PMC4895095_01
18-year-old woman with recurrent bilateral giant fibroadenomas. A, Mammographic craniocaudal views of both breasts show large, dense, homogeneous masses (black arrows) approximately 12 cm at its largest diameter on the right and 10 cm on the left. A skin marker noting the site of prior surgical scar is indicated by the white arrows.
gr1a.jpg
PMC4895095_01_gr1a.jpg
fig1a
The lesion on the right was approximately 12 cm in diameter while that on the left was approximately 10 cm in diameter (Figure 1A, Figure 1B).
18-year-old woman with recurrent bilateral giant fibroadenomas. B, Mammographic mediolateral oblique images of the right and left breasts show large masses (black arrows). Skin markers are present at the white arrows, indicating palpable abnormalities.
gr1b.jpg
PMC4895095_01_gr1b.jpg
fig1b
Breast sonography demonstrated fairly homogeneous hypoechoic solid lobulated masses occupying most of each breast, with internal vascularity demonstrated by color Doppler and increased through transmission (Figure 2A, Figure 2B).
18-year-old woman with recurrent bilateral giant fibroadenomas. A, Sonography of the right breast shows a large solid lobulated hypoechoic lesion occupying most of the breast. Color Doppler study of the right breast mass reveals significant intralesional blood flow.
gr2a.jpg
PMC4895095_01_gr2a.jpg
fig2a
The patient was taken to the operating room where she underwent bilateral enucleation of the breast masses (Figure 3A, Figure 3B).
18-year-old woman with recurrent bilateral giant fibroadenomas. B, Sonography of the left breast showing a large solid hypoechoic lesion, slightly larger than that on the right, occupying most of the breast. Color Doppler study of the left breast mass reveals significant intralesional blood flow, similar to that found in the right breast lesion.
gr2b.jpg
PMC4895095_01_gr2b.jpg
fig2b
The surgical specimens were sent to pathology where histologic examination concluded a diagnosis of benign giant fibroadenoma variants (Figure 4A, Figure 4B).