A Modification of the Round-Block Mammoplasty Technique for the Management of Giant Juvenile Fibroadenomas: A Report of Two Cases

Juvenile breast fibroadenomas (FAD) are rare tumours that may grow to large sizes and cause disfigurement of the breast. Traditional surgical options include simple enucleation, reduction mammoplasty, and mastectomy with reconstruction, each with its own set of limitations. We report our experience with two young girls who presented with gross asymmetry of the breast due to giant juvenile FADs and were managed with a modification of the round-block technique. The technique involves reducing the skin envelope to match the size of the normal breast by modifying the design of the outer circle of the round-block mammoplasty incision. This technique offers the advantage of minimal dissection of breast tissue and better preservation of nipple sensation along with excellent aesthetic results.