Ultrasonic evaluation of thelarche grading in 2-8-year-old obese girls suspected of precocious pubert.

Q3 Medicine
Zahra Sadat Hosseini, Kobra Shiasi Arani, Alireza Moraveji, Hamid Reza Talari
{"title":"Ultrasonic evaluation of thelarche grading in 2-8-year-old obese girls suspected of precocious pubert.","authors":"Zahra Sadat Hosseini,&nbsp;Kobra Shiasi Arani,&nbsp;Alireza Moraveji,&nbsp;Hamid Reza Talari","doi":"10.5114/pedm.2021.109267","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The prevalence of obesity in children is increasing. In obese children, clinical examination alone is not sufficient to differentiate lipomastia from thelarche. The aim of this study was to investigate the frequency of true thelarche in obese girls suspected of precocious puberty.</p><p><strong>Material and methods: </strong>In a cross-sectional study, 100 obese girls between the ages of 2 and 8 years were screened. Maturity stages were determined based on the Tanner scale in the questionnaire. Breast ultrasound was performed for all cases. Other uterine and ovarian laboratory tests, including blood tests to determine plasma levels of LH, FSH, oestradiol, and bone age, were also performed.</p><p><strong>Results: </strong>In ultrasonography examination of 80 children (80%), one breast was pubertal and in 72 people both breasts were pubertal in which ultrasonography of 78 children showed puberty of right breast and 74 children showed puberty of left breast. Twenty children showed bilateral lipomastia. In clinical examination, breasts of 18.9% children seemed lipoid, 35.8% children were seriously suspicious, and 45.3% children seemed pubescent. In pelvic ultrasound, the relationship between ovarian volume and breast ultrasound grade was significant, but uterine volume was not significantly related to breast ultrasound grade. Also, uterine volume with age at ultrasonography, bone age, birth height, left ovarian volume, right ovarian volume, right breast bud diameter, and left breast bud diameter were correlated.</p><p><strong>Conclusions: </strong>Ultrasound can help obese or overweight children to differentiate between true thelarche and lipomastia. The study also found that most suspected children had true thelarche.</p>","PeriodicalId":39165,"journal":{"name":"Pediatric Endocrinology, Diabetes and Metabolism","volume":"28 1","pages":"23-29"},"PeriodicalIF":0.0000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/13/PEDM-28-45200.PMC10226351.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Endocrinology, Diabetes and Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5114/pedm.2021.109267","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: The prevalence of obesity in children is increasing. In obese children, clinical examination alone is not sufficient to differentiate lipomastia from thelarche. The aim of this study was to investigate the frequency of true thelarche in obese girls suspected of precocious puberty.

Material and methods: In a cross-sectional study, 100 obese girls between the ages of 2 and 8 years were screened. Maturity stages were determined based on the Tanner scale in the questionnaire. Breast ultrasound was performed for all cases. Other uterine and ovarian laboratory tests, including blood tests to determine plasma levels of LH, FSH, oestradiol, and bone age, were also performed.

Results: In ultrasonography examination of 80 children (80%), one breast was pubertal and in 72 people both breasts were pubertal in which ultrasonography of 78 children showed puberty of right breast and 74 children showed puberty of left breast. Twenty children showed bilateral lipomastia. In clinical examination, breasts of 18.9% children seemed lipoid, 35.8% children were seriously suspicious, and 45.3% children seemed pubescent. In pelvic ultrasound, the relationship between ovarian volume and breast ultrasound grade was significant, but uterine volume was not significantly related to breast ultrasound grade. Also, uterine volume with age at ultrasonography, bone age, birth height, left ovarian volume, right ovarian volume, right breast bud diameter, and left breast bud diameter were correlated.

Conclusions: Ultrasound can help obese or overweight children to differentiate between true thelarche and lipomastia. The study also found that most suspected children had true thelarche.

2 ~ 8岁肥胖女童怀疑性早熟的超声评价。
儿童肥胖的患病率正在上升。在肥胖儿童中,仅凭临床检查不足以区分脂肪瘤和脂肪瘤。本研究的目的是调查怀疑性早熟的肥胖女孩发生真性关节炎的频率。材料和方法:在一项横断面研究中,筛选了100名年龄在2至8岁之间的肥胖女孩。成熟度阶段根据问卷中的Tanner量表确定。所有病例均行乳腺超声检查。其他子宫和卵巢实验室检查,包括测定血浆LH、FSH、雌二醇和骨龄的血液检查。结果:80例(80%)患儿超声检查中单侧乳房发育,72例双侧乳房发育,其中右乳发育78例,左乳发育74例。20例患儿表现为双侧脂肪瘤。在临床检查中,18.9%的患儿乳房出现脂质,35.8%的患儿乳房出现严重可疑,45.3%的患儿乳房出现青春期。盆腔超声中,卵巢体积与乳腺超声分级关系显著,而子宫体积与乳腺超声分级关系不显著。子宫体积与超声年龄、骨龄、出生身高、左卵巢体积、右卵巢体积、右乳房芽直径、左乳房芽直径相关。结论:超声可帮助肥胖或超重儿童鉴别真正的脂肪瘤和脂肪瘤。该研究还发现,大多数被怀疑患有糖尿病的儿童确实患有糖尿病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Pediatric Endocrinology, Diabetes and Metabolism
Pediatric Endocrinology, Diabetes and Metabolism Medicine-Pediatrics, Perinatology and Child Health
CiteScore
2.00
自引率
0.00%
发文量
36
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信