A Unique Case of a Massive Fungating Fibroadenoma of the Breast: Clinical and Pathological Insights

Fibroadenoma is a type of benign tumor that occurs in breast tissues, commonly in younger age groups. However, the presentation of the patient described below shows how the disease presents in various manners. A 52-year-old woman presented to the outpatient clinic with a unilateral, giant, left-sided fungating breast mass who was later admitted under the General Surgical team, at Salmaniya Medical Complex (SMC) for further corresponding diagnostic workup. A staging CT scan of the abdomen/pelvis and chest/thorax showed a left, large, heterogeneously enhancing, fungating breast lesion, involving most breast quadrants measuring around 17 × 12 cm with an unexpected hamartoma in the right breast. An incidental finding of leiomyoma was found on the left lateral border of the uterine cervix. Diagnosis of giant fibroadenoma was established only after the surgical management was completed. Management of this case was approached by multidisciplinary surgical teams. We are reporting this case to highlight the significance of the breast screening protocols, hence avoiding late and complicated presentations of the disease. This case report is one of few, which will help future researchers formulate precise guidelines dedicated to huge fibroadenomas.