Abstract
Study Objective
Adolescent breast disorders are rare and typically benign in nature; however, surgical
treatments might require multiple surgeries. Because of the limited existing data,
we sought to evaluate national trends and describe our institutional experience to
help guide patient conversations.
Design
Retrospective review.
Setting
National database and academic institution.
Participants
Patients 20 years old or younger who underwent a breast procedure in the Kids' Inpatient
Database from January 2000 to December 2012 and at Mayo Clinic-Rochester from January
2000 to July 2016. Conditions were categorized into common and complex breast disorders.
Interventions
None.
Main Outcome Measures
To assess any trend of adolescent breast procedures across the United States as a
whole, weighted Kids' Inpatient Database data were assessed using a Rao-Scott χ2 test. Within the institutional data, the average number of procedures needed to correct
common vs complex breast disorders were compared using an unequal variance t test.
Results
In recent years, the estimated number of hospitalizations for breast procedures decreased
in the United States from 1661 in 2000 to 1078 in 2012 (P < .001). At our institution, 241 patients underwent a breast procedure (75.1% [181/241]
female) over 16 years. Common breast disorders were corrected with fewer procedures
than complex breast disorders (mean 1.09 vs 2.22 procedures; P = .0003).
Conclusion
Inpatient treatment of adolescent breast disorders has been decreasing in recent years,
likely reflecting a trend to outpatient procedures. Common adolescent breast disorders
might be surgically corrected with 1 procedure, whereas complex disorders often require
multiple surgeries to correct. It is important to discuss this with patients and their
families to adequately set up expectations.
Key Words
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Article info
Publication history
Published online: October 10, 2017
Footnotes
The authors indicate no conflicts of interest.
This work was presented, in part, as a poster during the American Society of Breast Surgeons Annual Meeting in Las Vegas, Nevada, April 2017.
Identification
Copyright
© 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.
