Most common organism is S.aureus. Older patients may develop abscesses most commonly caused by S. aureus. May be associated with overlying skin lesions and trauma. Breast pain with menses - usually develops after ovulation is established. Breast Masses - Self examination of breasts should be initiated around the time of the adolescent's first internal examination.
Breast cancer is rare in pediatrics and adolescents.
Presence of breast masses usually produce anxiety in the patient and families. Multiple, mobile, firm lesions. Follow through a few menstrual cycles because may spontaneously regress. Diffuse bilateral breast thickening without discrete mass. Often premenstrual tenderness.