Turbey W J, Buntain W L, Dudgeon D L
Pediatrics. 1975 Nov;56(5):736-9.
Information regarding the surgical management of breast masses in the pediatric age group is sparse and is primarily directed at unusual neoplasms. We have reviewed the surgical treatment of 50 patients with inflammatory and neoplastic breast masses occurring in a 15-year period (1957 to 1973) at the Children's Hospital of Los Angeles. There were 42 girls and 8 boys, ranging in age from 12 days to 18 years. All patients had either surgical excision or incision and drainage of the masses with a subsequent histologic diagnosis. A variety of pathologic entities were encountered, but there were no primary malignancies. There were 33 patients with fibroadenomas, including four patients with multiple masses. Thirteen patients, six of whom were male, had cellulitis with an underlying breast abscess. The offending organism was gram-negative in one third of these abscesses. While none of the masses in this series were malignant, surgery was indicated to (1) establish diagnosis, (2) allay fears of patient, family, and referring physician, and (3) correct an obvious cosmetic deformity. Surgical drainage encouraged resolution of the inflammatory process, aided in the recovery of the organism, and assured appropriate drug therapy.
关于儿童年龄组乳腺肿块手术治疗的信息稀少，且主要针对罕见肿瘤。我们回顾了洛杉矶儿童医院在15年期间（1957年至1973年）对50例炎性和肿瘤性乳腺肿块患者的手术治疗情况。其中有42名女孩和8名男孩，年龄从12天至18岁不等。所有患者均接受了肿块的手术切除或切开引流，并随后进行了组织学诊断。遇到了多种病理实体，但没有原发性恶性肿瘤。有33例纤维腺瘤患者，其中4例为多发性肿块。13例患者，其中6例为男性，患有蜂窝织炎并伴有潜在的乳腺脓肿。这些脓肿中有三分之一的致病微生物为革兰氏阴性菌。虽然该系列中的肿块均非恶性，但手术的目的在于：（1）明确诊断；（2）减轻患者、家属及转诊医生的担忧；（3）纠正明显的美容缺陷。手术引流促进了炎症过程的消退，有助于病原体的恢复，并确保了适当的药物治疗。
