A Unique Four-Point Approach for Removal of Giant Breast Fibroadenoma With Marked Asymmetry: A Modified Round Block Technique

Abstract

Purpose: The removal of the giant breast fibroadenoma (GFA) with esthetic repair of the severe deformed breast is a surgical challenge. Materials and Methods: This was a retrospective study of data of 10 patients with GFAs who treated with a modified round block technique at the Department of Breast Surgery, Hangzhou First People’s Hospital (Hangzhou, Zhejiang province, China) from March 2014 to June 2017. Preoperatively, according to the degree of excess skin and asymmetry, a four-point approach was designed. The area between the inner and outer circles was de-epidermized. The tumors were entirely stripped off along the capsule through an incision on a part of the outer circle. To avoid the nipple–areola complex widening, purse-string suture technique was used. Results: Patients’ age ranged from 12 to 32 years (mean age, 23 years), and the largest tumor weighed 2 kg, with a diameter of 16.5 cm. After a mean follow-up of 25 months (range, 9–32 months), no local recurrences were found. Cosmetic results were satisfactory with breast symmetry and minimal scarring. Complications were minimal and widening of the periareolar scar was slight as well. Conclusion: The modified round block technique is recommended to resect GFA in order to improve the cosmetic results with minimal scar.

Keywords:

• giant fibroadenoma
• modified round-block technique
• oncoplasty

DISCLOSURE STATEMENT

The authors declare that there is no conflict of interest regarding the publication of this article.

AUTHORS’ CONTRIBUTIONS

Haidong Cui, Jian Liu and Shenglin Ma carried out Conception and design. Haidong Cui, Jufeng Guo, Shufang Hu, and Aizhai Xiang provided the materials required for the study or recruited the patients. Haidong Cui, Shufang Hu, and Aizhai Xiang participated in data collection. Haidong Cui, Jufeng Guo, Shufang Hu, and Aizhai Xiang performed data analysis and interpretation. All authors participated in drafting the manuscript, and they also studied and approved the final version of the manuscript.

STATEMENT OF ETHIC

The study was approved by the Ethics Committee of Hangzhou First People’s Hospital, and all patients provided written informed consent. All the patients were operated by a single surgeon. The patients’ images were used in this study under the patients’ consent.

Additional information

Funding

This study was supported by the Hangzhou Science and Technology Bureau (Grant No. 20170533B26).