Comparison of the Radiologic and Clinical Findings of Adolescents With Breast Complaints

Abstract

The BI-RADS classification-based treatment algorithm may not be valid in adolescents. In the present study, all patients with lesions with BI-RADS ≥3 levels had revealed benign pathologies. The BI-RADS classification may show an increased risk. However, to determine the need for a biopsy in adolescents, there is a need for larger-scale pediatric and adolescent studies using the BI-RADS classification.

Breast complaints in children and the effect of family history

“…The most common physical examination finding is a mass and tenderness. 4,10,15 In our patients, the presenting symptoms were pain, mass, nipple discharge, and erythema. The common physical examination findings were mass, tenderness, and fullness, whereas nearly half of the patients had a normal physical examination.…”

“…The most common pathological diagnosis is fibroadenoma and benign phyllodes tumors as a result of biopsy from the mass or excision. 3,4,[7][8][9][10][11] In children and adolescent, the most common complaints are pain, and mass in the breast. The most common physical examination finding is a mass and tenderness.…”

“…It may not always be possible to distinguish clinical and ultrasonographic findings from fibroadenomas, and trucut biopsy may be needed for diagnosis. [1][2][3][4][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] In our study, 18 patients underwent biopsy and all of them were trucut. We have performed trucut biopsy for BIRADS 3 and 4 lesions.…”

“…1,2 For example, advances in breast imaging and the "Breast Imaging Reporting and Data System" (BIRADS) in adults have unfortunately not been achieved in children. 3,4,5,6 The majority of breast complaints in children and adolescents are breast masses and almost all of the masses are benign masses. Benign lesions are fibroadenoma, fibrocystic breast disease, and, rarely, phyllodes tumor.…”

“…Benign lesions are fibroadenoma, fibrocystic breast disease, and, rarely, phyllodes tumor. 3,4,[7][8][9][10] Malignant breast diseases are very rare in children and adolescents. 9,[11][12][13] In a Nigerian study, pathology specimens of 121 children and adolescents were included, and only three patients with malignant breast disease were reported (2.5%).…”