Affiliation:
1. Plastic Surgery
2. Surgery
3. Radiology, University of Kansas Medical Center, Kansas City, KS.
Abstract
Abstract
Large breast fibroadenomas in pediatric females may cause discomfort, asymmetry, and psychological stress, and patients may elect for surgical excision. There are no criteria for reconstruction after the excision of these masses, and the research is limited in describing oncoplastic techniques in pediatric fibroadenoma excision. Nononcoplastic techniques, such as mastectomy with implant or flap reconstruction, have been used for pediatric fibroadenoma excision reconstruction. Oncoplastic techniques using Wise pattern or circumareolar incisions have shown to have efficacious outcomes. In addition, pediatric females undergoing breast surgery risk long-term complications such as continued breast asymmetry due to further breast growth, nipple and breast hypoesthesia, and future breastfeeding difficulty. This case series describes the oncoplastic techniques used for large benign mass excision and reconstruction of 3 pediatric females. A Wise pattern technique was used for all 3 patients, and 2 underwent a free-nipple graft. Oncoplastic techniques for pediatric breast mass excision provide satisfactory aesthetic outcomes with minimal surgical morbidity. Further research assessing the long-term effects of pediatric breast mass excision and reconstruction would be beneficial.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Reference32 articles.
1. Breast disorders in children and adolescents;J Pediatr Adolesc Gynecol,2008
2. Lesions of the breast in children exclusive of typical fibroadenoma and gynecomastia. A clinicopathologic study of 113 cases;Pathol Annu,1989
3. Management of benign tumors of the adolescent breast;Plast Reconstr Surg,2007
4. Breast fibroadenomas in adolescents: current perspectives;Adolesc Health Med Ther,2015
5. Complications and quality of life following reduction mammaplasty in adolescents and young women;Plast Reconstr Surg,2019