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J Korean Soc Plast Reconstr Surg. 2002 Jul;29(4):327-331. Korean. Case Report.
Lee TJ , Kang MG .
Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea. tjlee@www.seoul.kr
Abstract

Differential diagnosis of benign giant tumors includes a circumscribed fibrocystic disease, giant fibroadenoma, juvenile fibroadenoma, lipoma, cystosarcoma phylloides, and hamartoma. Current general surgery textbooks describe excision through an inframammary incision and state that reconstructive procedures with flap rotation and prosthesis are inappropriate because the breast remnant generally returns to a normal configuration and contour following removal of a benign breast tumor. Although we agree with this recommendation for smaller fibroadenomas, the distortion and asymmetric stretching that occur with the larger tumors call for a breast reconstructive technique to achieve symmetry. We report 3 cases of giant benign tumors which were treated by excision and reconstruction using mastopexy technique. It's highly recommended that patients with benign giant tumors of breast should be treated by plastic surgeons with reconstructive techniques.

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