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Clinical Pediatrics, Vol. 21, No. 1, 17-19 (1982)
DOI: 10.1177/000992288202100102

Breast Masses in Adolescent Females

Donald P. Goldstein

Division of Gynecology, Department of Surgery, Children's Hospital Medical Center and the Department of Obstetrics and Gynecology, Harvard Medical School, Boston, Massachusetts

Veronica Miler

Division of Gynecology, Department of Surgery, Children's Hospital Medical Center and the Department of Obstetrics and Gynecology, Harvard Medical School, Boston, Massachusetts

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 sympto matic 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.


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