Giant Fibroadenoma of Breast may Require Mastectomy

Fibroadenoma is a benign breast disease due to aberrations in normal development and involution (ANDI). This is a disease mostly seen in the time of breast development and involution. It is called as “breast mouse” because of the looseness in movement of the firm to hard tumor tissue inside the normal breast tissue. It can be of different size and shape; usually globular and less than 5cms in diameter when reported first. It may sometimes become large enough to occupy the whole breast. It is very rarely turns malignant. But when acquires a large size to be called as giant fibroadenoma may have associated features of malignancy; and that is the reason why, it should be subjected to histopathological study after removal. Giant fibroadenaomas should be subjected to fine needle aspiration cytology (FNAC), mammography and if required, other investigations like ultrasonogram to rule out malignancy before surgery. Removal of giant fibroadenomas may require removal of a large chunk of normal breast tissue and sometimes removal of the whole breast.    

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