Infected Retroareolar Breast Cysts in an Adolescent Girl: A Case Report

  • Meltem Akcaboy Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics,
  • Sanliay Sahin Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics,
  • Hasibe Gokce Cinar Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Radiology
  • Melahat Melek Oguz Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics
  • Pelin Zorlu Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics
  • Saliha Senel Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics
Keywords: Breast cyst, adolescent, girl

Abstract

Adolescent girls have breast problems to be managed. Pediatricians are frequently the first consultants of this clinical entity. Breast cysts lead the benign conditions of the breast problem. A 15-year-old girl admitted to our hospital with pain and swelling on the right breast. On physical examination, periareolar erythema in the presence of a tender subareolar mass on the right breast and non-tender, smooth, non-fixated retroareolar mass on the left breast was prominent. Ultrasonographic evaluation identified an infected retroareolar cyst. Medical treatment was successful without any invasive intervention. First-line conservative management for infected cysts is antibiotheraphy. Every effort should be made to preserve the developing breast bud and drainage considered only in the rare presence of abscess formation unresponsive to antibiotics. Unlike adults, hormonal evaluation should be done in every girl. Multidisciplinary long term follow-up is crucial.

Author Biographies

Meltem Akcaboy, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics,
Department of Pediatrics
Sanliay Sahin, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics,
Department of Pediatrics
Hasibe Gokce Cinar, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Radiology
Department of  Radiology
Melahat Melek Oguz, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics
Department of Pediatrics,
Pelin Zorlu, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics
Department of Pediatrics
Saliha Senel, Dr. Sami Ulus Maternity and Children's Health and Diseases Training and Research Hospital, Department of Pediatrics
Department of Pediatrics

References

Jakubowska A, Grajewska-Ferens M, Brzewski M. Breast cysts in adolescents–diagnostics, monitoring, treatment. Polish Journal of Radiology. 2011;76:20.

Wallace D, Sian A, Carne A, Irvine TE. Diagnosis and management of retroareolar cysts in adolescents: a case report. Journal of surgical case reports. 2013;2013:rjt052.

Balleyguier C, Arfi-Rouche J, Haddag L, Canale S, Delaloge S, Dromain C. Breast pain and imaging. Diagnostic and interventional imaging. 2015;96:1009-16.

Bock K, Duda VF, Hadji P, Ramaswamy A, Schulz-Wendtland R, Klose K-J, et al. Pathologic Breast Conditions in Childhood and Adolescence Evaluation by Sonographic Diagnosis. Journal of ultrasound in medicine. 2005;24:1347-54.

Michala L, Tsigginou A, Zacharakis D, Dimitrakakis C. Breast disorders in girls and adolescents. Is there a need for a specialized service? Journal of pediatric and adolescent gynecology. 2015;28:91-4.

Tekbas G, Ince T, Kapan M, Ekici F, Önder A, Kucukonen M, et al. Are breast masses in teenagers always benign? Undifferentiated mesenchymal sarcoma in a 14-year-old girl. Breast Care. 2012;7:144-6.

Chang Y-W, Kwon KH, Goo DE, Choi DL, Lee HK, Yang SB. Sonographic differentiation of benign and malignant cystic lesions of the breast. Journal of ultrasound in medicine. 2007;26:47-53.

Published
2017-09-30