Diagnosis and imaging characteristics of a juvenile fibroadenoma in a 2–year-old patient: a case report

Stefanie Woodard, Susann Schetter, Karmaine Millington

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Abstract

Fibroadenomas are abundantly reported in the literature with several papers documenting the natural progression and clinical outcomes of thousands of cases. Juvenile fibroadenomas (also called cellular fibroadenomas) are frequently characterized by rapid growth, often described as 5-10 cm in size. They constitute approximately 7%-8% of fibroadenomas. They often measure greater than 5 cm. Pathologically, they show similar features to fibroadenomas but can resemble phyllodes. There have been few documented cases of breast masses in early childhood. Furthermore, there are scant radiology publications focused on the imaging features of juvenile fibroadenomas in patients younger than 5 years old. Our patient presented at 2 years of age with a unilateral right breast mass. Two ultrasound examinations were completed over a period of 5 months, and a magnetic resonance imaging was performed prior to surgical intervention. Eventual surgical excision yielded a final pathologic diagnosis of juvenile fibroadenoma. In this report, we will discuss the imaging and pathology of juvenile fibroadenomas, and we will address important differential considerations both from a pathologic and radiologic standpoint.

Original languageEnglish (US)
Pages (from-to)6-10
Number of pages5
JournalRadiology Case Reports
Volume13
Issue number1
DOIs
StatePublished - Feb 2018

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All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

Woodard, Stefanie ; Schetter, Susann ; Millington, Karmaine. / Diagnosis and imaging characteristics of a juvenile fibroadenoma in a 2–year-old patient : a case report. In: Radiology Case Reports. 2018 ; Vol. 13, No. 1. pp. 6-10.