Management of Pediatric Breast Masses for the Pediatric Surgeon: Expert Consensus Recommendations From the APSA Cancer Committee

In brief

Expert consensus from the APSA Cancer Committee addresses the unique challenges of evaluating and managing breast masses in children and adolescents, where most lesions are benign but rare malignancies require timely intervention. The recommendations guide pediatric surgeons in balancing diagnostic accuracy with preservation of developing breast tissue during clinical assessment and surgical decision-making.

• Most pediatric breast masses are benign, unlike adult populations where malignancy risk is higher.
• Rare malignant pediatric breast masses require prompt recognition and timely treatment.
• Clinical evaluation must balance preserving the developing breast with achieving accurate diagnosis.
• Pediatric breast pathology and management differ significantly from adult breast disease.
• Surgical approach should prioritize breast preservation while ensuring appropriate oncologic management when needed.

Written by the GCMD Library team from the article.