A Rare Case of Extensive Bilateral Fibroadenomas in a Young Woman

Authors

DOI:

https://doi.org/10.5195/ijms.2025.2928

Keywords:

Fibroadenoma, Breast, Benign, Doppler Ultrasound, Radiology, breastfeeding

Abstract

Background: Fibroadenomas are benign, solid nodules in the breast commonly found in women less than 35 years of age. Typically, fibroadenomas do not exceed 3-4 per breast, and the occurrence of five or more is uncommon with only 6 cases in the literature reporting 20 or more fibroadenomas in each breast. Case: We present a case of an 18-year-old female, initially diagnosed with bilateral fibroadenomas, progressing to an extensive presentation of over 25 fibroadenomas per breast by the age of 26, a rarity in the medical literature. Despite recommendations for a mastectomy due to the high fibroadenoma count, the patient, after consulting with the physician and understanding the risk of progression of size, number, or dysplasia, opted for watchful waiting, citing concerns about future breastfeeding. Conclusion: This case highlights the importance of shared decision-making and agreeing to conservative management with close monitoring in managing extensive fibroadenomas in young women, considering their impact on future reproductive choices. We aim to raise awareness of such uncommon presentations and encourage further reporting to broaden understanding and management strategies.

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References

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This image shows bilateral breast ultrasound scans. On the right breast (left panel), there is a hypoechoic irregular mass measuring approximately 2.39 x 1.64 cm, while on the left breast (right panel), a similar hypoechoic lesion is observed in the subareolar region measuring about 2.35 cm. These findings are suggestive of suspicious breast masses and require further evaluation with complementary imaging and/or biopsy.

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Published

2025-07-22

How to Cite

Dixon, C., Longley, S., Tillman, A., Ethridge, B., & Armstrong, S. (2025). A Rare Case of Extensive Bilateral Fibroadenomas in a Young Woman. International Journal of Medical Students, 13(3), 337–340. https://doi.org/10.5195/ijms.2025.2928

Issue

Vol. 13 No. 3 (2025)

Section

Case Report

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Copyright (c) 2025 Cory Dixon, Sawyer Longley, Aaron Tillman, Britton Ethridge, Samuel Armstrong

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