ARRS 2022 Abstracts

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E1181. Breast Lesions in Children and Adolescents: A Comprehensive Review
Authors
  1. Cristiane Tuma Santos; University of Mississippi Medical Center
  2. Susan Shamburger; University of Mississippi Medical Center
Background
Breast findings are uncommon in the pediatric population. When present, most of the findings are either related to normal breast development or benign processes including infection, trauma, and benign neoplasms. Ultrasound is the most useful imaging modality. Breast malignancy is extremely rare in children. The management of breast lesions in children and adolescents also differs from that in adults; a more conservative approach is favored, given the risk of interventional procedures affecting the developing breast. These are usually indicated in a very limited number of cases with more suspicious findings.

Educational Goals / Teaching Points
The purpose of this exhibit is to review the benign breast conditions that are part of normal breast development, as well as the most common benign and malignant processes in children.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
Key imaging findings include normal breast development, gynecomastia, mastitis, abscess, fibroadenoma, phyllodes, papilloma, cysts, and secondary breast malignancy.

Conclusion
Although malignancies can occur in the pediatric population, the majority of breast lesions in children and adolescents are benign. Careful attention to patient presentation as well as imaging characteristics is paramount to avoid unnecessary procedures.