SWISS ROLL OPERATION FOR GIANT FIBROADENOMA
AbstractBackground: Fibroadenoma 5 cm or more is called giant fibroadenoma. Giant fibroadenoma candistort the shape of breast and causes asymmetry, so it should be excised. There are several techniquesfor excision of giant fibroadenoma. In our technique we remove them through cosmetically acceptablecircumareolar incision to maintain the shape and symmetry of breast. The objectives were to assess thecosmetic results of Swiss roll operation for giant fibroadenoma. The study was conducted for six yearsfrom January, 2002 to December, 2007. Methods: Seventy patients of giant fibroadenoma wereincluded in this study. They were diagnosed on history and clinical examination supported byultrasound and postoperative histopathological examination. Data were collected from outpatientdepartment and operation theatre. Swiss roll operation was performed under general anaesthesia.Results: Mean tumor size was 6.38 cm. Three cm and 4 cm incisions were used for tumour ≤6 cm and>6 cm in size respectively. Skin closed with Vicryl 3/0 subcuticular stitches. Sixteen out of 70 patientshad no scar while others hadminimal scar. All patients had normal shape and symmetry of breast. Onhistopathology fibroadenoma was confirmed. Conclusion: Giant fibroadenoma should be removedthrough cosmetically acceptable cicumareolar incision especially in unmarried young females whohave small breast. Swiss-roll operation is superior in maintaining the shape and symmetry of breast. Nomajor complication was found in our series except seroma formation in 10 patients.Keywords: Swiss roll operation, Giant fibroadenoma, Circumareolar incision, Cosmetic results, Breast
Raganoonan C, Fairbain JK, Williams S, Hughes LE. Giant
breast tumours of adolescence. Aust NZ J Surg 1987;57:243–7.
Lo-Martire N, Nibid A, Farello G, Gabriele A, Giuliani M.
Giant fibroadenoma of the breast in an adolescent: a case
report. Ann Ital Chir 2002;73:631–4.
McGrath MH. Benign tumors of the teenage breast. Plast
Reconstr Surg 2000;105:218–22.
Thomson AM, Dewar JA. Disorders of breast. In: Cuschieri A,
Steele RJC, Mossa A. Essential surgical practice, higher
surgical training in general surgery. 4th ed. New York: Arnold;
p. 61– 93.
McDonald JR, Harrington SW. Giant fibro-adenoma of the
breast (cystosarcoma phyllodes). Ann Sug 1950;131:243–51.
Alagaratnam TT, Ng WF, Leung EXF. Giant fibroadenoma of
the breast in an oriental community. J R Coll Surg Edinb
Naraynsingh V, Maharaj D, Rampaul R. Swiss-Roll operation
for giant fibroadenomas. Breast J 2002;8:46–6.
Mizaushev BA, Kazdokhova ZHKH, Kantsaliev AL A
comparative analysis of effectiveness of surgical treatment of
fibroadenoma young girls. Vestn Khir Im II Greak
Bauer BS, Jones KM, Talbot CW. Mammary mass in the
adolescent female. Surg Gynecol Obstet 1987;165: 63–5.
Park CA, David LR, Argenta LC. Breast asymmetry:
Presentation of a giant fibroadenoma. Breast J 2006;12:451–61.
Hanna RM, Dahniya MH, Ashebu SD. Giant fibroadenoma of
the breast in an Arab population. Australiasian Radiol
Rojananin S, Ratanwichitrasin A. Limited incision with plastic
bag removal for a large fibroadenoma. Br J Surg
Ratanawichitrasin A, Rojanin S, Bhothisuwan K, Tansupasiri
V. Drainage and suture of breast parenchyma in excisional
biopsy of a breast mass. Is it worthwhite? In: Rojananin’S et
al, eds. Head, Neck and Breast Surgery. Vol. 1. Bangkol:
Reankeaw; 1995. p. 453–8.
Jacob MM.Application of reduction mammoplastyin treatment
of giant breast tumour. Br J Plast Surg 2002;53:265–6.
Agarwal B, Agarwal S, Gupta M, Mahajan K. Transaxillary
endoscopic excision of benign breast lumps: a new technique.
Surg Endosc 2008;22:407–10.
Farqharson M, Moran B. Surgery of breast and axilla. In:
Joanna Koster, Sarah Burrows (eds). Farquharson’s textbook
of operative genaral surgery, 9th ed. Great Britain: Edward
Arnold;2005. p. 21–32.
Kaufman CS, Bachman B, Littrup PJ, White M, Carolin KA,
Freman-Gibb LN et al. Office-based ultrasound-guided
cryoablation of breast fibroadenomas. Am J Surg
Millar JM. Day surgery. In: Russel RCG, William NS,
Bulstrode CJK editors. Bailley and Love’s short practice of
surgery. London: Arnold; 2004; p. 228–38.
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