Geoffray A, Balu-Maestro C, Chauvel C, Hery M D, Bruneton J N
Fondation Lenval, centre d'imagerie médicale, Nice, France.
Pediatrie. 1991;46(6-7):543-8.
Breast masses in teenagers are uncommon; in most cases, the palpation of a mass by the patient herself leads to physical and radiological examination. According to the age of the patient, radiographic exams should be limited, and mammography in particular, should not necessarily be performed. Ultrasonography using a high frequency transducer is very useful when associated with physical examination, and gives an accurate diagnosis in most cases. A large isolated mass detected in a healthy young girl is usually benign (adenofibroma). Multiple small masses suggest a malignancy (metastases or hemopathy), especially if the subject has been previously treated for such a disease. Primary breast carcinoma is exceptional.
青少年乳腺肿块并不常见；大多数情况下，患者自己摸到肿块后会进行体格检查和影像学检查。根据患者年龄，影像学检查应有所限制，尤其是乳腺钼靶检查不一定需要进行。使用高频探头的超声检查与体格检查相结合时非常有用，多数情况下能做出准确诊断。在健康年轻女孩中发现的单个大肿块通常是良性的（纤维腺瘤）。多个小肿块提示恶性肿瘤（转移瘤或血液病），尤其是该患者既往曾患此类疾病接受过治疗时。原发性乳腺癌则较为罕见。
