Breast complaints in children and the effect of family history

Abstract

Background: To evaluate the correlation of physical examination, and radiological and pathological findings of children and adolescents with breast-related complaints. Methods: Children and adolescents with breast complaints between January 2016 and December 2019 were analyzed retrospectively. Results: A total of 118 children and adolescent patients were included. Their ages ranged from 12 to 18 years (median, 16 years). Twenty-one patients had a family history of breast cancer (17.8%). The most common complaints were pain, mass, and nipple discharge. Physical examination revealed mass (41.5%), tenderness (11%), and fullness (8.5%). Thirty-nine patients were classified ultrasonographically with Breast Imaging Reporting and Data System (BIRADS) 3 (39.4%) and four patients were BIRADS 4 (4%). Excision was applied to all patients with BIRADS 4, and 13 of 39 patients with BIRADS 3. Pathological diagnoses of the patients with BIRADS 3 were fibroadenoma (n: 12, 92.3%) and benign phyllodes tumor (n: 1, 7.7%). In patients with BIRADS 4, three patients had fiboradenomas and one patient had a benign phyllodes tumor. No recurrence was observed in any patients who had an excision. Only six of the patients with positive family history had BIRADS 3 lesions, and the others were BIRADS 1. Excision was recommended in two patients and the pathological diagnoses were fibroadenoma. Conclusion: In this age group, the most common complaints were pain and mass, while physical examination was normal in nearly half of the patients. All of the pathological diagnoses were benign. While evaluating the patients in this age range, the experience of the clinician and radiologist is important and we think that it is necessary to increase the awareness of the patient and family about physiological breast development and self-breast examination.

Giant Juvenile Fibroadenoma of the Breast in a 13-Year-Old Girl: a Case Report. Diagnostic Features

“…Клинически ФА представляет собой безболезненную, твердую, подвижную опухоль молочной железы. Основные жалобы, которые предъявляют пациентки,боль, уплотнение в груди, ее увеличение, гиперемия, выделения из сосков [8]. При физикальном обследовании пальпируется плотное, безболезненное образование.…”

“…При физикальном обследовании пальпируется плотное, безболезненное образование. ФА может протекать бессимптомно [5,8] Клиническая практика образование, вытесняющее окружающую паренхиму. ФА на маммографии визуализируется как хорошо очерченная масса с кальцификатами, похожими на «попкорн» [2].…”

“…ФА на маммографии визуализируется как хорошо очерченная масса с кальцификатами, похожими на «попкорн» [2]. Однако маммография ввиду высокой лучевой нагрузки в детском и юношеском возрасте применяется крайне редко и только при высоком риске злокачественности образования [9], поэтому основным методом диагностики ФА у подростков является УЗИ молочной железы [8].…”