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Spectrum of US findings in pediatric and adolescent patients with palpable breast masses

S P Weinstein1, E F Conant, S G Orel

  • 1Department of Radiology, Division of Breast Imaging, University of Pennsylvania Medical Center, 1 Silverstein Bldg, 3400 Spruce St, Philadelphia, PA 19104, USA.

Radiographics : a Review Publication of the Radiological Society of North America, Inc
|December 12, 2000
PubMed

Insights

Palpable breast masses in children and adolescents are rare and typically benign. Evaluation involves physical exam and ultrasound, confirming benign causes like fibroadenoma or infection in most cases.

Area of Science:

  • Pediatric Endocrinology
  • Breast Imaging
  • Adolescent Medicine

Background:

  • Palpable breast masses are uncommon in pediatric and adolescent patients.
  • A thorough physical examination is the initial diagnostic step.
  • Ultrasonography is recommended for evaluating suspect masses.

Purpose of the Study:

  • To analyze the causes of palpable breast masses in pediatric and adolescent patients.
  • To correlate clinical findings with imaging results.
  • To review the literature on pediatric breast masses.

Main Methods:

  • Retrospective review of pediatric and adolescent patients presenting with palpable breast masses.
  • Physical examination and ultrasonographic evaluation.
  • Histopathological correlation where available.

Main Results:

  • All palpable findings in the study population were benign.
  • Common benign causes included gynecomastia, cysts, fibroadenomas, and infections.
  • Literature review confirmed the predominantly benign nature of these masses.

Conclusions:

  • Palpable breast masses in pediatric and adolescent populations are overwhelmingly benign.
  • Ultrasound is a key tool in diagnosing these masses.
  • While rare, the possibility of malignancy should be considered.

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