West K W, Rescorla F J, Scherer L R, Grosfeld J L
Department of Surgery, Indiana University School of Medicine, Indianapolis, USA.
J Pediatr Surg. 1995 Feb;30(2):182-6; discussion 186-7. doi: 10.1016/0022-3468(95)90557-x.
Between 1980 and 1993, 74 children and adolescents were referred for surgical evaluation of palpable breast masses. Thirty-two were managed nonoperatively for unilateral thelarche (26), fibroadenoma (3), gynecomastia (2), or hemorrhagic cyst (1). The other 42 children had surgical intervention for giant or painful fibroadenomas (19), breast abscesses (5), painful gynecomastia (6), metastatic disease (4), or other conditions (8). No instances of primary breast malignancy were noted. Physical examination and minimal (selective) diagnostic testing can conserve health care dollars in cases of pediatric patients with breast masses.
1980年至1993年间，74名儿童和青少年因可触及的乳腺肿块接受了外科评估。32例因单侧乳房过早发育（26例）、纤维腺瘤（3例）、男性乳房发育症（2例）或出血性囊肿（1例）而接受非手术治疗。其他42名儿童因巨大或疼痛性纤维腺瘤（19例）、乳腺脓肿（5例）、疼痛性男性乳房发育症（6例）、转移性疾病（4例）或其他情况（8例）接受了手术干预。未发现原发性乳腺恶性肿瘤病例。对于患有乳腺肿块的儿科患者，体格检查和最少（选择性）的诊断测试可以节省医疗费用。
