Outcomes in Paediatric Patients Presenting with a Complaint of Breast Swelling: A Retrospective Single-centre Study
[ N/A ]
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Logos Medical Publishing
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Objective: Although malignancy is very rare in paediatric breast lesions, the presence of breast swelling is generally worrying for patients and their families. Breast masses affect approximately 2% to 3% of females in childhood. However, the rate of breast swelling associated with normal pubertal development in children admitted to hospital with a complaint of breast swelling is unknown. This study aimed to retrospectively examine the diagnoses of children presenting with a complaint of breast swelling. Methods: A retrospective sample comprising the medical case records of paediatric patients (N=50; male:13; female: 37; mean age: 13.2 years old) admitted to the Mustafa Kemal University hospital with a complaint of breast swelling between April 2017 and December 2021 was included in the study Results: For males, the most common cause of breast swelling was normal pubertal development (53.8 %; n=7), followed by gynecomastia (30.7%; n=4), and neonatal breast hypertrophy (15.3%; n=2). For females, the most common cause of breast swelling was a mass in the breast (35.1%; n=13), followed by a breast cyst (16.2%; n= 6), normal pubertal development (29.8%; n=11), and finally asymmetric breast development (18.9%; n=7). The majority of cases (86%; n=43) were treated conservatively; the remainder (14%; n=7) underwent surgical treatment. Conclusion: There is a wide spectrum of diagnoses in children presenting with a complaint of breast swelling, most of them are benign. It should be kept in mind that anxious patients who present with a complaint of breast swelling may only be experiencing normal pubertal development. Although all the patient cases examined in the present study involved benign masses, it is important to plan diagnosis and treatment without delay to ensure the early diagnosis of malignant diseases. © Turkish Journal of Pediatric Surgery is the official joint publication of the Turkish Society of Pediatric Surgery and Pediatric Urology Association.
Açıklama
Anahtar Kelimeler
Breast swelling, Children, Fibroadenoma, Normal pubertal development
Kaynak
Cocuk Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
37
Sayı
1
