ABS ePoster Library

P074
Topic: Diagnosis/ Referral

Introduction: Paediatric breast health issues, though not a rare entity, have been overlooked. The scarcity of published literature remains a major obstacle.AimsThe study aims to analyse the spectrum of paediatric breast health issues and put forward a disease classification system based on which larger studies can be conducted.MethodologyThis study is a retrospective one data retrieved from a paediatric clinic in collaboration with a comprehensive breast service between May 2018 and October 2018. The spectrum of disease were noted. The age distribution was classified into Group A (neonate to 6 years), Group B (6yrs to 12 yrs) and Group C (12 to 18 yrs).The evaluation and treatment offered were noted. The data was analysed. As the study involves a simple data evaluation, no comparison statistics is feasible.Result54 patients with breast health issues were included.In Group A, 3 neonates presented with milk seceretion and 1 with secondary infection .In group B, 2 patients presented with developmental anomalies (premature/asymmetric thalarche), 1 each respectively with periareolar infection ,vascular malformation and gynaecomastia. The case distribution in Group C included mastalgia (n=24), ),Breast infection (n=2),hypertrophy-asymmetry- amazia(n=5), Fibroadenoma (n=12) and gynaecomastia (n=2).DiscussionThe study shows mastalgia(44%) and lumps(22%)to be the commonest followed by developmental anaomalies (14%). Poor community physician awareness about paediatric breast health issues lead to unnecessary referrals . Based on the initial observations we propose a classification for paediatric breast health issues upon which a guideline can be set.