Cystic changes in the mammary gland structure in different age periods
Keywords:mammalogy, breast cysts, fibrocystic breast disease, breast ultrasound, puncture the cyst
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.
Burdina, L.M. “Features of the state of mammary glands and hormonal status in patients with benign hyperplastic diseases of internal genital organs.” Mammology 1.4.11 (1993): 3.
Letyagin, V.P., Vysotskaya, N.V., Legkov, A.A., et al. Treatment of benign and malignant diseases of mammary glands. Moscow. Rondo (1997): 287 p.
Sidorenko, L.N. Mastopathy. Leningrad. Medicine (1991): 264 p.
Travina, M.L., Vinerskaya, I.V., Popov, A.G. “Prevalence of mammary gland diseases in Moscow girls.” The Russian Pediatric Journal 19.5 (2016): 298–302.
Weinstein, S.P., et al. “Spectrum of US Findings in Pediatric and Adolescent Patients with Palpable Breast Masses 1.” Radiographics 20.6 (2000): 1613–21.
Okulov, A.B., Adamyan, L.V., Brovin, D.N., Bogdanova, E.A. Mammary glands and their diseases in children. Moscow. MIA (2010): 160 p.
Travina, M.L., Popov, A.G. “Diseases of the breast in the practice of obstetrician gynecologists.” Women’s Health 2 (2016): 42–8.
Order of the MOH of Russian Federation N 572H (ed. from Jan 17, 2014) from Nov 11, 2012. “On approval of the order of rendering medical aid on the profile of «obstetrics and gynecology (except for the use of assisted reproductive technologies)».”
Rozhkova, N.I., Vlasov, P.V. Tactics of complex examination of women with the syndrome of diffuse changes in the mammary gland. Guidelines (1985).
Рожкова, Н.И. Рентгенодиагностика заболеваний молочной железы. – М.: Медицина. – 1993. – 222 с.
Rozhkova, N.I. X-ray diagnosis of breast diseases. Moscow. Medicine (1993): 222 p.
Zabolotskaya, N.V., Zabolotskyi, V.S. “Complex ultrasound examination of mammary glands.” Sono Ace International (Russian version) 6 (2000): 86–91.
Guseinov, A.Z., Istomin, D.A. Focal formations of the breast: nozological forms, diagnosis and treatment. A guide for doctors. Tula. Publishing house “Tula State University” (2011): 142 p.
Travina, M.L., et al. “Inflammatory processes of mammary glands in childhood and adolescence.” Pharmateka 12.325 (2016): 61–63.
Tovstanovskaya, V.A., Vikhovskaya, V.N., Sakharov, I.A. “A new word in non-hormonal therapy of fibrocystic mastopathy.” Editorial board (2006): 38.
Travina, M.L., Popov, A.G. “Clinical mammology – are there any problems in pediatrics.” Pharmateka 8.321 (2016): 72–5.
Bespalov, V.G., Travina, M.L. “Benign mammary gland diseases. Fibrocystic disease and risk of breast cancer (review of literature).” Tumors of the female reproductive system 11.1.12 (2015).
Cooper, S.A. Illustrations of the Diseases of the Breast; by Sir Astley Cooper. In 2 Parts. S. McDowall..., and sold by Longman, Rees, Orme, Brown, & Green (1829).
Brodie, B. “Brodie’s tumor.” London Medical Gazette 25 (1840): 808–14. Reprinted in 2 (1948): 941–54.
Bassett, L.W. “Imaging of breast masses.” Radiol Clin North Am (2000).
Berg, W.A., Campassi, C.I., Ioffe O.B. “Cystic lesions of the breast: sonographic pathologic correlation 1.” Radiology 227 (2003): 183–91.
Logrono, R., et al. “Fine Needle Aspiration Cytology of Fibrous Dysplasia.” Acta cytologica 42.5 (1998): 1172–6.
Simiockova, M., et al. “Biochemical analysis of breast cyst fluid as a possible predictor of breast carcinoma development.” Neoplasma 41.5 (1993): 245–252.
Chang, Y.W., et al. “Sonographic differentiation of benign and malignant cystic lesions of the breast.” Journal of ultrasound in medicine 26.1 (2007): 47–53.
Garcнa, C.J., et al. ”Breast US in Children and Adolescents.” Radiographics 20.6 (2000): 1605–12.
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