Yusuf Atakan BALTRAK, Seniha Esin SÖĞÜT, Onursal VARLIKLI

Güncel Literatür Eşliğinde Çocuk Yaş Grubu Meme Kitlelerine Yaklaşım

Özet: Meme kitleleri çocuk ve ergen yaş grubunda ender görülmesine rağmen tespit edildiğinde aileler için oldukça endişe verici bir durumdur. Bu yaş grubunda ki meme kitleleri genelde iyi huyludur ve büyük bir kısmı ergenlik döneminde görülür. Gereç ve Yöntem: Hastalara ait bilgiler hastane kayıtları ve otomasyon sisteminden elde edildi. Olgular yaş, başvuru yakınmaları ve süresi, aile öyküsü, menstruasyonla ilişkisi, meme kitlesinin yeri, büyüklüğü, tanıda kullanılan yöntemler, histopatolojik bulgular ve cerrahi sonrası komplikasyonlar bakımından geriye dönük olarak değerlendirildi. Bulgular: NOG ve NG arasında ortanca yaş, beden kitle indeksi, tespit edilen kitlenin tarafı ve lokalizasyonu, başvuru nedeni, puberte ile ilişki ve takip süresi bakımından fark saptanmadı (p>0,05). Her iki grup tespit edilen kitlenin boyutları açısından karşılaştırıldığında NOG da kitle boyutu 2,2 cm (1,4-3) , NG da kitle boyutu 3,8 cm (3-8) ölçüldü. Her iki grup arasında istatistiksel olarak anlamlı bir fark saptanmadı (p=0,12). Tartışma ve Sonuç: Çocuk yaş grubunda memede neoplastik grup içerisinde değerlendirilen bir kitle tespit edildiğinde, aile hikayesinin olması, kitlenin takip boyunca boyutlarında değişiklik olmaması veya artması, görüntüleme de malignite şüphesi bulunması durumunda cerrahi eksizyon uygun olacaktır.

Anahtar Kelimeler:

Meme, Kitle, Çocuk

Approach to Pediatric Breast Masses in Accompaniment with Current Literature

Abstract: Although breast masses are uncommon in children and adolescents, it is a worrying phenomenon for families when diagnosed.Breast masses in this age group are generally benign and most of them are seen in adolescents. Materials and Methods: The patient information was obtained from the hospital records and automation system. The patients were retrospectively analyzed with regards to age, complaints and their duration, family history, association with menstruation, location and size of the breast mass, methods of diagnosis, histopathological findings, and postoperative complications. Results: There was no difference between NOG and NG with respect to median age, body mass index, side and location of the mass, reason for admission, association with puberty, and follow-up time (p>0.05). When both groups were compared in terms of the size of the mass, the mass size was measured to be 2.2 cm (1.4-3) in NOG and 3.8 cm (3-8) in NG. There was no statistically significant difference between the two groups (p=0.12). Discussion and Conclusion: Surgical excision will be appropriate when a pediatric breast mass is detected in the neoplastic group, there is a family history, the size of the mass does not change or increase during follow-up, and malignancy is suspected on imaging.

Keywords:

Breast, Mass, Child,

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