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Juvenile Fibroadenoma in a Four-Month-Old Male Infant
Steven Van den Berge1, Machteld Keupers1, Luc Breysem1
1UZ Leuven, BE.
Journal of the Belgian Society of Radiology
|August 4, 2020
Insights
Juvenile fibroadenoma and malignant phyllodes tumors present similar imaging findings. Core biopsy is essential for accurate diagnosis, guiding appropriate treatment and follow-up strategies for breast lesions.
Area of Science:
- Oncology
- Radiology
- Pathology
Background:
- Juvenile fibroadenoma is a common benign breast tumor in young women.
- Phyllodes tumors, while less common, can be malignant and require specific management.
- Radiological assessment often shows overlapping features between these two entities.
Observation:
- Distinguishing juvenile fibroadenoma from phyllodes tumors on imaging alone is challenging.
- Both conditions can manifest as palpable breast masses with similar imaging characteristics.
Findings:
- Core biopsy provides definitive histological diagnosis, differentiating benign from malignant breast lesions.
- Histopathological analysis is crucial for accurate classification and treatment planning.
Implications:
- Accurate diagnosis via core biopsy is critical for appropriate patient management and prognosis.
- This highlights the importance of tissue sampling in evaluating breast masses with ambiguous radiological features.
- Timely and correct diagnosis impacts surgical decisions and long-term patient follow-up.
Abstract:
Teaching point: As juvenile fibroadenoma is radiologically indistinguishable from a (malignant) phyllodes tumor, a core biopsy is decisive for both treatment and follow-up.
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