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Published on: January 12, 2017
Bilateral breast masses and bloody nipple discharge in a two year-old boy
1Department of Pediatrics, University of Dokuz Eylül, Faculty of Medicine, Izmir, Turkey.
Insights
This study details a rare case of breast enlargement and bloody discharge in a two-year-old boy. Histologic findings suggest a condition similar to adult mammary duct ectasia, possibly due to the infant
Area of Science:
- Pediatric Endocrinology
- Surgical Pathology
Background:
- Breast enlargement with bloody discharge is exceptionally rare in childhood.
- This presentation necessitates careful diagnostic evaluation.
Observation:
- A two-year-old boy presented with unilateral breast enlargement and persistent bloody discharge.
- The clinical presentation prompted surgical intervention due to the persistent nature of the discharge.
Findings:
- Histopathological examination of the resected tissue revealed mammary duct ectasia.
- The microscopic findings in the infant were identical to those observed in adult cases of mammary duct ectasia.
Implications:
- Suggests that the infant's endocrine system may play a role in developing mammary duct ectasia.
- Highlights a potential shared pathophysiological mechanism for mammary duct ectasia across different age groups.
- Underscores the importance of considering endocrine influences in pediatric breast abnormalities.
Abstract:
Breast enlargement with bloody discharge is very rare in childhood. We report a two year-old boy with breast enlargement and bloody discharge. Because of persistent bloody discharge, subcutaneous mastectomy was performed. The specimen showed histologic changes identical to those seen in adult mammary duct ectasia. We suggested that the infant's own endocrine system is responsible for breast enlargement and mammary duct ectasia, possibly occurring as a result of a mechanism similar to that in adults.
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