Goldstein D P, Miler V
Clin Pediatr (Phila). 1982 Jan;21(1):17-9. doi: 10.1177/000992288202100102.
The clinical records of 51 female patients between the ages of 8 and 20 years who underwent excision of breast masses at Boston's Children's Hospital Medical Center were reviewed. In most instances excisional biopsy using local or general anesthesia was performed on an ambulatory basis. Fibroadenomas account for the majority of breast masses (81.4%). There were no malignancies. Breast tumors in pediatric and adolescent populations are best managed by careful physical examination, careful follow-up, needle aspiration when feasible, observation and surgical excision of persistent, enlarging or symptomatic masses. Patient education and breast self-examination teaching are highly recommended. Excisional biopsy of unilateral subareolar masses in the early pubertal female should be avoided, since these usually represent a physiologically enlarged breast bud.
对在波士顿儿童医院医疗中心接受乳房肿块切除手术的51名年龄在8至20岁之间的女性患者的临床记录进行了回顾。在大多数情况下，使用局部或全身麻醉进行的切除活检是在门诊进行的。纤维腺瘤占乳房肿块的大多数（81.4%）。没有恶性肿瘤。儿童和青少年人群中的乳腺肿瘤最好通过仔细的体格检查、密切随访、可行时进行针吸活检、观察以及对持续存在、增大或有症状的肿块进行手术切除来处理。强烈建议对患者进行教育并教授乳房自我检查。应避免对青春期早期女性的单侧乳晕下肿块进行切除活检，因为这些通常代表生理性增大的乳腺芽。
