儿童乳腺病理:5年的经验和基于风险的管理算法的建议
Sefa Sağ1, Yagmur Sonmez1, Esma Karadeniz Gungormez1
1University of Health Sciences, Sancaktepe Sehit Prof Dr Ilhan Varank Training and Research Center, Department of Pediatric Surgery, Istanbul, Turkey.
Journal of pediatric and adolescent gynecology
|February 4, 2026
概括
大多数儿科乳腺瘤是良性的,可以通过随访保守地管理. 这项研究提出了一种基于证据的算法,用于评估和管理儿科乳腺病情,尽量减少不必要的干预.
科学领域:
- 儿科手术 儿科手术
- 儿科放射学 儿科放射学
- 儿科瘤学 儿科瘤学
背景情况:
- 儿童的乳房抱怨不常见,缺乏标准化的管理指南.
- 成人协议经常应用于儿科患者,尽管有发育差异.
- 需要基于证据的儿科乳腺病变管理.
研究的目的:
- 审查儿童乳腺投诉的机构经验.
- 提出一个实用的,基于证据的诊断和管理算法.
- 为指导儿童乳腺质量的评估和管理.
主要方法:
- 对女性儿科患者 (2020-2025) 进行回顾性审查,对乳房抱怨.
- 对人口统计,临床,成像,治疗和病理学数据的分析.
- 对293名患者的评估,平均年龄为14.2岁.
主要成果:
- 最常见的投诉:疼痛 (47.4%) 和可触摸的质量 (41.9%).
- 超声波检测到68.6%的群体; 81%保持稳定或在没有手术的情况下回归.
- 组织病理学证实了良性病变:纤维腺瘤 (55.6%),细胞瘤 (22.2%),等等. 没有发现恶性瘤.
结论:
- 儿童乳腺病变主要是良性的,可以通过监测保守地管理.
- 一个逐步的,风险分层算法可以指导评估,最大限度地减少不必要的干预.
- 磁共振成像对于不确定的病例是有价值的;保守的管理是关键.
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