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Breast masses in adolescents

M Schydlower

    American Family Physician
    |February 1, 1982
    PubMed
    Summary

    Pubertal breast masses like gynecomastia and breast buds are common. While gynecomastia often resolves, persistent breast lesions in adolescent girls may require observation and biopsy.

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    Area of Science:

    • Pediatric Endocrinology
    • Adolescent Gynecology
    • Surgical Oncology

    Background:

    • Pubertal breast masses are a common concern in pediatric and adolescent healthcare.
    • Gynecomastia in boys and breast buds in girls represent typical pubertal changes.
    • Benign and malignant breast lesions can occur in adolescents, necessitating accurate diagnosis.

    Purpose of the Study:

    • To outline the diagnostic approach and management strategies for common pubertal breast masses in adolescents.
    • To differentiate between benign and potentially malignant breast lesions in this age group.
    • To provide guidance on when to intervene versus observe breast abnormalities.

    Main Methods:

    • Review of common pubertal breast masses including gynecomastia, breast buds, and fibroadenomas.
    • Discussion of the diagnostic workup for persistent or concerning breast lesions.
    • Emphasis on conservative management for typical pubertal changes and indications for biopsy.

    Main Results:

    • Gynecomastia typically resolves spontaneously within one to two years.
    • Breast buds in girls are physiological and should not be biopsied or excised.
    • Fibroadenomas are the most frequent benign breast tumors in adolescent females.
    • Breast cancer, though rare, must be considered in adolescent breast masses.

    Conclusions:

    • Most pubertal breast masses are benign and self-limiting, requiring observation.
    • Persistent or suspicious breast lesions in adolescent girls warrant careful evaluation, potentially including excisional biopsy.
    • Distinguishing between normal pubertal development and pathological conditions is crucial for appropriate management.

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