Ulcerated juvenile giant fibroadenoma

Fibroadenoma is the most common benign breast lump in the age group of 20 to 35 years. Fibroadenomas more than 5 cm in diameter are labelled as giant fibroadenoma, and these constitute less than 4% of all fibroadenomas. Ulcerated giant fibroadenoma is a rare entity. The exact aetiology of giant fibroadenoma is unknown but may be due to an abnormal response to oestrogen, as these cases occur in increased frequency during puberty, pregnancy and oral contraceptive use. Fibroadenoma usually presents as an encapsulated, mobile, firm, non-tender breast lump but rarely these may present as ulcerated breast lump mimicking a more sinister pathology. Here we report a case which presented as a large, ulcerated breast lump.