Korean Journal of Radiology

  • 제19권5호
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  • Pages.978-991
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  • 2018
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Breast Lesions in Children and Adolescents: Diagnosis and Management

  • Lee, Eun Ji (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Chang, Yun-Woo (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Oh, Jung Hee (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Hwang, Jiyoung (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Hong, Seong Sook (Department of Radiology, Soonchunhyang University Seoul Hospital) ;
  • Kim, Hyun-joo (Department of Radiology, Soonchunhyang University Seoul Hospital)
  • 투고 : 2018.01.25
  • 심사 : 2018.04.04
  • 발행 : 2018.10.01
⟨ 이전 논문 다음 논문 ⟩

초록

Pediatric breast disease is uncommon, and primary breast carcinoma in children is extremely rare. Therefore, the approach used to address breast lesions in pediatric patients differs from that in adults in many ways. Knowledge of the normal imaging features at various stages of development and the characteristics of breast disease in the pediatric population can help the radiologist to make confident diagnoses and manage patients appropriately. Most breast diseases in children are benign or associated with breast development, suggesting a need for conservative treatment. Interventional procedures might affect the developing breast and are only indicated in a limited number of cases. Histologic examination should be performed in pediatric patients, taking into account the size of the lesion and clinical history together with the imaging findings. A core needle biopsy is useful for accurate diagnosis and avoidance of irreparable damage in pediatric patients. Biopsy should be considered in the event of abnormal imaging findings, such as non-circumscribed margins, complex solid and cystic components, posterior acoustic shadowing, size above 3 cm, or an increase in mass size. A clinical history that includes a risk factor for malignancy, such as prior chest irradiation, known concurrent cancer not involving the breast, or family history of breast cancer, should prompt consideration of biopsy even if the lesion has a probably benign appearance on ultrasonography.

키워드

과제정보

연구 과제 주관 기관 : Soonchunhyang University

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  3. Main Traits of Breast Fibroadenoma Among Adolescent Girls vol.35, pp.4, 2020, https://doi.org/10.1089/cbr.2019.3209
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