Çocukluk Çağı Meme Kitlelerinde Güncel Cerrahi Yaklaşım

Abstract

Objectives: To evaluate the surgical approach to pediatric breast masses.Patients and Methods: Patients who underwent a surgical intervention due to breast mass between the years of 2005-2017 were evaluated retrospectively. They were evaluated in terms of age, primary diagnosis, radiological characteristics, surgical treatment method, complications, length of hospital stay and follow-up.Results: The mean age of the 29 cases that were operated on for a breast mass was 14.86 years 6-17 years . The most common complaint at admission was a palpable breast mass. Two cases had bloody discharge from the nipple. The mean duration of the symptoms was 32.3 weeks 2 weeks-1 year . Six cases 20.6% had a family history associated with breast disease. The mean BMI was 18.8 . In 15 patients, the mass was in the left breast, whereas in 13 patients, the mass was in the right breast. However, in one case, two masses were localized bilaterally.Regarding radiological examination, ultrasonography USG was performed on all patients while magnetic resonance imaging MRI was obtained as a supplement in five cases. The mean size of the masses measured radiologically was 2.9 cm 0.9-7 cm . There were multiple lesions in five cases. Needle biopsy was performed in six cases with the suspicion of malignancy in the preoperative period, and they were all found to be consistent with fibroadenoma.Histopathological examination was performed after the surgical excision and revealed fibroadenoma n:26 , borderline phylloides n: 1 , nipple adenoma n: 1 and galactocele n: 1 .The mean follow-up period was 36.6 months 3 months-10 years . New lesions were developed ipsilaterally in three cases and contralaterally in one case during follow-up. Conclusion: Most of pediatric breast masses are benign. Although malignancy is rarely encountered, MRI and needle biopsy are required for accurate surgical planning in case of suspicious ultrasonography findings