RCOM-Multiple giant (juvenile) fibroadenomas
A10-year-old black girl pre-sented to her pediatrician with marked
bilateral breast enlargement with asymmetry. Following her second
office visit for the same problem, a mammogram was ordered and
completed at the insistence of the clinician (figure 1). The
presence of dense tissue limited the usefulness of this modality.
However, on clinical exam, mobile hard discrete masses were
palpated bilaterally (figure 2) with a small amount of normal soft
tissue identified in the inferior left breast. Bilateral breast
sonography with Doppler interrogation (figure 3) revealed
well-defined solid hyperechoic masses with a few vascular channels.
At surgery, two masses were removed from the right breast, and one
mass from the left breast (figure 4).