Jakubowska Anna, Grajewska-Ferens Magdalena, Brzewski Michał
Department of Paediatric Radiology of the Medical University of Warsaw, Warsaw, Poland.
Pol J Radiol. 2011 Jan;76(1):20-4.
The aim of the paper was the US evaluation of hormonal disorders and treatment results in adolescent girls and boys with breast cysts.
MATERIAL/METHODS: In the years 2001-2009, US examination of the breast was performed in 427 children aged 10-18 years, with clinically suspected breast pathologies. The indications for US examination typically included pain, breast swelling and a palpable tumor. The US examination was performed using a 7-12 MHz linear transducer.
Breast cysts were found in 42 children: 36 adolescent girls and 6 boys with gynecomastia. Infected cysts were found in 35 children. The cysts ranged in size from 5 mm to 30 mm. In 5 of the girls, large cysts were treated by an incision and drainage, and in all the children with infected cysts, antibiotic therapy was used. Hormonal disorders were found in 30 girls. A follow-up examination was performed, and the observation time varied from 1/12 to 2 years. The cysts disappeared completely in 30 children. Hormonal therapy was introduced in 5 girls.
Breast cysts found in US examinations are indications for check-up examinations including endocrinological diagnostics and, if the cyst is persistent, possibly for hormonal treatment.
本文旨在对患有乳腺囊肿的青春期女孩和男孩的激素紊乱情况及治疗结果进行美国评估。
材料/方法：在2001年至2009年期间，对427名年龄在10至18岁、临床怀疑有乳腺病变的儿童进行了乳房超声检查。超声检查的指征通常包括疼痛、乳房肿胀和可触及的肿块。使用7-12兆赫的线性换能器进行超声检查。
在42名儿童中发现了乳腺囊肿：36名青春期女孩和6名患有男性乳房发育症的男孩。在35名儿童中发现了感染性囊肿。囊肿大小从5毫米到30毫米不等。在5名女孩中，大囊肿通过切开引流进行治疗，所有患有感染性囊肿的儿童都使用了抗生素治疗。在30名女孩中发现了激素紊乱。进行了随访检查，观察时间从1/12年到2年不等。30名儿童的囊肿完全消失。5名女孩接受了激素治疗。
超声检查中发现的乳腺囊肿是进行包括内分泌诊断在内的检查的指征，如果囊肿持续存在，可能需要进行激素治疗。
