How to approach breast lesions in children and adolescents

Gao, Yiming; Saksena, Mansi; Brachtel, Elena F.; terMeulen, Deborah C.; Rafferty, Elizabeth A.

doi:10.1016/j.ejrad.2015.04.011

Cited by 59 publications

(115 citation statements)

References 49 publications

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“…Breast development may be clinically stratified into five Tanner stages. These clinical stages have their own specific US appearance, and must not be mistaken for breast tumors [2].…”

Section: Discussionmentioning

confidence: 99%

“…Non-neoplastic breast lesions are relatively common in children, and these include breast hematomas, cysts, galactoceles, and abscesses [2].…”

Section: Discussionmentioning

confidence: 99%

“…Fortunately, malignant breast tumors are quite rare in children. When breast tumors are presented in adolescent girls, they commonly include hematological (cutaneous T-cell lymphoma) or metastatic diseases, chest wall malignancies, post radiation breast cancer, sarcoma, primary breast cancer (invasive secretory carcinoma), and hereditary breast cancer (Cowden syndrome) [1,2]. However, in the majority of patients the first causes of the lump to consider are benign tumors such as fibroadenoma [3].…”

Section: Introductionmentioning

confidence: 99%

“…MRI (magnetic resonance imaging) provides precise images without exposing patients to radiation, but its efficacy and accuracy in children with breast tumors has not been established yet. The modality of choice for the majority of pediatric patients may be ultrasound (US) [2,7]. This diagnostic tool is capable of providing multiple images during a follow-up period, without a risk of causing any harm to a patient.…”

Section: Introductionmentioning

confidence: 99%

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Surgical treatment for breast tumors in children

et al. 2019

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Introduction/Objective Fibroadenoma, often called "breast mice tumors" due to their mobility, are the most common breast tumors in pediatric population. Considering that some tumors have a potential for rapid growth, breast tissue damage, and that an ideal diagnostic tool has yet to be found, complete mass extirpation might be the treatment of choice. The aim of the study was to present our clinical experience in treating children with breast masses. Methods A retrospective review (2011-2018) of patients treated for breast tumors at the Institute for Child and Youth Health Care of Vojvodina in Novi Sad was conducted. Results In this study 29 girls (mean age 15.8 ± 1.8) were included. The majority of masses were located in the upper outer (27.6%) or lower inner (24.1%) breast quadrant. The mean mass diameter was 39.7 mm. It has been observed that the mean mass diameter in the group of girls with positive family history for breast diseases was significantly lower (p < 0.05) than in those with negative family history (27.5 vs. 43.2 mm). There were no proven malignant tumors and all tumors have been completely extirpated. The mean postoperative stay was 1.5 ± 1.02 days. Conclusion An appropriate radical operative technique dependent on mass size and localization is still the "gold standard" for treating breast masses in pediatric patients. Cooperation with experts in the field of oncologic breast surgery enables implementing these operative techniques in clinical practice of pediatric surgeons.

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“…Breast development may be clinically stratified into five Tanner stages. These clinical stages have their own specific US appearance, and must not be mistaken for breast tumors [2].…”

Section: Discussionmentioning

confidence: 99%

“…Non-neoplastic breast lesions are relatively common in children, and these include breast hematomas, cysts, galactoceles, and abscesses [2].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical treatment for breast tumors in children

et al. 2019

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“…In adolescent women with developing breast tissue, the breast self-exam has been reported to increase iatrogenic risks of diagnostic procedures that have greater risks than the benefit of detecting disease (Gao, Saksena, Brachtel, & Rafferty, 2015). The Cochrane Review (Kösters & Gøtzsche, 2003) and U.S. Preventive Services Task Force (USPSTF; Nelson et al, 2009) have both recommended cessation of teaching breast self-exam in young and adult women.…”

Section: Introductionmentioning

confidence: 99%

Are changes in breast self-exam recommendations and early misperceptions of breast cancer risk increasing women's future risks?

Polek

Hardie

2016

Journal of the American Association of Nurse Practitioners

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Objective Young women, high school age, are exposed to breast cancer messages targeting adult women that can result in misperceptions, increasing future risks. Changes in breast self‐exam screening recommendations may reduce nurse practitioner (NP) time addressing breast health. This study characterized misperceived knowledge of breast cancer risk in younger women. Method A survey (338 high school students aged 14 to 19) was conducted to assess their perceptions of breast cancer etiologies and risk behaviors. Results Survey results indicated 20% to 50% of students had misperceptions about breast cancer risk, and the mean knowledge score for all items was 65.47%. There were no differences in students with familial breast cancer histories or those instructed in breast self‐exam. Approximately 12% reported being fearful, avoiding public health messages, and approximately 20% thought breastfeeding increased breast cancer risk. Implications for practice The findings suggest that school‐based programs are not addressing misperceptions related to breast health effectively. A National Cancer Institute survey found that NPs and other providers are the most trusted sources of health information. Given the low rates of breast cancer in young women and recommendations against teaching breast self‐exam, it is important for NPs to be knowledgeable about common misperceptions and address them with their patients.

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