Gray scale sonography of breast masses in adolescent girls.
OBJECTIVE
To assess the sonographic findings of breast masses in adolescents and the usefulness of sonographic patterns for suggesting a specific diagnosis.


METHODS
The sonograms and medical records of 57 girls (mean age, 15.4 years) with palpable breast masses were retrospectively reviewed. Three observers reviewed the sonograms for multiple sonographic findings. Surgery or clinical findings established diagnoses. Statistical analysis was done to determine how well sonographic findings alone and in combination agreed with final histologic diagnoses.


RESULTS
Diagnoses included cysts (n = 12), abscesses (n = 7), fibroadenomas (n = 36), a lactating adenoma (n = 1), and a phyllodes tumor (n = 1). The sonographic findings varied significantly among lesion types (P < or = .005).


CONCLUSIONS
Our experience suggests that virtually all breast masses in a pediatric population are benign and that sonography has the ability to differentiate among cystic, inflammatory, and solid masses.
Kronemer
K A
KA
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, Missouri 63110, USA.
Rhee
K
K
Siegel
M J
MJ
Sievert
L
L
Hildebolt
C F
CF
D000038:Abscess / Q000000981:diagnostic imaging; D000236:Adenoma / Q000000981:diagnostic imaging; D000293:Adolescent; D001941:Breast Diseases / Q000000981:diagnostic imaging*; D001943:Breast Neoplasms / Q000000981:diagnostic imaging; D002648:Child; D005260:Female; D018226:Fibroadenoma / Q000000981:diagnostic imaging; D005348:Fibrocystic Breast Disease / Q000000981:diagnostic imaging; D006801:Humans; D003557:Phyllodes Tumor / Q000000981:diagnostic imaging; D011644:Puerperal Disorders / Q000000981:diagnostic imaging; D012189:Retrospective Studies; D016217:Ultrasonography, Mammary