临床小儿外科杂志2024，Vol.23Issue(5)：458-463,6.DOI:10.3760/cma.j.cn101785-202111031-011
儿童切除乳房肿物的临床特点及预后分析
Clinical features and outcomes of excised breast masses in children
严佳虞 1彭春辉 1成海燕 2王燕妮 3陈巍 1彭芸 4王焕民 2陈亚军1
作者信息
- 1. 国家儿童医学中心首都医科大学附属北京儿童医院普外科,北京 100045
- 2. 国家儿童医学中心首都医科大学附属北京儿童医院肿瘤外科,北京 100045
- 3. 国家儿童医学中心首都医科大学附属北京儿童医院烧伤整形外科,北京 100045
- 4. 国家儿童医学中心首都医科大学附属北京儿童医院影像科,北京 100045
- 折叠
摘要
Abstract
Objective To explore the clinical features and outcomes of excised breast masses in chil-dren.Methods From January 2010 to May 2021,retrospective review was conducted for 34 children undergo-ing breast mass excision.There were 6 boys and 28 girls.The outcomes were followed up by outpatient visits or telephone interviews.Results Mean age in girls was(12.1±2.0)years with primary symptoms of palpable breast mass(28/28,100％)and abnormal appearance(6/28,21.4％).The average duration of symptoms was 3.00(0.25-60.00)months.Two major preoperative examinations were ultrasonography(27/28,96.4％)and computed tomography(13/28,46.4％).Periareolar incision(10/28,35.7％)and perimammary incision(9/28,32.1％)were performed.All excised masses in girls were benign with a predominance of fibroadenoma(23/28,82.1％).The sensitivity of preoperative ultrasonography for diagnosing fibroadenoma was 90.9％(20/22).Mean age in boys was(4.5±4.2)years with the same primary symptoms of palpable breast mass(6/6,100％)and abnormal appearance(2/6,33.3％).Breast mass resection was performed for benign tumors(n=4)and mastectomy and chest wall tumor resection for with secretory breast carcinoma and synoviosarcoma in chest wall(n=2).Twenty-nine children(29/34,85.3％)were followed up.Among girls with fibroadenomas,2(2/20,10.0％)had recurrence,l(1/20,5.0％)had postoperative residue and 1(1/20,5.0％)presented with a mass in contralateral breast.One boy with synoviosarcoma received postoperative radiochemotherapy and recovered well.The remainders had a decent prognosis.Conclusions Fibroadenoma is a major pathologic type in girls with breast mass.Ultrasound may assist in preoperative diagnosis.It is necessary to watch for postopera-tive residue and recurrence.The age of boys with breast mass is often young and the possibility of malignant tumor should be considered.The prognosis in children is decent after a complete resection of breast mass.关键词
乳房肿物/病理类型/预后/外科手术/儿童Key words
Breast Mass/Pathologic Type/Prognosis/Surgical Procedures,Operative/Child引用本文复制引用
严佳虞,彭春辉,成海燕,王燕妮,陈巍,彭芸,王焕民,陈亚军..儿童切除乳房肿物的临床特点及预后分析[J].临床小儿外科杂志,2024,23(5):458-463,6.
