Biopsy versus conservative management of sonographically benign-appearing solid breast masses in adolescents

Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine
Anugayathri JawaharPerla Subbaiah

Abstract

To determine whether the size of palpable solid breast masses in adolescents at initial sonography and their growth at follow-up sonography could be used to decide between conservative management and tissue biopsy. This retrospective study included 37 adolescent female patients with 45 palpable benign-appearing solid breast masses on initial sonography. They were grouped as follows: group I, masses undergoing follow-up sonography with subsequent biopsy (n = 9); group II, masses undergoing biopsy without follow-up sonography (n = 13); and group III, masses undergoing follow-up sonography without biopsy (n = 23). The largest dimension, volume, volume change per month, and change in the sonographic appearance were analyzed to predict the need for biopsy. A combination of a largest dimension greater than 3 cm and volume change per month greater than 16% was used to assess the need for biopsy. Sonograms of 22 masses were correlated with histopathologic diagnoses. None of the masses that underwent follow-up sonography showed changes in their sonographic appearance. All masses that underwent biopsy were benign on histopathologic analysis. There was no significant difference in the largest dimension among the groups at initial sonograp...Continue Reading

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Citations

Sep 10, 2005·Journal of Pediatric Surgery·B H Gómez DammeierB M Ure
Apr 5, 2017·Journal of Clinical Ultrasound : JCU·Juliana FranciscoSophie Derchain
Oct 29, 2017·Pediatric Radiology·Linda M SandersAlison Esteva Sanders
Jul 11, 2021·Advances in Pediatrics·Maria E Knaus, Julia E Grabowksi

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