Breast Lesions in Children and Adolescents: Diagnosis and Management.

Breast Lesions in Children and Adolescents: Diagnosis and Management. Korean J Radiol. 2018 Sep-Oct;19(5):978-991 Authors: Lee EJ, Chang YW, Oh JH, Hwang J, Hong SS, Kim HJ Abstract Pediatric breast disease is uncommon, and primary breast carcinoma in children is extremely rare. Therefore, the approach used to address breast lesions in pediatric patients differs from that in adults in many ways. Knowledge of the normal imaging features at various stages of development and the characteristics of breast disease in the pediatric population can help the radiologist to make confident diagnoses and manage patients appropriately. Most breast diseases in children are benign or associated with breast development, suggesting a need for conservative treatment. Interventional procedures might affect the developing breast and are only indicated in a limited number of cases. Histologic examination should be performed in pediatric patients, taking into account the size of the lesion and clinical history together with the imaging findings. A core needle biopsy is useful for accurate diagnosis and avoidance of irreparable damage in pediatric patients. Biopsy should be considered in the event of abnormal imaging findings, such as non-circumscribed margins, complex solid and cystic components, posterior acoustic shadowing, size above 3 cm, or an increase in mass size. A clinical history that includes a risk factor for malignancy, such as prior chest ir...
Source: Korean Journal of Radiology - Category: Radiology Tags: Korean J Radiol Source Type: research