Breast Disorders in Girls and Adolescents. Is There a Need for a Specialized Service?

Michala, Lina; Tsigginou, Alexandra; Zacharakis, Dimitrios; Dimitrakakis, Constantine

doi:10.1016/j.jpag.2014.05.011

Cited by 16 publications

(18 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The applied medical strategy was surgical removal of the benign tumor. In our case, however, the patient did not have any tumors, but VBH was diagnosed, which is also a rare condition of unknown etiology characterized by rapid and massive enlargement of one or both breasts usually during peripubertal period . There are few theories concerning the cause of VBH, but the most popular one postulates the end‐organ hypersensitivity to normal circulating levels of estrogen in the body .…”

Section: Discussionmentioning

confidence: 63%

Virginal breast hypertrophy in a patient with Beckwith–Wiedemann syndrome

Szymańska

Moszczyńska

Polnik

et al. 2018

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 63%

Virginal breast hypertrophy in a patient with Beckwith–Wiedemann syndrome

Szymańska

Moszczyńska

Polnik

et al. 2018

Clinical Case Reports

View full text Add to dashboard Cite

show abstract

“…[ 3 ] Any, breast symptoms and palpable masses create a great deal of anxiety and psychological distress. [ 4 ] Fortunately, most breast pathologies that occur in childhood and adultescence tend to be benign. [ 3 5 6 ] We gathered studies from the earliest to the latest 48 cases of reported cysts of Montgomery summarized in Table 1 .…”

Section: Discussionmentioning

confidence: 99%

“…It is thought that the infection may be due to the fact that infection can occur more readily in developing mammary glands during childhood. [ 4 ] Generally, infected cysts respond well to antibiotics directed against Staphyloccocus and to nonsteroidal anti-inflammatory drugs, which help in the reduction of inflammation. No invasive procedures are therefore, needed in the absence of sepsis or severe pain, which rules out abscess.…”

Section: Discussionmentioning

confidence: 99%

Cyst of Montgomery: An uncommon adolescent breast lump

Almuhanna

Al-Muhanna

Alzuabi

et al. 2020

J Fam Community Med

View full text Add to dashboard Cite

Reports of the incidence of the cyst of Montgomery, a rare condition of the breast, affecting mainly adolescent female, are scarce in the literature. This cyst develops from an obstruction of the small papular projections at the edge of the areola called Montgomery tubercles. It could be a simple asymptomatic mass or an inflamed symptomatic mass. We report two cases encountered this year. The first case was a 15-year-old female who complained of bilateral breast pain and a right breast mass. Laboratory tests were unremarkable. A diagnosis of noninflamed Montgomery cyst based on clinical and sonographic examination was made. An antibiotic was recommended. The second case was a 13-year-old female who complained of pain and swelling with redness in the right breast. Laboratory tests were unremarkable. Sonographic examination revealed a right retroareolar cyst containing turbid echogenicity with surrounded hyperemia. A diagnosis of inflamed Montgomery's cyst was made. Medical treatment was successful without any surgical intervention. Both patients had favorable outcomes at follow-up visits. This stresses the importance of a proper recognition of the pathology, incidence, diagnosis and management of the cyst of Montgomery in the pediatric age group.

show abstract

“…However, referring providers must consider who is most appropriate to observe these masses. Providers should have a practice that at least in part focuses on pediatric breast disease and should collaborate closely with the both patients/patient families and community providers, to provide education regarding the benign pathology that is most often encountered in this patient population [13,18]. Anecdotally, adequate patient/patient family education, can greatly decrease the number of interventions patients undergo, with patients more often opting for repeated clinical breast exams instead of ultrasounds or biopsies/excisions.…”

Section: Discussionmentioning

confidence: 99%

Pathologic discordance to clinical management decisions suggests overtreatment in pediatric benign breast disease

Westfal

Perez

Hung

et al. 2019

Breast Cancer Res Treat

View full text Add to dashboard Cite

Purpose: Breast masses in pediatric patients are often managed in a similarly to adult breast masses despite significant differences in pathology and natural history. Emerging evidence suggests that clinical observation is safe. The purpose of this study was to quantify the clinical appropriateness of the management of benign breast disease in pediatric patients.Methods: A multi-institutional retrospective cohort study was completed between 1995-2017. Patients were included if they had benign breast disease and were 19 years old or younger. A timeline of all interventions (ultrasound, biopsy, or excision) was generated to quantify the number of patients who were observed for at least 90 days, deemed appropriate care. To quantify inappropriate care, the number of interventions performed within 90 days, and the pathologic concordance to clinical decisions was determined by reviewing the radiology reports of all ultrasounds and pathology reports of all biopsies and excisions.Results: A total of 1,909 patients were analyzed. Mean age was 16.4 years old (± 2.1). The majority of masses were fibroadenomas (60.4%). Only half of patients (54.3%) were observed for 90 or more days. 81.1% of interventions were unnecessary, with pathology revealing masses that would be safe to observe. The positive predictive value (PPV) of clinical decisions made based on suspicious ultrasound findings was 16.2%, not different than a PPV of 21.9% (p<0.25) for decisions made on clinical suspicion alone.Terms of use and reuse: academic research for non-commercial purposes, see here for full terms. https://www.springer.com/aamterms-v1

show abstract

Breast Disorders in Girls and Adolescents. Is There a Need for a Specialized Service?

Cited by 16 publications

References 18 publications

Virginal breast hypertrophy in a patient with Beckwith–Wiedemann syndrome

Virginal breast hypertrophy in a patient with Beckwith–Wiedemann syndrome

Cyst of Montgomery: An uncommon adolescent breast lump

Pathologic discordance to clinical management decisions suggests overtreatment in pediatric benign breast disease

Contact Info

Product

Resources

About