Karaayvaz Selda
Division of Social Pediatrics, Department of Pediatrics, Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey.
Eur J Breast Health. 2019 Jul 1;15(3):137-140. doi: 10.5152/ejbh.2019.4745. eCollection 2019 Jul.
Childhood breast masses are mostly benign conditions starting from the newborn period continuing on to adolescence yet can cause high anxiety in the child and the family as well. As a complaint or physical finding, usually palpable mass, pain or discharge from the nipple is apparent in patients. All the clinicians interested in pediatric field should have full knowledge of immature and developing breasts so to proper diagnose and avoid overtreatment with unnecessary diagnostic or surgical procedures. Though malignancy or life-threatening disease has a very low probability during childhood, all child patients should be evaluated and followed up carefully. Especially training and then encouraging young people to periodically start self-assessment of the breasts after their 19th birthday while warning the ones who have had therapeutic chest radiation previously to begin self-assessment 8 years after the procedure or at 25 years of age whichever comes last, will be an appropriate intervention.
儿童乳腺肿块大多为良性病变，从新生儿期开始一直持续到青春期，但也会给儿童及其家庭带来高度焦虑。作为一种主诉或体格检查发现，患者通常表现为可触及的肿块、疼痛或乳头溢液。所有关注儿科领域的临床医生都应充分了解未成熟和发育中的乳房，以便正确诊断并避免因不必要的诊断或外科手术而过度治疗。虽然儿童期发生恶性肿瘤或危及生命疾病的概率很低，但所有儿童患者都应进行仔细评估和随访。特别是培训并鼓励年轻人在19岁后定期开始自我乳房检查，同时警告那些之前接受过胸部放疗的人在放疗后8年或25岁（以较晚者为准）开始自我检查，将是一种合适的干预措施。
