The mainstay of breast imaging in the adolescent is ultrasonography. There is occasionally a need for additional imaging, particularly with magnetic resonance imaging MRI. Imaging of the adolescent breast differs substantially from the adult in both the imaging modalities utilized and the relative likelihood of pathologies encountered. The majority of lesions in the adolescent are benign, but the presence of a breast lesion may cause anxiety to patients and their families due to the wide awareness of breast malignancy in the adult population. It is important to be aware of the imaging modalities available to image the adolescent breast to prevent unnecessary radiation exposure while answering the clinical question.
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Modalities Available for Imaging of the Adolescent Breast
The breast is one of two prominences located on the upper ventral region of the torso of primates. In females, it serves as the mammary gland , which produces and secretes milk to feed infants. At puberty , estrogens , in conjunction with growth hormone , cause breast development in female humans and to a much lesser extent in other primates. Breast development in other primate females generally only occurs with pregnancy. Subcutaneous fat covers and envelops a network of ducts that converge on the nipple , and these tissues give the breast its size and shape. At the ends of the ducts are lobules , or clusters of alveoli , where milk is produced and stored in response to hormonal signals. Along with their major function in providing nutrition for infants, female breasts have social and sexual characteristics. Breasts have been featured in notable ancient and modern sculpture, art, and photography. They can figure prominently in the perception of a woman's body and sexual attractiveness. A number of cultures associate breasts with sexuality and tend to regard bare breasts in public as immodest or indecent.
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