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.