Çocukluk Çağı Meme Kitleleri

Şule Yeşil ,Ayşe Karaman ,Mehmet Onur Çandır ,Hikmet Gülşah Tanyıldız ,Ceyhun Bozkurt ,Íbrahím Karaman ,Sibel Akpınar Tekgündüz ,Gürses Şahin

doi:10.12996/gmj.2014.51

Abstract

Objective: The overwhelming majority of breast masses in children are benign. In this paper we aimed to evaluate the breast masses in children. Methods: All children younger than 18, who were diagnosed with breast mass and were admitted to our center between March 2012 and March 2014 were analyzed for age, gender, complaint, the history of malignancy, the localization of breast mass, sonographic and pathological findings, and the diagnosis, retrospectively. Results: Twenty-nine girls and 8 boys (age ranges from 5 to 18) were admitted to our center with breast mass within the last two years. Except for mass, 5 patients had pain, and 8 patients had nipple discharge. Two patients had family history of breast cancer. Three patients had an operation of mass excision. Histopathological diagnosis of two patients were juvenile fibroadenoma, and pseudoangiomatous stromal hyperplasia. Other diagnoses according to clinical and sonographic features were: Fibroadenoma 11, gynecomastia 8, breast abscess 6, premature thelarche 3, mammary duct ectasia 2, accessory breast 1, fibrocystic change 1 and adenosis 1. Patients were followed up with ultrasound and none of them developed malignacy. Conclusion: The prevalence of breast cancer in the pediatric age group is extremely low, so a conservative approach of clinical and sonographic follow-up is more commonly adopted in children.

Highlights

Though breast masses are uncommon and most often benign in children and adolescents, they produce significant patient and family distress when they occur
The diagnostic evaluation of children and adolescents presenting with breast masses differs substantially from that of an adult because of marked differences in breast cancer risk and breast architecture [1]
We retrospectively reviewed findings in children and adolescents who were younger than 18 and were diagnosed with a breast mass between March 2012 and March 2014 in our hospital

Summary

INTRODUCTION

Though breast masses are uncommon and most often benign in children and adolescents, they produce significant patient and family distress when they occur. A thorough patient history and physical exam are essential for the evaluation of any breast mass. Fine needle aspiration biopsy or core needle biopsy may be insufficient and bear the risk of iatrogenic damage to developing breast tissue, potentially leading to long-term defects [12]. For these reasons management of breast masses is conservative and guided by clinical diagnosis and close follow-ups. The purpose of this study was to describe the management of breast masses in children and adolescents in our pediatric oncology unit

METHODS

RESULTS

Mass-1 37 Mass-37

DISCUSSION

CONCLUSION