Fibrocystic Breast Tumor: A Case Report

Authors

  • Ferry Kalitouw Universitas Sam Ratulangi
  • Christian Manginstar Universitas Sam Ratulangi
  • Melfrits Siwabessy Universitas Sam Ratulangi

DOI:

https://doi.org/10.35790/msj.v5i1.46215

Abstract

Abstract: Fibrocystic breast tumor is the most common benign type of breast diseases that affects millions of women worldwide. Fibrocystic breast changes are classified as non-proliferative, proliferative without atypia, or proliferative with atypia. We reported a 34-year-old woman presented with a right breast evaluation of breast tumors since one year before admission. On examination, a solid and hard breast tumor measuring 15x10 cm was palpable, well-defined, tender, mobile, and no nipple discharge. The patient underwent two times of core biopsy and the results were fibrocystic changes. Although clinically the breast tumor had a malignant appearance, but the results of core biopsy examinations revealed fibrocystic changes. The patient was managed by wide excision of the evaluated breast tumor with preservation of the breast skin and nipple areolar complex to maintain its function and aesthetic. In conclusion, evaluation of breast tumors must go through a triple diagnostic procedure namely clinical, imaging, and histopathological examinations. Fibrocystic breast tumor can be managed with wide excision of the tumor with preservation of the skin structure and nipple areolar complex of the breast to achieve a natural aesthetic.

Keywords: fibrocystic breast tumor; wide excision of tumor; evaluation of breast tumors

Author Biographies

Ferry Kalitouw, Universitas Sam Ratulangi

Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi – Prof. Dr. R. D. Kandou Hospital, Manado, Indonesia

Christian Manginstar, Universitas Sam Ratulangi

Division of Surgical Oncology, Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi – Prof. Dr. R. D. Kandou Hospital, Manado, Indonesia

Melfrits Siwabessy, Universitas Sam Ratulangi

Specialist Study Program of Department of Surgery, Faculty of Medicine, Universitas Sam Ratulangi – Prof. Dr. R. D. Kandou Hospital, Manado, Indonesia

References

Sinn HP, Kreipe H. A brief overview of the WHO classification of breast tumors, 4th ed, focusing on issues and updates from the 3rd ed. Breast Care (Basel). 2013;8(2):149-54. Doi: 10.1159/000350774. PMID: 24415964; PMCID: PMC3683948.

Malherbe K, Khan M, Fatima S. Fibrocystic breast disease. [Updated 2021 Oct 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. Available from: https://www. ncbi.nlm.nih.gov/books/NBK551609/?report=classic

Kowalski A, Okoye E. Breast cyst. [Updated 2021 Dec 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK 562196/

Vorherr H. Fibrocystic breast disease: pathophysiology, pathomorphology, clinical picture, and management. Am J Obstet Gynecol. 1986;154(1):161-79. Doi: 10.1016/0002-9378(86)90421-7.

Greenblatt RB, Samaras C, Vasquez JM, Nezhat C. Fibrocystic disease of the breast. Clin Obstet Gynecol. 1982;25(2):365-71. Doi: 10.1097/00003081-198206000-00019.

Wu C, Ray RM, Ming GL, Dao LG, Horner NK, Nelson ZC, et al. A case-control study of risk factors for fibrocystic breast conditions: Shanghai Nutrition and Breast Disease Study, China, 1995–2000. Am J Epidemiol. 2004;160(10):945–60. Available from: https://doi.org/10.1093/aje/kwh318.

Yadav P, Sharma A, Singh L, Gupta R. Management of fibrocystic breast disease: a comprehensive review. J Adv Sci Res. 2020;11(4):30-7.

Myers DJ, Walls AL. Atypical breast hyperplasia. [Updated 2022 Feb 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm. nih.gov/books/NBK470258/

Mariotti C. Oncology Breast Surgery. Italy: Springer-Verlag; 2014.

Rahman GA, Adeniji KA. Clinicopathological relationship between fibrocystic disease complex and breast cancer: a case report. J Surg Tech Case Rep. 2010;2(1):54-5. Doi: 10.4103/2006-8808. 63729.

Georgescu T, Naftali Z, Simu G, Nistor V, Craciu C, Ilniczky P, et al. Retrospective studies on the relation between fibrocystic disease and cancer of the breast with therapeutic conclusions. Chirurgia (Bucur). 1992;41(1):10–8.

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Published

2023-07-09

How to Cite

Kalitouw, F., Manginstar, C., & Siwabessy, M. (2023). Fibrocystic Breast Tumor: A Case Report. Medical Scope Journal, 5(1), 150–153. https://doi.org/10.35790/msj.v5i1.46215

Issue

Vol. 5 No. 1 (2023): Medical Scope Journal

Section

Articles

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Copyright (c) 2023 Ferry Kalitouw, Christian Manginstar, Melfrits Siwabessy

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