Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma
Summary:. Juvenile fibroadenoma (JFA) represents a distinct subtype of fibroepithelial breast lesions that predominantly affect adolescents and young women. Unilateral JFAs are a rare condition in which surgical intervention focusing on oncoplastic reconstruction may be indicated in cases of severe...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2025-06-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006894 |
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| author | Nadir A. Meghji, MD, MS, MPH Ibrahim Mkoma, MD, MMed, MSc Advera Ngaiza, MD, MMed Paul Itule, MD, MMed Ally H. Mwanga, MD, MMed, MSc |
| author_facet | Nadir A. Meghji, MD, MS, MPH Ibrahim Mkoma, MD, MMed, MSc Advera Ngaiza, MD, MMed Paul Itule, MD, MMed Ally H. Mwanga, MD, MMed, MSc |
| author_sort | Nadir A. Meghji, MD, MS, MPH |
| collection | DOAJ |
| description | Summary:. Juvenile fibroadenoma (JFA) represents a distinct subtype of fibroepithelial breast lesions that predominantly affect adolescents and young women. Unilateral JFAs are a rare condition in which surgical intervention focusing on oncoplastic reconstruction may be indicated in cases of severe symptoms or significant cosmetic deformity, with careful consideration of patient age, breast development stage, and long-term outcomes. However, there is limited literature on their surgical management aimed at delivering good aesthetic results to these young women. We report a case of a 15-year-old woman who presented with a unilateral gigantic JFA causing her severe discomfort and embarrassment due to the size and asymmetry of her breasts. Mammoplasty using a modified Goldilocks technique with nipple–areolar complex preservation via an inferior-based dermal flap was performed to achieve symmetry and good aesthetic results. After a 6-month follow-up, this technique delivered a remarkable aesthetic result with high patient satisfaction. This case highlighted the importance of using current innovative surgical techniques to deliver good aesthetic results to young women with benign breast diseases, as this plays a crucial role in their psychological and physical well-being as they grow up. |
| format | Article |
| id | doaj-art-083732ccf4fe4efcb893f33401d66bb1 |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-083732ccf4fe4efcb893f33401d66bb12025-08-20T03:47:21ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-06-01136e689410.1097/GOX.0000000000006894202506000-00056Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile FibroadenomaNadir A. Meghji, MD, MS, MPH0Ibrahim Mkoma, MD, MMed, MSc1Advera Ngaiza, MD, MMed2Paul Itule, MD, MMed3Ally H. Mwanga, MD, MMed, MSc4From the * Plastic and Reconstructive Surgery Unit, Department of Surgery, Muhimbili National Hospital, Dar es Salaam, TanzaniaFrom the * Plastic and Reconstructive Surgery Unit, Department of Surgery, Muhimbili National Hospital, Dar es Salaam, Tanzania† Department of Pathology, Muhimbili National Hospital, Dar es Salaam, Tanzania‡ Department of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.‡ Department of Surgery, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.Summary:. Juvenile fibroadenoma (JFA) represents a distinct subtype of fibroepithelial breast lesions that predominantly affect adolescents and young women. Unilateral JFAs are a rare condition in which surgical intervention focusing on oncoplastic reconstruction may be indicated in cases of severe symptoms or significant cosmetic deformity, with careful consideration of patient age, breast development stage, and long-term outcomes. However, there is limited literature on their surgical management aimed at delivering good aesthetic results to these young women. We report a case of a 15-year-old woman who presented with a unilateral gigantic JFA causing her severe discomfort and embarrassment due to the size and asymmetry of her breasts. Mammoplasty using a modified Goldilocks technique with nipple–areolar complex preservation via an inferior-based dermal flap was performed to achieve symmetry and good aesthetic results. After a 6-month follow-up, this technique delivered a remarkable aesthetic result with high patient satisfaction. This case highlighted the importance of using current innovative surgical techniques to deliver good aesthetic results to young women with benign breast diseases, as this plays a crucial role in their psychological and physical well-being as they grow up.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006894 |
| spellingShingle | Nadir A. Meghji, MD, MS, MPH Ibrahim Mkoma, MD, MMed, MSc Advera Ngaiza, MD, MMed Paul Itule, MD, MMed Ally H. Mwanga, MD, MMed, MSc Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma Plastic and Reconstructive Surgery, Global Open |
| title | Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma |
| title_full | Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma |
| title_fullStr | Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma |
| title_full_unstemmed | Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma |
| title_short | Mammoplasty With Nipple-sparing Goldilocks Technique in Unilateral Gigantic Juvenile Fibroadenoma |
| title_sort | mammoplasty with nipple sparing goldilocks technique in unilateral gigantic juvenile fibroadenoma |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006894 |
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