Cystic changes in the mammary gland structure in different age periods

М. Л. Травина, А. Г. Попов, С. А. Попов, Е. В. Куликова

Abstract


The article is devoted to problems of diagnosis of cystic disease of breast at different ages including children and teens. Analyzed various options for classification of cystic changes.

The main method of detecting liquid formation is breast ultrasound, then, as a final verification is possible after thorough laboratory studies education (cytological, biochemical and histological method).

Therapeutic and diagnostic puncture cysts do not affect the continued operation of the glandular tissue and can be used at any age. Active sanitation of cysts in children due to the high probability of occurrence of inflammation on the available background cystic cavity. In the adult diagnostic and treatment interventions have a diagnostic character and for reducing local pain symptoms associated with overexertion cysts.

Analysis of the results carried out on the basis of examination and treatment of 22 381 patients aged 8 to 72 years, who applied to receive a specialized mammography department of the Federal State Autonomous Institution “National Health Research and Practical Center for Children” of the Ministry of Health of the Russian Federation for the period from 2008 to 2015. According to the results of instrumental studies, cystic changes were detected in 12.1% of 6 126 examined children and adolescents aged from 8 to 17 years, as well as in 49% of 16 255 examined patients over the age of 18.

The authors summarize that the current International Classification of Diseases of the 10th revision does not reflect the structural features of the revealed cystic breast pathology for determining forms with increased oncological alertness. At present, for the formation of groups of oncological alertness, the most approximate to the work of the clinician is the classification of cysts according to Berg, which more closely examines the internal structure of the revealed cystic formations and determines indications not only for cytological, but for histological examination in groups whose types of cysts have high risk of malignancy.


Keywords


mammalogy; breast cysts; fibrocystic breast disease; breast ultrasound; puncture the cyst

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DOI: http://dx.doi.org/10.18370/2309-4117.2017.34.77-83

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