Florid juvenile (cellular) fibroadenomatosis in the adolescent: A case forsubcutaneous mastectomy?

Juvenile or giant fibroadenoma (JF) is an uncommon fibroadenoma variant usu ally presenting in adolescence. Although these masses are benign, when mult iple and bilateral, they present a complex challenge to the attending surge on, both in diagnosis, and in selection of the most appropriate therapy. Tr eatment is usually surgical and ranges from simple excision to subcutaneous mastectomy with reconstruction We report an unusual case of refractory JF, initially treated with combined hormonal and surgical treatment but ultima tely requiring bilateral subcutaneous mastectomies to prevent tumor regrowt h. This case highlights the occasional difficulty in the management of macr omastia in the adolescent female.