Approach to Pediatric Breast Masses in Accompaniment with Current Literature

Yıl 2022, Cilt: 12 Sayı: 2, 355 - 358, 15.03.2022

Yusuf Atakan Baltrak , Seniha Esin Söğüt , Onursal Varlıklı

https://doi.org/10.16899/jcm.930896

Öz

Abstract: Although breast masses are uncommon in children and adolescents, it is a worrying phenomenon for families when diagnosed.Breast masses in this age group are generally benign and most of them are seen in adolescents.
Materials and Methods: The patient information was obtained from the hospital records and automation system. The patients were retrospectively analyzed with regards to age, complaints and their duration, family history, association with menstruation, location and size of the breast mass, methods of diagnosis, histopathological findings, and postoperative complications.
Results: There was no difference between NOG and NG with respect to median age, body mass index, side and location of the mass, reason for admission, association with puberty, and follow-up time (p>0.05). When both groups were compared in terms of the size of the mass, the mass size was measured to be 2.2 cm (1.4-3) in NOG and 3.8 cm (3-8) in NG. There was no statistically significant difference between the two groups (p=0.12).
Discussion and Conclusion: Surgical excision will be appropriate when a pediatric breast mass is detected in the neoplastic group, there is a family history, the size of the mass does not change or increase during follow-up, and malignancy is suspected on imaging.

Anahtar Kelimeler

Breast, Mass, Child

Güncel Literatür Eşliğinde Çocuk Yaş Grubu Meme Kitlelerine Yaklaşım

Öz

Özet: Meme kitleleri çocuk ve ergen yaş grubunda ender görülmesine rağmen tespit edildiğinde aileler için oldukça endişe verici bir durumdur. Bu yaş grubunda ki meme kitleleri genelde iyi huyludur ve büyük bir kısmı ergenlik döneminde görülür.
Gereç ve Yöntem: Hastalara ait bilgiler hastane kayıtları ve otomasyon sisteminden elde edildi. Olgular yaş, başvuru yakınmaları ve süresi, aile öyküsü, menstruasyonla ilişkisi, meme kitlesinin yeri, büyüklüğü, tanıda kullanılan yöntemler, histopatolojik bulgular ve cerrahi sonrası komplikasyonlar bakımından geriye dönük olarak değerlendirildi.
Bulgular: NOG ve NG arasında ortanca yaş, beden kitle indeksi, tespit edilen kitlenin tarafı ve lokalizasyonu, başvuru nedeni, puberte ile ilişki ve takip süresi bakımından fark saptanmadı (p>0,05). Her iki grup tespit edilen kitlenin boyutları açısından karşılaştırıldığında NOG da kitle boyutu 2,2 cm (1,4-3) , NG da kitle boyutu 3,8 cm (3-8) ölçüldü. Her iki grup arasında istatistiksel olarak anlamlı bir fark saptanmadı (p=0,12).
Tartışma ve Sonuç: Çocuk yaş grubunda memede neoplastik grup içerisinde değerlendirilen bir kitle tespit edildiğinde, aile hikayesinin olması, kitlenin takip boyunca boyutlarında değişiklik olmaması veya artması, görüntüleme de malignite şüphesi bulunması durumunda cerrahi eksizyon uygun olacaktır.

Anahtar Kelimeler

Meme, Kitle, Çocuk

Kaynakça

• 1. Chen WH, Cheng SP, Tzen CY, Yang TL, Jeng KS, Liu CL, Liu TP. Surgical treatment of phyllodes tumors of the breast: retrospective review of 172 cases. J Surg Oncol. 2005; 91:185- 194.
• 2.Simmons PS, Jayasinghe YL, Wold LE, et al. Breast carcinoma in young women. Obstet Gynecol 2011;118:529–36. https://doi.org/10.1097/AOG.0b013e31822a69db . 3. Jones K. Imaging of the adolescent breast. Semin Plast Surg 2013;27:029–35. https:// doi.org/10.1055/s-0033-1343994.
• 4. Jayasinghe YSP. Textbook of adolescent health care. In: Fisher MM, Alderman EM, Kreipe RERW, editors. Elk Grove Village, IL: American Academy of Pediatrics; 2011. p. 621–34.
• 5. Tea MK, Asseryanis E, Kroiss R, Kubista E, Wagner T. Surgical breast lesions in adolescent females. Pediatr Surg Int. 2009; 25: 73-5.
• 6. Ciftci AO, Tanyel FC, Büyükpamukçu N, Hiçsönmez A. Female breast masses during childhood: a 25-year review. Eur J Pediatr Surg. 1998;8:67-70.
• 7. Ezer SS, Oguzkurt P, Ince E, Temiz A, Bolat FA, Hicsonmez A. Surgical treatment of the solid breast masses in female adolescents. J Pediatr Adolesc Gynecol. 2013; 26: 31-5.
• 8. Koning JL, Davenport KP, Poole PS, et al. Breast Imaging-Reporting and Data System (BI-RADS) classification in 51 excised palpable pediatric breast masses. J Pediatr Surg 2015;50:1746–50. https://doi.org/10.1016/j.jpedsurg.2015.02.062.
• 9. Durmaz E, Öztek MA, Arıöz Habibi H, Kesimal U, Sindel HT. Breast diseases in children: the spectrum of radiologic findings in a cohort study. Diagn Interv Radiol. 2017;23:407-13.
• 10. Tiryaki T, Senel E, Hucumenoglu S, Cakir BC, Kibar AE. Breast fibroadenoma in female adolescents. Saudi Med J. 2007; 28:137-8.
• 11. Kaneda HJ, Mack J, Kasales CJ, Schetter S. Pediatric and adolescent breast masses: a review of pathophysiology, imaging, diagnosis, and treatment. AJR Am J Roentgenol. 2013;200:204-12
• 12. Aruna V, Vaishali SL, Kathleen AW et all.,Role of Breast Sonography in İmaging of Adolescents with Palpable Solid Breast Masses. American Journal of Roentgenology.2008 ; 191: 659-663
• 13.Stavros AT, Thickman D, Rapp CL et all.,Solid Breast Nodules :Use of sonography to distinguish between bening and malign lesions.Radiology 1995; 196: 123-134
• 14. Knell J, Koning JL, Grabowski JE. Analysis of surgically excised breast masses in 119 pediatric patients. Pediatr Surg Int. 2016;32: 93-6.
• 15. . Chang DS, McGrath MH. Management of benign tumors of the adolescent breast. Plast Reconstr Surg. 2007;120:13-9.
• 16. National Comprehensive Cancer Network. NCCN clinical practice guidelines in oncology. Breast cancer. Version 1.2019 n.d.: March 14, 2019. https://www.nccn.org/ professionals/physician_gls/pdf/breast. pdf [accessed March 30, 2019]
• 17. Tan BY, Acs G, Apple SK, et al. Phyllodes tumours of the breast: a consensus review. Histopathology 2016;68:5–21. https://doi.org/10.1111/his.12876