Pearls and Pitfalls in Imaging Pediatric and Adolescent Breast Masses

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Congress:

ECR 2017

Poster Number:

C-0206

Type:

Educational Exhibit

Keywords:

Breast, Ultrasound, CT, MR, Normal variants, Neoplasia

Authors:

P. Krishnarao¹, V. Starr², P. Do ², A. K. Arneja³; ¹San Jose, CA/US, ²San Jose/US, ³Valhalla, NY/US

DOI:

10.1594/ecr2017/C-0206

DOI-Link:

https://dx.doi.org/10.1594/ecr2017/C-0206

Fig. 2: Asymmetric breast bud

Fig. 3: Bilateral Juvenile Fibroadenoma

Findings and procedure details

Complete history is important in determining key factors such as: recent trauma, lactation history, family history of breast disease, and age of menarche.
Embryological Development-

6 weeks gestation

10 weeks gestation 20 weeks gestation
Newborn

Breast development begins Breast tissue proliferates and primary mammary bud forms
Nipple forms
Palpable nodule
Review developmental breast lesions such as abnormalities during embryogenesis, gynecomastia, asymmetric breast bud development, and benign lesions such as breast cysts, mastitis, fibroadenomas, juvenile fibroadenomas, hemangiomas, and juvenile papillomatosis in a case based format.
Review malignant breast lesions such as malignant phyllodes tumors, primary breastcarcinoma, and metastatic disease in a case based format. Malignant breast lesions have variable imaging features and may mimic benign breast masses. Rapidly growing breast masses should be evaluated for possible metastatic disease particularly in a patient with a known primary malignancy