1. To review the sonographic findings in pediatric breast abscess.
2. To gain an awareness of the risk factors associated with the development of breast infection in young patients.
3. To learn the optimal methods for management of pediatric breast abscess.
4. To review the technique used for percutaneous drainage in young patients.
-Clinical Features of Breast Abscess
Age distribution
Location
Risk factors
Bimodal timing of symptoms
Presentation
Culture results
-Spectrum of Ultrasound Appearances
Complex vs. cystic mass
Thick rim
Doppler flow
Skin changes
-Interventional Technique
Types of interventional techniques
Technique for ultrasound guided biopsy in pediatric age group
Correlation between interventional type and positive culture results
The major teaching points of this exhibit are:
Clinical presentation in pediatric breast abscess is variable.
Diagnosis should be made by breast ultrasound which demonstrates characteristic findings.
Optimal management for pediatric breast abscess is ultrasound guided aspiration.
Ultrasound guided percutaneous aspiration has a higher yield for positive culture results allowing for targeted therapy.
Leibman, A,
Kwok, L,
Pediatric Breast Abscesses: Ultrasound Findings and Management with Percutaneous Aspiration. Radiological Society of North America 2011 Scientific Assembly and Annual Meeting, November 26 - December 2, 2011 ,Chicago IL.
http://archive.rsna.org/2011/11001540.html
