Juvenile fibroadenoma: modern trends in diagnosis and treatment of multiple and recurrent forms of pathology (analytical review of the literature and own observation)
DOI:
https://doi.org/10.15574/PP.2024.3(99).142152Keywords:
children, mammary gland, juvenile fibroadenoma, , recurrent course, operative treatment, enucleation, tumorAbstract
Neoplastic lesions of the mammary gland in children are mostly benign in nature, which is associated with the normal development of the mammary gland. Malignant neoplasms in childhood are very rare. The specific gravity of breast cancer in teenagers is no more than 0.1 % of all breast cancer cases and less than 1% of all cancer cases among children. The malignant potential of breast fibroadenoma is quite low and ranges from 0.125% to 0.02%.
The aim is to highlight modern approaches diagnosis and treatment of juvenile fibroadenoma according to literature sources and own experience.
The conducted analysis of the state of modern scientific research regarding the problem of fibroadenoma in general and especially their juvenile forms, taking into account a certain own experience in the treatment of this pathology, prompts, in our opinion, the expediency of considering the recurrent course of the disease in pediatric practice from the angle of possible "continued growth" in relation to the pathological condition in general. The phenomenon of "continued growth" should be specifically discussed only in those cases, in the process of primary removal of juvenile fibroadenomas in one and/or contralateral mammary gland, during clinical and instrumental examination, there are no signs of any additional neoplasms. Juvenile fibroadenoma in pediatric treatment remains an actual problem that requires further fundamental and multifaceted study and wider coverage among specialists of various specialties – pediatric surgeons, pediatric gynecologists, mammologists, pediatricians, family doctors. In the modern medical literature, studies regarding the recurrent course of juvenile fibroadenoma are insufficiently covered, which hinders the development of a modern strategy for the treatment of this pathological condition, including the determination of predictors of the disease and its stages, indications for surgical intervention. In the case of recurrent course of juvenile fibroadenoma, regardless of the size of the tumor, it is necessary to enucleate the tumor with its mandatory morphological verification.
The authors declare no conflict of interest.
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