Discrete Breast Masses in Female Children and Adolescents: Is there a Place for Non-operative Management by Pediatric Surgeons.

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dc.contributor.authorAdemuyiwa, A. O.
dc.contributor.authorLawal, A. O.
dc.contributor.authorAnunobi, C. C.
dc.contributor.authorBode, C. O.
dc.date.accessioned2017-01-03T11:09:31Z
dc.date.available2017-01-03T11:09:31Z
dc.date.issued2015
dc.description.abstractBackground: The treatment of breast masses in female children and adolescents is controversial. While some advocate for early surgical removal others prefer the conservative non operative approach. The aim of this study is ascertain the evidence for the current protocol of early surgical removal in our centre. Materials and Methods: Retrospective observational study to highlight the epidemiology of discrete breast masses in female children and adolescents <18years seen at the Lagos University Teaching Hospital, Nigeria. Main outcome measure was to find out if there is a malignancy in excised tissue specimens. Results: Fifty three girls with 76 breast masses were evaluated. Median age at presentation was 16years (4 –17 years). Mean size of lumps was 3.6 cm (±2.1). All the breast masses had benign clinical characteristics and were confirmed histologically to be benign. There was no case of primary or secondary malignancy in any of the histological specimens. Family history, nipple discharge or ingestion of oral contraceptives did not affect presentation, diagnosis and outcome (p>0.05). Conclusion: This series show that breast masses in children and adolescents are almost always benign. It is advocated that conservative non-operative management (with close follow up with imaging such as breast ultrasound and/or MRI) should be adopted by paediatric surgeons in cases of breast masses in children except when surgery is specifically indicated. These indications which should be individualized include: cosmesis, bloody nipple discharge, persistent history of pain in the mass, rapid growth of the mass and malignancies with predilection for the breasts.en_US
dc.identifier.citationAdemuyiwa A. O., Lawal A. O., Anunobi C. C., Bode C. O.. Discrete Breast Masses in Female Children and Adolescents: Is there a Place for Non-operative Management by Pediatric Surgeons.British Journal of Medicine and Medical Research. 2015; 9(8):1-7.en_US
dc.identifier.issn2231-0614
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/181031
dc.language.isoenen_US
dc.source.urihttps://www.sciencedomain.org/abstract/10172en_US
dc.subjectBenign breast massesen_US
dc.subjectchildrenen_US
dc.subjectadolescentsen_US
dc.subjectnon-operative treatment protocolen_US
dc.titleDiscrete Breast Masses in Female Children and Adolescents: Is there a Place for Non-operative Management by Pediatric Surgeons.en_US
dc.typeArticleen_US
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