Multiple Circumscribed Fibroadenomas in a Single Quadrant of the Breast: A Case Report with Imaging-Pathology Correlation

Abstract

Fibroadenoma is a common benign breast tumor typically presenting as a solitary, well-circumscribed mass in younger women. Although multiple fibroadenomas are not uncommon, they are typically distributed bilaterally and scattered throughout the breast tissue. In this report, we describe the rare presentation of multiple fibroadenomas clustered within a single quadrant of one breast in a perimenopausal woman, identified during routine screening. Diagnostic imaging revealed several circumscribed, hypoechoic nodules without suspicious features. Histological evaluation following targeted biopsies confirmed all lesions as benign fibroadenomas. This case illustrates an uncommon imaging pattern of a common lesion and highlights the importance of imaging–pathology correlation in guiding appropriate clinical management.