Observational studyArchives of disease in childhood2026
Outcomes of a joint paediatric breast clinic: an observational case series.
Observational study in Archives of disease in childhood, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
5 authors.
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Abstract
objectiveFemale paediatric patients with breast symptoms may see a range of specialists with varying expertise and experience in managing their condition. There is a paucity of evidence to guide diagnosis and treatment. We report our joint paediatric breast clinic experience to describe the spectrum of symptoms and outcomes, with follow-up, in female paediatric patients presenting with breast-related symptoms.
methodA retrospective review of clinical records of all females (<18 years) seen between December 2017 and December 2023 in a joint paediatric/surgical breast clinic was conducted. Symptoms, investigations, interventions, outcomes and histological diagnoses were reviewed.
results152 patients were included: 116 (76.3%) with breast lump-related symptoms (group A) and 36 (23.7%) with other non-lump breast-related symptoms (group B).In group A, 112/116 (97%) patients underwent ultrasound evaluation. The most common diagnoses were normal breast tissue (52; 45%) and fibroadenoma (FA) (40; 35%). 13 (11%) patients underwent excision for presumed FA, all confirmed benign FA with no complications. Another eight (7%) patients re-presented after discharge; four had excision, all benign FAs.In group B, the most common clinical diagnosis was breast asymmetry 17/36 (47%). Two patients re-presented, with one having a diagnosis of FA supported by fine needle aspiration.Overall, 22 (15%) patients required onward referral/investigations for symptoms unrelated to their breast symptoms.
conclusionNo malignant lesion was diagnosed in this cohort of patients, and surgery was performed in 15% of those presenting with a breast lump. Paediatrician and breast surgeon collaboration facilitated the identification and referral of non-breast symptoms, supporting adoption of this model.
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