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Beckwith-Wiedemann syndrome and juvenile fibroadenoma: a case report
Melissa M Poh1, Tiffany N Ballard, J Jason Wendel
1Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN 37232-2345, USA.
Insights
Beckwith-Wiedemann syndrome (BWS) patients, especially those with hemihypertrophy, face elevated tumor risks. This case highlights rapidly growing bilateral breast tumors in a 12-year-old girl with BWS, emphasizing rare occurrences and management considerations.
Area of Science:
- Pediatric Endocrinology
- Oncology
- Genetics
Background:
- Beckwith-Wiedemann syndrome (BWS) is a congenital overgrowth disorder.
- Associated conditions include hemihypertrophy and increased cancer predisposition.
- Early recognition is crucial for monitoring and management.
Observation:
- A 12-year-old female with BWS and hemihypertrophy presented with rapidly enlarging bilateral breast tumors.
- The tumors were asymmetric, posing a diagnostic challenge.
- This presentation is uncommon in the existing literature.
Findings:
- The case details the diagnostic process for breast tumors in an adolescent with BWS.
- It underscores the importance of considering BWS in the differential diagnosis of breast masses in this population.
- Management strategies for pediatric breast tumors in BWS are discussed.
Implications:
- This report expands the understanding of BWS manifestations, specifically concerning breast tumors.
- It provides insights into the differential diagnosis and treatment of breast masses in young females with BWS.
- Highlights the need for tailored surgical and reconstructive approaches in developing adolescents.
Abstract:
Beckwith-Wiedemann syndrome (BWS) is a complex overgrowth disorder usually recognized at birth. Children diagnosed with BWS, particularly those with hemihypertrophy, experience an increased risk of developing benign and malignant tumors. This case report presents a 12-year-old girl with BWS and hemihypertrophy who rapidly developed enlarging, asymmetric tumors of bilateral breasts. Few cases of patients with BWS and benign breast tumors exist in the literature. The differential diagnosis of breast tumors in the adolescent female is described. The treatment plan and reconstruction options particular to the developing young female are also discussed.
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