Breast diseases in children: the spectrum of radiologic findings in a cohort study

Durmaz, Emel Öztürk; Öztek, Murat Alp; Habibi, Hatice Arıöz; Kesimal, Uğur; Sindel, Hakkı Timur

doi:10.5152/dir.2017.17033

Cited by 10 publications

(12 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The breast buds are often asymmetric in size and show a clustered appearance in the first developmental stage. Unilateral breast development may have the appearance of a subareolar breast lump ( 1 2 3 7 8 10 ).…”

Section: Normal Development Of the Breastmentioning

confidence: 99%

“…The US features of a phyllodes tumor are similar to those of a fibroadenoma, and a core needle biopsy could be used to distinguish between this tumor and fibroadenoma ( 8 10 23 ). If the tumor has enlarged rapidly or cysts are seen within the tumor, a US-guided core needle biopsy is warranted ( 1 2 4 28 ).…”

Section: Phyllodes Tumormentioning

confidence: 99%

“…In general, follow-up US is performed at 6-monthly intervals in the first year and a follow-up US after 12-month at the end of the second year. In pediatric breast disease, the size and growth of the mass can also affect management ( 1 5 8 10 23 37 ).…”

Section: Management Of Breast Diseases In Children and Adolescentsmentioning

confidence: 99%

See 2 more Smart Citations

Breast Lesions in Children and Adolescents: Diagnosis and Management

Lee

Chang

et al. 2018

Korean J Radiol

View full text Add to dashboard Cite

Pediatric breast disease is uncommon, and primary breast carcinoma in children is extremely rare. Therefore, the approach used to address breast lesions in pediatric patients differs from that in adults in many ways. Knowledge of the normal imaging features at various stages of development and the characteristics of breast disease in the pediatric population can help the radiologist to make confident diagnoses and manage patients appropriately. Most breast diseases in children are benign or associated with breast development, suggesting a need for conservative treatment. Interventional procedures might affect the developing breast and are only indicated in a limited number of cases. Histologic examination should be performed in pediatric patients, taking into account the size of the lesion and clinical history together with the imaging findings. A core needle biopsy is useful for accurate diagnosis and avoidance of irreparable damage in pediatric patients. Biopsy should be considered in the event of abnormal imaging findings, such as non-circumscribed margins, complex solid and cystic components, posterior acoustic shadowing, size above 3 cm, or an increase in mass size. A clinical history that includes a risk factor for malignancy, such as prior chest irradiation, known concurrent cancer not involving the breast, or family history of breast cancer, should prompt consideration of biopsy even if the lesion has a probably benign appearance on ultrasonography.

show abstract

Section: Normal Development Of the Breastmentioning

confidence: 99%

Section: Phyllodes Tumormentioning

confidence: 99%

See 1 more Smart Citation

Breast Lesions in Children and Adolescents: Diagnosis and Management

Lee

Chang

et al. 2018

Korean J Radiol

View full text Add to dashboard Cite

show abstract

“…The finding of fibroadenoma and fibroadenosis in the vast majority of the lumps is similar to the findings by other authors from other regions. [6,7] We followed these patients up but not on a long term basis. However, a report of a case of recurrent fibroadenoma which ultimately transformed to a cysticercoma phyllodes and other reports of younger women developing breast cancer suggests that a long term follow up of these patients treated of breast fibroadenoma may be wise.…”

Section: Clinicopathological Profile Of Breast Lesions and Their Manamentioning

confidence: 99%

Clinicopathological profile of breast lesions and their management in paediatric patients seen in a tertiary health facility in Southern Nigeria

Christopher²

2020

ijmhs

View full text Add to dashboard Cite

IntroductionBreast diseases are less common in the paediatric age group than in adults. Accordingly,less attention has been given to this group of diseases. Hence there is not enoughliterature on so many aspects including pathology,diagnosis, treatment and outcome.Commonly, surgeons and researchers apply the same principles deployed for adults.Aims and ObjectivesTo evaluate the clinical and pathological pattern of paediatric breast diseases seen inour centre, and to review their treatment.MethodsThis is a four year retrospective review of cases of breast diseases seen in patientswho are of age 18 years and less in our centre from July 2015 to May 2019. The dataextracted were age, gender, clinical features, clinical diagnosis, laterality of breastlesion, treatment offered, histological diagnosis. The data were collated and analyzedusing the SPSS 17.0ResultsOne hundred and ninety one cases were analyzed. They comprised 29(15%) males and162(85%) females giving a male female ratio of 1:6. The breast lesions were in the rightbreast in 84(44%) cases, in the left breast in 75(39.3%) cases and bilateral in 32(16.7%)cases. Breast lumps were the commonest clinical presentation, and fibroadenoma andfibroadenosis constituted 79.2% of cases. There were no malignant lesions.ConclusionBreast lesions are not uncommon among our paediatric patients. The majority of thelesions presented as breast lump in the teenage years. Fibroadenoma and fibroadenosisare the commonest breast lesions and malignant lesions were not encountered. Lessinvasive methods of diagnosis and treatment are recommended.Key words: Breast–Lesions–Paediatric–Profile–Management

show abstract

“…Genel yaklaşım yakın takip edilmesi yönündedir. Ancak hızlı büyüme eğiliminde olan, 5 cm.den büyük, sebat eden ya da regrese olmayan kitle varlığı, malignite ya da radyasyon hikayesi, ailede meme kanseri hikayesi ve radyolojik bulgularda şüphe olan olgularda cerrahi eksizyon yönünde düşünülmelidir(1,2,3). Çalışmamızda en sık cerrahi endikasyon sebat eden kitle ve malignite şüphesi olarak saptanmıştır.…”

unclassified

Çocukluk Çağı Meme Kitlelerinde Güncel Cerrahi Yaklaşım

Emre¹,

Özcan²,

Bakır³

et al. 2020

View full text Add to dashboard Cite

Amaç: Çocukluk çağı meme kitlelerinde cerrahi yaklaşımın değerlendirilmesidir. Hastalar ve Yöntemler: 2005-2017 yılları arasında meme kitlesi nedeni ile cerrahi girişim yapılan olgular geriye dönük olarak incelendi. Yaş, primer tanı, radyolojik özellikler, cerrahi tedavi yöntemi, komplikasyonlar, hastanede kalış süresi ve takip açısından değerlendirildi. Bulgular: Memede kitle nedeniyle cerrahi yapılan 29 olgunun yaş ortalaması 14,86 yaş (6-17 yaş) idi. En sık başvuru yakınması memede ele gelen kitle idi. İki olguda ayrıca kanlı meme başı akıntısı mevcuttu. Semptomların süresi ortalama 32,3 hafta (2 hafta-1 yıl) olarak bulundu. Altı olguda (%20,6) meme hastalığı ile ilgili aile hikayesi mevcuttu. Ortalama BMİ 18,8 (15,8-24) idi. Lezyonların 15'i sol, 13'ü sağ ve 1'i bilateral yerleşimliydi. Radyolojik değerlendirme için olguların tümüne ultrasonografi (USG), 5'ine ek olarak magnetik rezonans görüntüleme (MRG) yapıldı. Radyolojik olarak ölçülen kitle boyutu ortalama 2,9 cm (0,9-7 cm) idi. Beş olguda birden fazla lezyon mevcuttu. Altı olguya malignite şüphesi ile preoperatif dönemde iğne biyopsisi yapıldı ve hepsi fibroadenom ile uyumlu bulundu. Cerrahi eksizyon sonrası yapılan histopatolojik incelemede fibroadenom (n:26), borderline filloides tümörü (n:1), meme başı duktus adenomu (n:1) ve galaktosel (n:1) saptandı. Ortalama takip zamanı 36,6 ay (3 ay-10 yıl) idi. Takipte olguların 3'ünde aynı tarafta, 1'ünde karşı tarafta yeni lezyonlar ortaya çıktı ve takibe alındı. Sonuç: Çocukluk çağı meme kitlelerinin çoğu benigndir. Nadiren de olsa malignite görülmesi nedeniyle klinik muayene ve ultrasonografinin şüpheli olduğu olgularda MRG yapılması ve iğne biyopsisi alınması doğru cerrahi planlanma için gereklidir.

show abstract

Breast diseases in children: the spectrum of radiologic findings in a cohort study

Cited by 10 publications

References 25 publications

Breast Lesions in Children and Adolescents: Diagnosis and Management

Breast Lesions in Children and Adolescents: Diagnosis and Management

Clinicopathological profile of breast lesions and their management in paediatric patients seen in a tertiary health facility in Southern Nigeria

Çocukluk Çağı Meme Kitlelerinde Güncel Cerrahi Yaklaşım

Contact Info

Product

Resources

About