A Diagnostic Enigma-a Rare Presentation of Juvenile Fibroadenoma in a Premenarchal Girl

Background: We report a rare case of a teenage girl, with a bizarre clinical presentation of a benign breast condition that too is uncommon at her age. Case: A 14-year-old premenarchal girl presented with a rapidly progressing lump that involved the entire breast within 3 months. It was associated with ulceration of the overlying skin along with destruction of the nipple-areola complex. During the pre-operative workup, a neoplastic etiology was suspected, but post-operative histopathology revealed it to be giant juvenile fibroadenoma. Summary and Conclusion: This case emphasizes the benign character of breast masses in the adolescent age group. Despite the massive volume and appearance, the opportunity for a conservative surgical approach should be sought.