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Evolution of a local adolescent breast imaging service
S Shah1, P Charlesworth1, E Lakha1
1Barts Health NHS Trust W Smithfield, London, EC1A 7BE, UK.
Clinical Radiology
|October 7, 2024
Summary
A dedicated pediatric breast clinic improved care for patients under 18 with breast symptoms. This standardized pathway reduced unnecessary biopsies and optimized management for conditions like breast lumps and gynecomastia.
Area of Science:
- Pediatric Surgery
- Oncology
- Radiology
Background:
- Historically, pediatric patients (<18 years) with breast symptoms faced varied management and potential unnecessary interventions.
- The establishment of a dedicated pediatric breast clinic in 2020 standardized care and improved referral processes.
Purpose of the Study:
- To evaluate the impact of a dedicated pediatric breast clinic on patient management and outcomes.
- To analyze trends in referrals, indications, and diagnostic findings for pediatric breast conditions.
Main Methods:
- Retrospective review of patients aged 9-18 years referred to the breast service from 2017-2022.
- Analysis of referral numbers, indications (breast lump, gynecomastia, abscess, pain), ultrasound findings, and clinical outcomes.
Main Results:
- Yearly increase in referrals, predominantly in the 15-18 age group.
- Common indications: breast lump (52%), gynecomastia (14%). Common findings: normal breast (41%), fibroadenoma (25%).
- Conservative management for most fibroadenomas and gynecomastia; one case of dermatofibrosarcoma noted.
Conclusions:
- The dedicated pediatric breast clinic optimized care, reducing interventions and workload on adult units.
- A standardized management pathway for pediatric breast conditions is proposed for regional adoption.
