Pediatric Radiology

, Volume 24, Issue 2, pp 81–84 | Cite as

Breast masses in childhood and adolescence

A presentation of 17 cases and a review of the literature
  • A. Boothroyd
  • H. Carty


Breast masses are uncommon in the first two decades of life. 17 girls aged between 2 and 15 years who presented over a 5-year period are reviewed retrospectively. The cases comprised inflammation (11), asymmetrical gynaecomastia (1), precocious puberty (1), giant juvenile fibroadenoma (1), primary rhabdomyosarcoma (1), lymphoma (1), and metastatic neuroblastoma (1). Ultrasound was useful in all cases in identifying the abnormality and guiding any further investigation.


Public Health Lymphoma Neuroblastoma Rhabdomyosarcoma Precocious Puberty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Simpson JS, Barson AJ (1969) Breast tumours in infants and children: A 40-year review of cases at a children's hospital. Can Med Assoc J 101:100–102Google Scholar
  2. 2.
    Bower R, Bell MJ, Ternberg JL (1976) Management of breast lesions in children and adolescents. J Paediatr Surg 11:337–346Google Scholar
  3. 3.
    Pettinato G, Manivel JC, Kelly DR, Wold LE, Dehner LP (1989) Lesions of the breast in children exclusive of typical fibroadenoma and gynaecomastia. A clinicopathologic study of 113 cases. Pathol Annu 2:296–328Google Scholar
  4. 4.
    Ramirez G, Ansfeld FJ (1968) Carcinoma of the breast in children. Arch Surg 96:222–225PubMedGoogle Scholar
  5. 5.
    Dehner LP (1987) Pediatric surgical pathology, 2nd edn. Williams & Wilkins, Baltimore, pp 104–119Google Scholar
  6. 6.
    Forrest P (1986) Breast cancer screening. HMSO, LondonGoogle Scholar
  7. 7.
    Tabar L, Dean PB (1989) The control of breast cancer through mammography screening. What is the evidence? Radiol Clin North Am 25:993–1005Google Scholar
  8. 8.
    Brand IR, Sapherson DA, Brown TS (1993) Breast imaging in women under 35 with symptomatic breast disease. Br J Radiol 66:394–397PubMedGoogle Scholar
  9. 9.
    RCR Breast Group (1989) Recommendations by Royal College of Radiologists' breast group. R Coll Radiol Newslett (spring) 56Google Scholar
  10. 10.
    Feig SA (1984) Radiation risk from mammography: is it clinically significant? AJR 143:469–475PubMedGoogle Scholar
  11. 11.
    Feig SA (1989) The role of ultrasound in a breast imaging center. Semin Ultrasound CT MR 10 (2):90–105PubMedGoogle Scholar
  12. 12.
    Guyer PB, Dewbury KC (1988) Sonomammography in benign breast disease. Br J Radiol 61:374–378PubMedGoogle Scholar
  13. 13.
    Guyer PB, Dewbury KC (1987) Sonomammography: an atlas of comparative breast ultrasound. Wiley, Chichester, pp 5–11Google Scholar
  14. 14.
    Adler DD (1989) Ultrasound of benign breast conditions. Semin Ultrasound CT MR 10 (2):106–118PubMedGoogle Scholar
  15. 15.
    Greydanus DE, Parles DS, Farrell EG (1989) Breast disorders in children and adolescents. Pediatr Clin North Am 36:601–638PubMedGoogle Scholar
  16. 16.
    McKierman J, Coyne J, Cahalane S (1988) Histology of breast development in early life. Arch Dis Child 63:136–139PubMedGoogle Scholar
  17. 17.
    Monaghan P, Perusinghe NP, Cowen P, Gusterson BA (1990) Peripubertal human breast development. Anat Rec 226:501–508PubMedGoogle Scholar
  18. 18.
    Castro C, Aboudib JH, Salema R, Valledares B (1990) Massive breast hypertrophy in a young girl. Ann Plast Surg 25:497–501PubMedGoogle Scholar
  19. 19.
    Rudoy RC, Nelson JD (1975) Breast abscess during the neonatal period. Am J Dis Child 129:1031–1034PubMedGoogle Scholar
  20. 20.
    Hayes R, Michell M, Nunnerley HB (1991) Acute inflammation of the breast — the role of breast ultrasound in diagnosis and management. Clin Radiol 44:253–256PubMedGoogle Scholar
  21. 21.
    Ferguson CM, Powell RW (1989) Breast masses in young women. Arch Surg 124 (11):1338–41PubMedGoogle Scholar
  22. 22.
    Zonderland HM, Michiels JJ, Ten Kate FJW (1991) Case report: mammographic and sonographic demonstration of extramedullary haemopoiesis. Clin Radiol 44:64–65PubMedGoogle Scholar
  23. 23.
    Page JE, Williams JE (1991) The radiological features of phylloides tumour of the breast with clinico-pathological correlation. Clin Radiol 44:8–12PubMedGoogle Scholar
  24. 24.
    Ward RM, Evans HL (1986) Cystosarcoma phyllodes. A clinicopathologic study of 26 cases. Cancer 58:2282–2289PubMedGoogle Scholar
  25. 25.
    McDivitt RW, Stewart FW (1966) Breast carcinoma in children. JAMA 195 (5):144–146Google Scholar
  26. 26.
    Bryant RC (1914) Carcinoma of the breast in a 14-year-old boy. Surg Gynecol Obstet 18:545–546Google Scholar
  27. 27.
    Smith MR, Brustein S, Straus DJ (1987) Localised non-Hodgkin's lymphoma of the breast. Cancer 59:351–354PubMedGoogle Scholar
  28. 28.
    Meis JM, Butler JJ, Osborne BM (1986) Hodgkin's disease involving the breast and chest wall. Cancer 57:1859–1865PubMedGoogle Scholar
  29. 29.
    Howarth CB, Cases JN, Pratt C (1980) Breast metastases in children with rhabdomyosarcoma. Cancer 46:2520–2524PubMedGoogle Scholar
  30. 30.
    Toombs BD, Kalisher L (1977) Metastatic disease to the breast: clinical, pathologic and radiographic features. AJR 129:673–676PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1994

Authors and Affiliations

  • A. Boothroyd
    • 1
  • H. Carty
    • 1
  1. 1.Department of RadiologyRoyal Liverpool Children's NHS TrustLiverpoolUK

Personalised recommendations