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[Diagnosis and treatment of benign breast lesions during pregnancy].
Radiologia. 2007 Jul-Aug; 49(4):255-61.R

Abstract

OBJECTIVES

To retrospectively study the diagnosis and treatment of benign breast disease during pregnancy and breastfeeding at our department. To review the relevant literature.

MATERIALS AND METHODS

From January 2001 to March 2005, a total of 91 pregnant or breastfeeding women (age range: 23-36 years) were diagnosed with benign breast pathology. All patients presented with palpable nodules or inflammatory symptoms. Ultrasound-guided fine-needle cytology was performed in all cases and percutaneous core biopsy was considered necessary in three cases. Abscesses were drained when present. Patients provided their informed consent before all procedures.

RESULTS

Tumors were detected in 28 cases (30%): fibroadenomas (n = 12), lactating adenomas (n = 9), galactoceles (n = 5), and papillomas (n = 2). Conservative treatment with ultrasound follow-up was employed in all cases except one, which required surgical treatment in the third trimester. On 63 occasions (70%), the pathology was inflammatory, including abscesses in 24 cases (38%); abscesses were drained using fine-needle aspiration (n = 16) or pig-tail catheter (n = 3), according to protocol, depending on the size of the abscess (less than or greater than 3 cm). In 5 cases the abscesses were drained surgically.

CONCLUSIONS

The most common benign breast pathology during pregnancy is inflammatory and is satisfactorily managed with antibiotics and percutaneous drainage with good esthetic results. Ultrasound is the diagnostic technique of choice, together with cytology; percutaneous biopsy is only performed in uncertain cases to minimize the risk of fistulas. Management of tumors after histological confirmation should be conservative with close follow-up. These tumors cause no problems for the child, the mother, or breastfeeding.

Authors+Show Affiliations

Servicio de Radiología, Unidad de patología mamaria, Hospital Virgen de la Salud, Toledo, Spain. cromero@sescam.jccm.esNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article
Review

Language

spa

PubMed ID

17594885

Citation

Romero, C, et al. "[Diagnosis and Treatment of Benign Breast Lesions During Pregnancy]." Radiologia, vol. 49, no. 4, 2007, pp. 255-61.
Romero C, Lombardía J, Almenar A, et al. [Diagnosis and treatment of benign breast lesions during pregnancy]. Radiologia. 2007;49(4):255-61.
Romero, C., Lombardía, J., Almenar, A., Calvo, P., Fandiño, E., Aso, S., & Carreira, C. (2007). [Diagnosis and treatment of benign breast lesions during pregnancy]. Radiologia, 49(4), 255-61.
Romero C, et al. [Diagnosis and Treatment of Benign Breast Lesions During Pregnancy]. Radiologia. 2007 Jul-Aug;49(4):255-61. PubMed PMID: 17594885.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Diagnosis and treatment of benign breast lesions during pregnancy]. AU - Romero,C, AU - Lombardía,J, AU - Almenar,A, AU - Calvo,P, AU - Fandiño,E, AU - Aso,S, AU - Carreira,C, PY - 2007/6/28/pubmed PY - 2008/10/23/medline PY - 2007/6/28/entrez SP - 255 EP - 61 JF - Radiologia JO - Radiologia VL - 49 IS - 4 N2 - OBJECTIVES: To retrospectively study the diagnosis and treatment of benign breast disease during pregnancy and breastfeeding at our department. To review the relevant literature. MATERIALS AND METHODS: From January 2001 to March 2005, a total of 91 pregnant or breastfeeding women (age range: 23-36 years) were diagnosed with benign breast pathology. All patients presented with palpable nodules or inflammatory symptoms. Ultrasound-guided fine-needle cytology was performed in all cases and percutaneous core biopsy was considered necessary in three cases. Abscesses were drained when present. Patients provided their informed consent before all procedures. RESULTS: Tumors were detected in 28 cases (30%): fibroadenomas (n = 12), lactating adenomas (n = 9), galactoceles (n = 5), and papillomas (n = 2). Conservative treatment with ultrasound follow-up was employed in all cases except one, which required surgical treatment in the third trimester. On 63 occasions (70%), the pathology was inflammatory, including abscesses in 24 cases (38%); abscesses were drained using fine-needle aspiration (n = 16) or pig-tail catheter (n = 3), according to protocol, depending on the size of the abscess (less than or greater than 3 cm). In 5 cases the abscesses were drained surgically. CONCLUSIONS: The most common benign breast pathology during pregnancy is inflammatory and is satisfactorily managed with antibiotics and percutaneous drainage with good esthetic results. Ultrasound is the diagnostic technique of choice, together with cytology; percutaneous biopsy is only performed in uncertain cases to minimize the risk of fistulas. Management of tumors after histological confirmation should be conservative with close follow-up. These tumors cause no problems for the child, the mother, or breastfeeding. SN - 0033-8338 UR - https://www.unboundmedicine.com/medline/citation/17594885/[Diagnosis_and_treatment_of_benign_breast_lesions_during_pregnancy]_ L2 - http://www.elsevier.es/en/linksolver/ft/ivp/0033-8338/49/255 DB - PRIME DP - Unbound Medicine ER -