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[Breast pathology in adolescence. Diagnostic problems]

C De Felice¹, S Barchiesi, M P Nusiner

¹II Istituto di Clinica Ostetrica e Ginecologica, Università degli Studi La Sapienza di Roma.

Minerva Ginecologica

|May 1, 1994

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Adolescent breast pathology, including fibroadenomas and cysts, differs in incidence from adults. Echography is the primary diagnostic tool, with no cancer detected in this age group.

Area of Science:

Adolescent gynecology
Breast imaging
Pediatric pathology

Background:

Adolescent breast conditions present unique diagnostic challenges.
Understanding the incidence of various breast pathologies in teenagers is crucial for appropriate management.

Purpose of the Study:

To analyze the spectrum and incidence of breast pathologies in adolescent females.
To evaluate the effectiveness and safety of diagnostic imaging modalities in this population.

Main Methods:

Retrospective analysis of 472 female patients aged 12-19 years.
Clinical examination for palpable abnormalities and lumps.
Diagnostic imaging primarily utilizing echography; mammography use was limited.

Main Results:

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Fibroadenomas and cysts were the most frequent diagnoses.
Congenital anomalies, mastitis, mammary secretion, and lipomas occurred less frequently.
No cases of breast cancer were identified in the study cohort.
Echography proved effective for diagnosing palpable abnormalities.

Conclusions:

Adolescent breast pathology shares similarities in type with adult conditions but differs significantly in incidence.
Echography is the recommended primary diagnostic tool for adolescent breast lumps.
Mammography is not recommended for adolescent breast evaluations due to potential harm and limited diagnostic utility.