A teenager with ductal carcinoma in situ arising in a fibroadenoma: a case report

  • Oliver Frisch University of Cape Town
  • Louis Johann De Jager University of Cape Town
  • Michael Otto University of Cape Town
  • Jennifer Downs University of Cape Town
  • Francois Malherbe University of Cape Town
Keywords: fibroadenoma, ductal carcinoma in situ, breast cancer, young age

Abstract

Breast cancer arising within fibroadenomas (BcaFad) is a very rare finding. BcaFad occurs mostly in women between the ages of 40 and 50. This report details the unique case of an 18-year-old woman with bcafad. We present an 18-year-old woman with a ductal carcinoma in situ (DCIS) arising within a fibroadenoma. This is the youngest reported case of BcaFad in the literature. Clinically, the mass presented characteristics of a benign breast lump. Microscopically, an atypical proliferation of luminal epithelial cells was classified as a low-grade DCIS. As a very rare presentation at an especially unusual age, this case challenges the current risk evaluation and management in young women diagnosed with fibroadenoma.

Author Biographies

Oliver Frisch, University of Cape Town

Division of General Surgery, Breast and Endocrine Surgery Unit, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Louis Johann De Jager, University of Cape Town

Department of Anatomical Pathology, National Health Laboratory Service and Faculty of Health Sciences, University
of Cape Town, Cape Town, South Africa

Michael Otto, University of Cape Town
Department of Anatomical Pathology, National Health Laboratory Service and Faculty of Health Sciences, University
of Cape Town, Cape Town, South Africa
Jennifer Downs, University of Cape Town

Division of General Surgery, Breast and Endocrine Surgery Unit, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Francois Malherbe, University of Cape Town

Division of General Surgery, Breast and Endocrine Surgery Unit, Groote Schuur Hospital, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa

Published
2018-11-08
How to Cite
Frisch, O., De Jager, L., Otto, M., Downs, J., & Malherbe, F. (2018). A teenager with ductal carcinoma in situ arising in a fibroadenoma: a case report. South African Journal of Surgery, 56(4), 51. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2766
Section
Case Reports