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

摘要

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.