Breast pathology in adolescence
Autor: | Fernanda Águas, Fernanda Geraldes, Andreia de Vasconcelos Gaspar, Luís Melo, Joana Belo |
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Rok vydání: | 2021 |
Předmět: |
Cancer Research
Pediatrics medicine.medical_specialty Adolescent Referral Breast Neoplasms Breast pathology Malignancy 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Phyllodes Tumor medicine Humans Cyst Breast Child Fibrocystic Breast Disease skin and connective tissue diseases Breast ultrasound Retrospective Studies Ultrasonography medicine.diagnostic_test business.industry General Medicine medicine.disease Fibroadenoma Mastitis Oncology 030220 oncology & carcinogenesis Female Breast disease business |
Zdroj: | Breast Disease. 40:269-274 |
ISSN: | 1558-1551 0888-6008 |
Popis: | OBJECTIVE: Description of breast pathology in adolescents. METHODS: A retrospective descriptive study of adolescents who were referred to the Gynecology consultation of a tertiary pediatric hospital for suspected breast pathology, in the period from the 1st June 2011 to the 30th December 2018. RESULTS: One hundred and two female adolescents (11 to 18 years old) with suspected breast pathology were referred (6% of the motives for consultation), with confirmation in 58 (56.9%), who were included in the study. The reasons for referral were breast masses (66%), anomalies in breast size or symmetry (29%) and infection (5%). Of breast masses, the most frequent diagnosis was fibroadenoma (76%), followed by fibro-cystic pathology (18%). In most cases, a conservative approach was chosen, with clinical and imaging surveillance. Surgery was required in 29% of these cases. Anomalies in breast size and symmetry were observed in 17 adolescents. Two adolescents were submitted to symmetrization, after 18 years of age. Infectious and inflammatory pathology occurred in three cases: two mastitis and one retroareolar cyst. The approach consisted mainly of antibiotherapy. There were no cases of malignant breast disease. CONCLUSION: Lumps or breast masses are the most frequent breast pathology in adolescence, and in the majority of cases surveillance was recommended, as they are a mere sign of hormonal oscillations at this age. Objective examination and/or breast ultrasound are usually enough to make the diagnosis. The approach must be mainly conservative, since malignancy is extremely rare in this age group. |
Databáze: | OpenAIRE |
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