Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses
Authors: Rafia Shahzad, Tooba Anjum, Abu Bakar Shahid
Background: Juvenile breast hypertrophy is a rare benign condition leading to rapid and massive enlargement of one or both breasts in young girls during peri-pubertal period. Patients encounter physical and psycho-social problems. Therefore, the condition warrants early appropriate management. Breast imaging studies (ultrasound and magnetic resonance imaging) are particularly important in order to exclude tumors and occult pathologies. First line treatment modality is reduction mammoplasty that significantly improves quality of life with lesser chances of recurrence. Case Presentation: We report two post-menarchal girls with juvenile breast hypertrophy who presented as different clinical cases facing psychological and social embarrassment. Breast ultrasound showed right breast mass in both patients that were biopsied. The lesions turned out to be fibroadenomas on histopathological correlation. Patients were then referred to plastic surgery and endocrinology department. Conclusion: Juvenile breast hypertrophy is definitely a disturbing cosmetic problem. Early investigations and appropriate management will surely leave a positive impact on the quality of life.
Keywords: Case report, breast, hypertrophy, peri-pubertal, ultrasonography, fibroadenomas, mammoplasty
Authors
Correspondence to:
Rafia Shahzad, Department of Radiology, INMOL Hospital, Lahore, Pakistan drrafiashahzad@gmail.com
Publication history:
Received 17 Jun 2021
Revised 29 Sep 2021
Accepted 11 Oct 2021
Published online 09 Nov 2021
Published in print 17 Nov 2021
Shahzad R, Anjum T, Shahid AB. Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. EJMCR. 2021; 5(10): 296-300. doi:
10.24911/ejmcr/173-1623737413
Shahzad R, Anjum T, Shahid AB. Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. https://www.ejmcr.com/?mno=88127 [Access: April 26, 2024]. doi:
10.24911/ejmcr/173-1623737413
Shahzad R, Anjum T, Shahid AB. Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. EJMCR. 2021; 5(10): 296-300. doi:
10.24911/ejmcr/173-1623737413
Shahzad R, Anjum T, Shahid AB. Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. EJMCR. (2021), [cited April 26, 2024]; 5(10): 296-300. doi:
10.24911/ejmcr/173-1623737413
Shahzad, R., Anjum, . T. & Shahid, . A. B. (2021) Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. EJMCR, 5 (10), 296-300. doi:
10.24911/ejmcr/173-1623737413
Shahzad, Rafia, Tooba Anjum, and Abu Bakar Shahid. 2021. Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. European Journal of Medical Case Reports, 5 (10), 296-300. doi:
10.24911/ejmcr/173-1623737413
Shahzad, Rafia, Tooba Anjum, and Abu Bakar Shahid. "Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses." European Journal of Medical Case Reports 5 (2021), 296-300. doi:
10.24911/ejmcr/173-1623737413
Shahzad, Rafia, Tooba Anjum, and Abu Bakar Shahid. "Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses." European Journal of Medical Case Reports 5.10 (2021), 296-300. Print. doi:
10.24911/ejmcr/173-1623737413
Shahzad, R., Anjum, . T. & Shahid, . A. B. (2021) Juvenile breast hypertrophy: report of two cases presenting with massive asymmetrical breast enlargement and palpable breast masses. European Journal of Medical Case Reports, 5 (10), 296-300. doi:
10.24911/ejmcr/173-1623737413