Giant fibroadenomas are a rare form of fibroadenoma that present as rapidly enlarging breast masses. They are typically greater than 5 cm or 500 grams in size and most frequently are seen in premenopausal Afro-Caribbean or East Asian females. This unique case report presents a 22-year-old female who presented with an enlarging breast mass measuring 23 × 28 cm. After core needle biopsy, the mass was diagnosed as a giant fibroadenoma and treated surgically with mastectomy. After a 5 year follow up she has not reported any signs of recurrence of the mass.
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Article Synopsis
- The text discusses various benign and malignant breast conditions that can show similar diffuse unilateral findings on MRI, which can complicate diagnosis.
- It categorizes these findings into three main types: asymmetric diffuse masses or non-mass enhancement, diffuse unilateral skin thickening, and diffuse asymmetric background enhancement.
- The review emphasizes that while clinical correlation is essential, biopsy is often needed for a definitive diagnosis, and outlines specific MRI characteristics that help differentiate between conditions, such as morphology and enhancement kinetics.
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