Duflos C, Plu-Bureau G, Thibaud E, Kuttenn F
Endocr Dev. 2012;22:208-221. doi: 10.1159/000326690. Epub 2012 Jul 25.
Fibroadenomas and breast growth disorders are the most common breast diseases in adolescent women. Assessment of breast disorders in this age group generally involves clinical evaluation through history and physical examination and when is needed ultrasonography. Due to the absence of breast cancer in adolescent women, it is easy to reassure women at the first consultation. Breast growth disorders can lead great psychological and physical embarrassment. Treatment consists of surgical procedures when the cosmetic defect is severe. According to the ANDI classification, small fibroadenomas are normal, clinical fibroadenomas are a mild aberration of the normal processes, and giant or multiple fibroadenomas are placed to the disease end of the spectrum. Fibroadenomas can be treated conservatively provided diagnosis is confident. Giant fibroadenomas are treated by surgical enucleation. Breast abscess is mainly due to the duct ectasia. In adolescence, ectasia has been described as an exaggeration of sinus duct development and can be considered as a variant of normality. Diseases of the adolescent breast are usually benign and their management are simple using medical strategy and more rarely surgical therapy.
纤维腺瘤和乳腺增生性疾病是青春期女性最常见的乳腺疾病。对该年龄组乳腺疾病的评估通常包括通过病史和体格检查进行临床评估，必要时进行超声检查。由于青春期女性不存在乳腺癌，在初次会诊时很容易让女性放心。乳腺增生性疾病会导致极大的心理和身体困扰。当美容缺陷严重时，治疗包括手术。根据ANDI分类，小纤维腺瘤属于正常情况，临床纤维腺瘤是正常过程的轻度异常，而巨大或多发性纤维腺瘤则处于疾病谱的末端。如果诊断明确，纤维腺瘤可以保守治疗。巨大纤维腺瘤通过手术摘除治疗。乳腺脓肿主要是由于导管扩张。在青春期，扩张被描述为窦道导管发育的过度表现，可被视为正常变异。青春期乳腺疾病通常是良性的，采用医学策略管理简单，很少需要手术治疗。
