Breast Imaging-Reporting and Data System (BI-RADS) classification in 51 excised palpable pediatric breast masses

Koning, Jeffrey L.; Davenport, Katherine P.; Poole, Patricia Sims; Kruk, Peter; Grabowski, Julia

doi:10.1016/j.jpedsurg.2015.02.062

Cited by 21 publications

(14 citation statements)

References 29 publications

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“…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.…”

Section: Discussionmentioning

confidence: 99%

“…Similarly, the use of magnetic resonance imaging in the evaluation of the breast is also not very common and few patients needed. [1][2][3] In children and adolescents, almost all of the causes of breast complaints are benign. Among them, physiological breast development or normal anatomical structures take an important place.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

mentioning

confidence: 99%

“…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%).…”

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confidence: 99%

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Breast complaints in children and the effect of family history

Köksal

Ates

Kara

2021

Pediatrics International

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Breast complaints in children and the effect of family history

Köksal

Ates

Kara

2021

Pediatrics International

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“…Breast masses are rarely reported in the paediatric population, and are seldom composed by lipomatous tissue 1. Lipoblastoma is an uncommon benign tumour, which arises from embryonal fat and occurs almost exclusively in children <3 years of age 2.…”

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confidence: 99%