What does this research mean for the field?

Giant fibroadenomas can present as fungating masses that clinically mimic breast malignancy but can be safely managed with breast-preserving surgery following multidisciplinary clinicoradiological-pathological correlation. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To describe a case of a giant ulcerating fibroadenoma that mimicked malignancy and address diagnostic dilemmas caused by conflicting clinical, radiological, and biopsy findings.

September 8, 2026Future Science OAOpen Access

A deceptive fungating breast mass: giant fibroadenoma with multiple epidermal inclusion cysts mimicking malignancy

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Authors

GHGhaith B. HeilatJordan University of Science and Technology AAAmjad Z. AlrosanHashemite University RMReem Mohammad MuhsenJordan University of Science and Technology

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Implication

Case report demonstrates successful breast-preserving enucleation of a deceptive fungating giant fibroadenoma, highlighting the role of multidisciplinary review in managing discordant diagnostic...

Key Points

To describe a case of a giant ulcerating fibroadenoma that mimicked malignancy and address diagnostic dilemmas caused by conflicting clinical, radiological, and biopsy findings.
Diagnostic workup included multiple core biopsies to assess rapid tumor progression and rule out phyllodes tumor or carcinoma.
A multidisciplinary team planned and executed a staged, breast-preserving surgical enucleation with preservation of the nipple-areolar complex, accompanied by six-month postoperative follow-up.
Histopathology confirmed a giant fibroadenoma with multiple ruptured epidermal inclusion cysts, keratin-associated inflammation, and foreign-body giant-cell reaction.
Despite focal superficial-margin involvement at the ulcerated surface, six-month evaluation showed no clinical or ultrasonographic evidence of recurrence.

Cite This Study

Heilat et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd74958e84d0ff5b45ba7 https://doi.org/10.1080/20565623.2026.2728652

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Implication

Case report demonstrates successful breast-preserving enucleation of a deceptive fungating giant fibroadenoma, highlighting the role of multidisciplinary review in managing discordant diagnostic...

A deceptive fungating breast mass: giant fibroadenoma with multiple epidermal inclusion cysts mimicking malignancy

Discussion

Member takes

Implication

Key Points

Cite This Study

A deceptive fungating breast mass: giant fibroadenoma with multiple epidermal inclusion cysts mimicking malignancy

Discussion

Member takes

Implication

Key Points

Cite This Study

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