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dc.contributor.authorEnglert, Graham, E.
dc.contributor.authorAres, Guillermo
dc.contributor.authorHenricks, Andrea
dc.contributor.authorRychlik, Karen
dc.contributor.authorHunter, Catherine, J.
dc.date.accessioned2018-09-11T23:47:09Z
dc.date.available2018-09-11T23:47:09Z
dc.date.issued2018-04-11
dc.identifier.issn0179-0358
dc.identifier.other10.1007/s00383-018-4268-7
dc.identifier.urihttp://hdl.handle.net/10027/22734
dc.descriptionPost print version of article may differ from published version. The final publication is available at springerlink.com; DOI: 10.1007/s00383-018-4268-7en_US
dc.description.abstractPURPOSE: Finding a breast mass in a child provokes apprehension in parents, especially in those with a family history of breast cancer. Clinicians must decide between serial imaging or biopsy of the mass. Herein, we identify management differences in those with and without a positive family history, as well as identify cost differences. METHODS: An institutional retrospective review was performed of patients (2-18 years of age) with a diagnosis of breast mass. Patient demographics, presentation, medical and surgical history, physical exam, imaging, and pathologic diagnosis were collected. Cost data were acquired from the pediatric health information system (PHIS). Costs were compared between patients managed by biopsy versus serial ultrasounds. Bivariate analyses including Pearson's Chi-square, student's t tests, and logistic regression were performed. RESULTS: The probability of biopsy increases with age (p = 0.0001) and female gender (p = 0.006). Biopsy rate is higher for larger masses (p < 0.0001), growing size (p < 0.0001), and in patients with a positive family history of breast cancer (p < 0.0001). The average cost of care for management with initial excisional biopsy was $4491 versus those with serial ultrasounds ($986) (p < 0.0001). CONCLUSIONS: In patients with small lesions, even with a family history of breast cancer, non-operative monitoring is a safe and cost-effective alternative to invasive biopsy.en_US
dc.language.isoen_USen_US
dc.publisherSpringer Verlagen_US
dc.subjectUltrasounden_US
dc.subjectPediatricen_US
dc.subjectBreast canceren_US
dc.titleAnalysis of Factors Predicting Surgical Intervention and Associated Costs in Pediatric Breast Masses: A Single Center Study.en_US
dc.typeArticleen_US
dc.identifier.citationEnglert, E. G., Ares, G., Henricks, A., Rychlik, K., & Hunter, C. J. (2018). Analysis of factors predicting surgical intervention and associated costs in pediatric breast masses: a single center study. Pediatric Surgery International, 34(6), 679-685. doi: 10.1007/s00383-018-4268-7en_US


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