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Clinical Trial
. 2020 Mar;121(3):441-446.
doi: 10.1002/jso.25828. Epub 2020 Jan 6.

Surgical management of giant juvenile fibroadenoma with skin reducing tumor resection and immediate breast reconstruction: A single-center experience

Fengzhou Du  1 , Ruijia Dong  1 , Ang Zeng  1 , Zhifei Liu  1 , Nanze Yu  1 , Xiaojun Wang  1 , Lin Zhu  1
Affiliations
Clinical Trial

Surgical management of giant juvenile fibroadenoma with skin reducing tumor resection and immediate breast reconstruction: A single-center experience

Fengzhou Du et al. J Surg Oncol. 2020 Mar.

Abstract

Background and objectives: Giant juvenile fibroadenoma (GJF) is a rare benign tumor that disfiguring affects the breast shape and quality of life of patients. This study aimed to report the experience of GJF management.

Methods: A Wise-pattern skin reducing tumor resection followed by immediate breast reconstruction with a dermal flap pocket was used. The long-term outcomes were assessed retrospectively by BREAST-Q questionnaire from 2008 to 2018.

Results: The study included eight patients with GJF. All patients achieved satisfactory results without severe complications. The BREAST-Q revealed that postoperative scores for satisfaction with breasts (69.3 ± 17.6) and sexual wellbeing (62.3 ± 27.6) were higher than the normative scores. The psychosocial wellbeing (69.7 ± 14.6) and physical wellbeing-chest (86.8 ± 13.0) scores were slightly lower than the normative scores.

Conclusion: Although GJF is a benign tumor, it should be surgically removed. And the Wise-pattern skin reducing tumor resection with immediate breast reconstruction is a proper way to improve patients' satisfaction with breast size and shape and quality of life.

Keywords: breast reconstruction; dermal flap; giant juvenile fibroadenoma.

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References

REFERENCES

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