Uncommon Benign Breast Abnormalities in Adolescents

Abstract

The authors discuss benign breast abnormalities in the adolescent breast other than fibroadenoma. Although fibroadenoma is the most common benign abnormality in the adolescent breast, other diagnoses are possible. The majority of adolescents who present with a palpable concern or lump have no discrete abnormality on ultrasound and are diagnosed with clinical fibrocystic change and followed up to ensure clinical stability. Intraductal papilloma and duct ectasia are two benign abnormalities associated with bloody nipple discharge, occurring more rarely in adolescents compared with adult women. Breast infections can occur in adolescents, including both mastitis and/or abscess, and are treated similarly to adults, with drainage and antibiotic coverage for Staphylococcus. When infections are due to nipple piercing, other organisms should be suspected. All surgical procedures in the developing breast should be performed cautiously, as trauma to the undeveloped breast can result in failure of breast development or asymmetry, and surgical disruption of subareolar ducts can impair or preclude future lactation.

Virginal breast hypertrophy in a 14‐year‐old girl: A case report

“…Diagnosis is straightforward, but wide differentials like fibroepithelial tumors (fibroadenoma and phyllodes tumor) and fibrocystic changes, which are more common than VBH in this age group, should be ruled out 1,14 …”

An unusual cause of a breast mass in a 13-year-old girl: a case report

“…Ultrasound helps confirm the diagnosis and guides drainage. Patients usually respond to a course of antibiotics [ 5 ].…”

“…Most breast lesions in adolescents are managed conservatively with reassurance and clinical follow-up; they are usually self-limited [ 5 ]. Some cases require surgical intervention when imaging cannot exclude malignancy or in cases of biopsy-proven malignancy, growing masses, or the absence of clinical improvement [ 6 ].…”

Importancia de la anamnesis exhaustiva ante una ginecomastia unilateral inexplicada en un niño

“…En cuanto a las pruebas complementarias, no se deben realizar de rutina, sino solo en aquellos casos de gran tamaño, crecimiento r á p i d o , e v o l u c i ó n t ó r p i d a , p e r í o d o s n o fisiológicos, con signos de organicidad o patología sistémica, o si persisten dudas tras una detallada historia clínica. 9 De ser preciso, se recomienda pedir una analítica sanguínea 11 que recoja los datos solicitados en nuestro caso, así como el volumen de sedimentación globular (VSG) o proteína C reactiva (PCR) para descartar un proceso inflamatorio, cariotipo si existe hipogonadismo, o cortisol libre urinario y hormona adrenocorticotropa (adrenocorticotropic hormone; ACTH, por sus siglas en inglés) si existe obesidad. Como se ha comentado, en nuestro caso, solo se destaca una hiperprolactinemia, secundaria a la estimulación continua de la glándula, que justifica el aumento de tamaño mamario, que puede, en ocasiones, llegar a la producción láctea.…”