Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma

Fibroadenoma accounts for 50–60% of all breast mass lesions in adolescents. It usually presents as a unilateral palpable breast mass. In contrast, bloody nipple discharge rarely occurs in childhood. We report the case of a 12-year-old pubertal girl who presented with a solitary breast mass and blood...

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Main Authors: Hsien Liu, Ming-Lun Yeh, Kai-Jen Lin, Chih-Kun Huang, Chao-Ming Hung, Yaw-Sen Chen
Format: Article
Language:English
Published: Elsevier 2010-06-01
Series:Pediatrics and Neonatology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1875957210600368
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author Hsien Liu
Ming-Lun Yeh
Kai-Jen Lin
Chih-Kun Huang
Chao-Ming Hung
Yaw-Sen Chen
author_facet Hsien Liu
Ming-Lun Yeh
Kai-Jen Lin
Chih-Kun Huang
Chao-Ming Hung
Yaw-Sen Chen
author_sort Hsien Liu
collection DOAJ
description Fibroadenoma accounts for 50–60% of all breast mass lesions in adolescents. It usually presents as a unilateral palpable breast mass. In contrast, bloody nipple discharge rarely occurs in childhood. We report the case of a 12-year-old pubertal girl who presented with a solitary breast mass and bloody nipple discharge. Physical examination and ultrasound showed a right breast subareolar homogenous mass, about 2.5 cm in diameter, near the lactiferous duct. Histologic diagnosis of the mass revealed a juvenile fibroadenoma with infarction and hemorrhage. The unusual clinical presentation and possible etiology in this patient is described, and the proper management of bloody nipple discharge in pediatric patients is discussed in association with a literature review.
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spelling doaj.art-34482e9d4d78454ca44a1e6687b10fdf2022-12-22T00:59:18ZengElsevierPediatrics and Neonatology1875-95722010-06-0151319019210.1016/S1875-9572(10)60036-8Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile FibroadenomaHsien Liu0Ming-Lun Yeh1Kai-Jen Lin2Chih-Kun Huang3Chao-Ming Hung4Yaw-Sen Chen5Department of General Surgery, E-Da Hospital, I-Shou University, Kaohsiung County, TaiwanDepartment of Pediatric Surgery, E-Da Hospital, I-Shou University, Kaohsiung County, TaiwanDepartment of Pathology, E-Da Hospital, I-Shou University, Kaohsiung County, TaiwanDepartment of General Surgery, E-Da Hospital, I-Shou University, Kaohsiung County, TaiwanDepartment of General Surgery, E-Da Hospital, I-Shou University, Kaohsiung County, TaiwanDepartment of General Surgery, E-Da Hospital, I-Shou University, Kaohsiung County, TaiwanFibroadenoma accounts for 50–60% of all breast mass lesions in adolescents. It usually presents as a unilateral palpable breast mass. In contrast, bloody nipple discharge rarely occurs in childhood. We report the case of a 12-year-old pubertal girl who presented with a solitary breast mass and bloody nipple discharge. Physical examination and ultrasound showed a right breast subareolar homogenous mass, about 2.5 cm in diameter, near the lactiferous duct. Histologic diagnosis of the mass revealed a juvenile fibroadenoma with infarction and hemorrhage. The unusual clinical presentation and possible etiology in this patient is described, and the proper management of bloody nipple discharge in pediatric patients is discussed in association with a literature review.http://www.sciencedirect.com/science/article/pii/S1875957210600368bloody nipple dischargejuvenile fibroadenoma
spellingShingle Hsien Liu
Ming-Lun Yeh
Kai-Jen Lin
Chih-Kun Huang
Chao-Ming Hung
Yaw-Sen Chen
Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma
Pediatrics and Neonatology
bloody nipple discharge
juvenile fibroadenoma
title Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma
title_full Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma
title_fullStr Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma
title_full_unstemmed Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma
title_short Bloody Nipple Discharge in an Adolescent Girl: Unusual Presentation of Juvenile Fibroadenoma
title_sort bloody nipple discharge in an adolescent girl unusual presentation of juvenile fibroadenoma
topic bloody nipple discharge
juvenile fibroadenoma
url http://www.sciencedirect.com/science/article/pii/S1875957210600368
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AT chihkunhuang bloodynippledischargeinanadolescentgirlunusualpresentationofjuvenilefibroadenoma
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