Yan Jiayu,Peng Chunhui,Cheng Haiyan,et al.Clinical features and outcomes of excised breast masses in children[J].Journal of Clinical Pediatric Surgery,,():458-463.[doi:10.3760/cma.j.cn101785-202111031-011]
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Clinical features and outcomes of excised breast masses in children

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: Number: 2024 No.05 Page: 458-463 Column: 论著 Date of publication: 2024-05-01
Author(s):
Yan Jiayu1;  Peng Chunhui1;  Cheng Haiyan2;  Wang Yanni3;  Chen Wei1;  Peng Yun4;  Wang Huanmin2;  Chen Yajun1
1 Department of General Surgery, Beijing Children’s Hospital, Capital Medical University; National Children’s Medical Center, Beijing 100045, China;
2 Department of Oncology, Beijing Children’s Hospital, Capital Medical University; National Children’s
Keywords:
Breast Mass; Pathologic Type; Prognosis; Surgical Procedures;  Operative; Child
DOI:
10.3760/cma.j.cn101785-202111031-011
Abstract:
Objective To explore the clinical features and outcomes of excised breast masses in children.Methods From January 2010 to May 2021,retrospective review was conducted for 34 children undergoing breast mass excision.There were 6 boys and 28 girls.The outcomes were followed up by outpatient visits or telephone interviews.Results Mean age in girls was (12.1±2.0) years with primary symptoms of palpable breast mass (28/28,100%) and abnormal appearance (6/28,21.4%).The average duration of symptoms was 3.00(0.25-60.00) months.Two major preoperative examinations were ultrasonography (27/28,96.4%) and computed tomography (13/28,46.4%).Periareolar incision (10/28,35.7%) and perimammary incision (9/28,32.1%) were performed.All excised masses in girls were benign with a predominance of fibroadenoma (23/28,82.1%).The sensitivity of preoperative ultrasonography for diagnosing fibroadenoma was 90.9%(20/22).Mean age in boys was (4.5±4.2) years with the same primary symptoms of palpable breast mass (6/6,100%) and abnormal appearance (2/6,33.3%).Breast mass resection was performed for benign tumors (n=4) and mastectomy and chest wall tumor resection for with secretory breast carcinoma and synoviosarcoma in chest wall (n=2).Twenty-nine children (29/34,85.3%) were followed up.Among girls with fibroadenomas,2(2/20,10.0%) had recurrence,1(1/20,5.0%) had postoperative residue and 1(1/20,5.0%) presented with a mass in contralateral breast.One boy with synoviosarcoma received postoperative radiochemotherapy and recovered well.The remainders had a decent prognosis.Conclusions Fibroadenoma is a major pathologic type in girls with breast mass.Ultrasound may assist in preoperative diagnosis.It is necessary to watch for postoperative residue and recurrence.The age of boys with breast mass is often young and the possibility of malignant tumor should be considered.The prognosis in children is decent after a complete resection of breast mass.

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Memo

收稿日期:2021-11-16。
通讯作者:王焕民,Email:wanghuanmin@bch.com.cn;陈亚军,Email:chenyajunmd@aliyun.com

Last Update: 1900-01-01