Breast Imaging-Reporting and Data System (BI-RADS) classification in 51 excised palpable pediatric breast masses

Journal of Pediatric Surgery
Jeffrey L KoningJulia E Grabowski

Abstract

The American College of Radiology Breast Imaging Reporting and Data System (BI-RADS) classification was developed to risk stratify breast lesions and guide surgical management based on imaging. Previous studies validating BI-RADS for US do not include pediatric patients. Most pediatric breast masses present as palpable lesions and frequently undergo ultrasound, which is often accompanied with a BI-RADS classification. Our study aimed to correlate BI-RADS with pathology findings to assess applicability of the classification system to pediatric patients. We performed a retrospective review of all patients who underwent excision of a breast mass at a single center from July 2010 to November 2013. We identified all patients who underwent preoperative ultrasound with BI-RADS classification. Demographic data, imaging results, and surgical pathology were analyzed and correlated. A total of 119 palpable masses were excised from 105 pediatric patients during the study period. Of 119 masses, 81 had preoperative ultrasound, and BI-RADS categories were given to 51 masses. Of these 51, all patients were female and the average age was 15.9 years. BI-RADS 4 was given to 25 of 51 masses (49%), and 100% of these lesions had benign pathology, th...Continue Reading

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Citations

Jul 25, 2017·Archives of Disease in Childhood·Matteo PavanAlessandro Ventura
Nov 22, 2015·Pediatric Surgery International·Jamie KnellJulia E Grabowski
Jan 20, 2021·Clinical Imaging·Caroline J GrangerAnn-Christina Brady
Aug 4, 2020·Pediatrics International : Official Journal of the Japan Pediatric Society·Hande KoksalBuket Kara
Apr 13, 2021·The Journal of Surgical Research·Amy E LawrenceJulia E Grabowski
Jul 11, 2021·Advances in Pediatrics·Maria E Knaus, Julia E Grabowksi

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