Oncoplastic Approach to Juvenile Giant Fibroadenoma: A Case Series

Chávez Díaz M.; de La Cruz Ku G.; Cedrón Lenci C.C.; Cueva Perez M.D.R. · European Journal of Breast Health (2026) · DOI: 10.4274/ejbh.galenos.2025.2025-9-6

Resumen

Juvenile giant fibroadenoma (GFA) is defined as a benign tumor larger than 5 cm, 500 grams, and/or involving at least 80% of the breast. It typically occurs in young patients and causes breast deformity and asymmetry. Surgical treatment involves resection of the tumor (enucleation), rearrangement of the skin envelope, and repositioning of the nipple-areola complex. However, the expected re-expansion of the breast following tumor removal, often managed through periareolar approaches, can be unpredictable and prolonged in certain cases. For this reason, oncoplastic surgery techniques have been developed, which allow for immediate partial reconstruction and are now among the available therapeutic options. This report describes three cases in which an oncoplastic approach was used for the treatment of GFA.

Instituciones: Universidad Nacional Mayor de San Marcos; Universidad Peruana de Ciencias Aplicadas; Universidad Científica del Sur