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Breast masses in childhood and adolescence

A presentation of 17 cases and a review of the literature

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Abstract

Breast masses are uncommon in the first two decades of life. 17 girls aged between 2 and 15 years who presented over a 5-year period are reviewed retrospectively. The cases comprised inflammation (11), asymmetrical gynaecomastia (1), precocious puberty (1), giant juvenile fibroadenoma (1), primary rhabdomyosarcoma (1), lymphoma (1), and metastatic neuroblastoma (1). Ultrasound was useful in all cases in identifying the abnormality and guiding any further investigation.

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References

  1. Simpson JS, Barson AJ (1969) Breast tumours in infants and children: A 40-year review of cases at a children's hospital. Can Med Assoc J 101:100–102

    Google Scholar 

  2. Bower R, Bell MJ, Ternberg JL (1976) Management of breast lesions in children and adolescents. J Paediatr Surg 11:337–346

    Google Scholar 

  3. Pettinato G, Manivel JC, Kelly DR, Wold LE, Dehner LP (1989) Lesions of the breast in children exclusive of typical fibroadenoma and gynaecomastia. A clinicopathologic study of 113 cases. Pathol Annu 2:296–328

    Google Scholar 

  4. Ramirez G, Ansfeld FJ (1968) Carcinoma of the breast in children. Arch Surg 96:222–225

    PubMed  Google Scholar 

  5. Dehner LP (1987) Pediatric surgical pathology, 2nd edn. Williams & Wilkins, Baltimore, pp 104–119

    Google Scholar 

  6. Forrest P (1986) Breast cancer screening. HMSO, London

    Google Scholar 

  7. Tabar L, Dean PB (1989) The control of breast cancer through mammography screening. What is the evidence? Radiol Clin North Am 25:993–1005

    Google Scholar 

  8. Brand IR, Sapherson DA, Brown TS (1993) Breast imaging in women under 35 with symptomatic breast disease. Br J Radiol 66:394–397

    PubMed  Google Scholar 

  9. RCR Breast Group (1989) Recommendations by Royal College of Radiologists' breast group. R Coll Radiol Newslett (spring) 56

  10. Feig SA (1984) Radiation risk from mammography: is it clinically significant? AJR 143:469–475

    PubMed  Google Scholar 

  11. Feig SA (1989) The role of ultrasound in a breast imaging center. Semin Ultrasound CT MR 10 (2):90–105

    PubMed  Google Scholar 

  12. Guyer PB, Dewbury KC (1988) Sonomammography in benign breast disease. Br J Radiol 61:374–378

    PubMed  Google Scholar 

  13. Guyer PB, Dewbury KC (1987) Sonomammography: an atlas of comparative breast ultrasound. Wiley, Chichester, pp 5–11

    Google Scholar 

  14. Adler DD (1989) Ultrasound of benign breast conditions. Semin Ultrasound CT MR 10 (2):106–118

    PubMed  Google Scholar 

  15. Greydanus DE, Parles DS, Farrell EG (1989) Breast disorders in children and adolescents. Pediatr Clin North Am 36:601–638

    PubMed  Google Scholar 

  16. McKierman J, Coyne J, Cahalane S (1988) Histology of breast development in early life. Arch Dis Child 63:136–139

    PubMed  Google Scholar 

  17. Monaghan P, Perusinghe NP, Cowen P, Gusterson BA (1990) Peripubertal human breast development. Anat Rec 226:501–508

    PubMed  Google Scholar 

  18. Castro C, Aboudib JH, Salema R, Valledares B (1990) Massive breast hypertrophy in a young girl. Ann Plast Surg 25:497–501

    PubMed  Google Scholar 

  19. Rudoy RC, Nelson JD (1975) Breast abscess during the neonatal period. Am J Dis Child 129:1031–1034

    PubMed  Google Scholar 

  20. Hayes R, Michell M, Nunnerley HB (1991) Acute inflammation of the breast — the role of breast ultrasound in diagnosis and management. Clin Radiol 44:253–256

    PubMed  Google Scholar 

  21. Ferguson CM, Powell RW (1989) Breast masses in young women. Arch Surg 124 (11):1338–41

    PubMed  Google Scholar 

  22. Zonderland HM, Michiels JJ, Ten Kate FJW (1991) Case report: mammographic and sonographic demonstration of extramedullary haemopoiesis. Clin Radiol 44:64–65

    PubMed  Google Scholar 

  23. Page JE, Williams JE (1991) The radiological features of phylloides tumour of the breast with clinico-pathological correlation. Clin Radiol 44:8–12

    PubMed  Google Scholar 

  24. Ward RM, Evans HL (1986) Cystosarcoma phyllodes. A clinicopathologic study of 26 cases. Cancer 58:2282–2289

    PubMed  Google Scholar 

  25. McDivitt RW, Stewart FW (1966) Breast carcinoma in children. JAMA 195 (5):144–146

    Google Scholar 

  26. Bryant RC (1914) Carcinoma of the breast in a 14-year-old boy. Surg Gynecol Obstet 18:545–546

    Google Scholar 

  27. Smith MR, Brustein S, Straus DJ (1987) Localised non-Hodgkin's lymphoma of the breast. Cancer 59:351–354

    PubMed  Google Scholar 

  28. Meis JM, Butler JJ, Osborne BM (1986) Hodgkin's disease involving the breast and chest wall. Cancer 57:1859–1865

    PubMed  Google Scholar 

  29. Howarth CB, Cases JN, Pratt C (1980) Breast metastases in children with rhabdomyosarcoma. Cancer 46:2520–2524

    PubMed  Google Scholar 

  30. Toombs BD, Kalisher L (1977) Metastatic disease to the breast: clinical, pathologic and radiographic features. AJR 129:673–676

    PubMed  Google Scholar 

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Boothroyd, A., Carty, H. Breast masses in childhood and adolescence. Pediatr Radiol 24, 81–84 (1994). https://doi.org/10.1007/BF02020157

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  • DOI: https://doi.org/10.1007/BF02020157

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