediatric pathology. Philadelphia, USA: Lippincott Williams & Wilkins; 2011. p. 897-910. 5. Tan PH, Tse G, Lee A, et al. Fibroepithelial tumours. In: Lakhani SRE,Ian O, Schnitt SJ, Tan PH, van de Vijver MJ, editors. WHOclassification of tumours of the breast. Geneva, Switzerland: WHOPress; 2011. p. 142-7 6. Stehr KG, Lebeau A, Stehr M, Grantzow R. Fibroadenoma of the breast in an 11-year-old girl. Eur J Pediatr Surg 2004;14(1): 56-59. 7. Tse GM, Ma TK, Pang LM, Cheung H. Fine needle aspiration cytologic features of mammary phyllodes tumors. Acta Cytol 2002;46(5):855-863. 8. Umberto S, Moretti D, Iacconi P, Arganini M, Roncella M, Miccoli P, Giacomini G. Fine needle aspiration cytopathology of phyllodes tumor. Differential diagnosis with fibroadenoma. Acta Cytol 1988;32 (1):63-66. 9. Lian D, Cheah E, Tan PH, et al. Phyllodes tumour with intraductal growth: a rare cause of nipple discharge. Histopathology 2007;50:666-9. 10. Chung A, Scharre K, Wilson M. Intraductal fibroadenomatosis: an unusual variant of fibroadenoma. Breast J 2008;14:193-5. 11. Cummings MC, da Silva L, Papadimos DJ, et al. Fibroadenoma and intraduct papilloma—a common pathogenesis? Virchows Arch 2009; 455:271-5. 12. Makidono A, Tsunoda H, Mori M, et al. Phyllodes tumor showing intraductal growth. Breast Cancer 2013;20:275-8.Abstract
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