EJMA. 2023; 3(3): 144-148 | DOI: 10.14744/ejma.2023.85057

Modified Lateral Oncoplastic Surgery for Giant Breast Fibroadenoma with Flat Epithelial Atypia: A Case Report

Suman Khanal¹, Neha Singh², Aditya Paudel³, Yogendra Singh^4
1Department of Surgical Oncology, BP Koirala Memorial Cancer Hospital, Chitwan, Nepal
²Cancer Research Associate, Nepal Cancer Education Foundation, Kathmandu, Nepal
³Medical Student, American University of the Caribbean School of Medicine, Cupecoy, Sint Maarten
⁴Surgical Oncology, Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Giant fibroadenoma is rare after the age of 30. It can lead to asymmetry or deformity of the breast after simple excision. In this report we present our technique of simple modified lateral oncoplastic surgery for excision of 11x7 cm giant fibroadenoma occupying almost the outer half of left breast in a 42-year-old premenopausal, Tibeto-Burman lady with an excellent aesthetic outcome. Histopathological examination revealed fibroadenoma with focal flat epithelial atypia. While giant fibroadenoma itself is uncommon at this age, the association with flat epithelial atypia is rarer and its significance is not known conclusively.

Keywords: Flat epithelial atypia, giant fibroadenoma, lateral oncoplastic breast surgery

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