Mass
The 8-and-a-half-year-old girl is about to enter the third grade and has recently developed a small hard lump under her left breast, with a slight protrusion on the left side (the right breast shows no such symptoms).
She feels little discomfort while standing or walking, but the lump becomes more noticeable when lying down, and there is some pain when lying on her stomach or applying pressure.
Is this related to development or could it be due to other reasons? (The girl is slender, measuring 124 cm and weighing 23.5 kg.) Which medical specialty should she see for this issue? Thank you for your time in answering.
Mi Mi, 0~9 year old female. Ask Date: 2003/08/27
Dr. Hong Shaohui reply Pediatrics
The Tainan Hospital of the Department of Health recommends that you schedule an appointment with the breast surgery outpatient clinic for further diagnosis and explanation by a specialist.
Reply Date: 2003/08/27
More Info
When it comes to understanding breast lumps in young girls, especially in a case like your 8.5-year-old daughter, it is essential to approach the situation with care and awareness. Breast development in young girls can begin as early as age 8, and it is not uncommon for them to experience changes in their breast tissue during this time. However, any noticeable lumps or changes should be evaluated by a medical professional to rule out any underlying issues.
In your daughter’s case, the presence of a small hard lump in her left breast, along with slight protrusion and tenderness when lying down, could be attributed to several factors. One possibility is that this lump is related to normal breast development, which can include the formation of breast tissue and glandular structures. During puberty, hormonal changes can lead to the development of breast tissue, and it is not unusual for girls to experience tenderness or discomfort as their bodies change.
However, it is crucial to differentiate between normal developmental changes and potential concerns that may require medical attention. The fact that the lump is only present on one side and is associated with tenderness when pressure is applied could warrant further investigation. While many breast lumps in young girls are benign and related to hormonal changes, it is always better to err on the side of caution.
Given your daughter’s age and the symptoms you described, I recommend that you seek a consultation with a pediatrician or a pediatric endocrinologist. These specialists are well-equipped to evaluate breast development in young girls and can provide guidance on whether further imaging or examination is necessary. If the pediatrician feels it is appropriate, they may refer you to a pediatric surgeon or a breast specialist for further evaluation.
In addition to seeking medical advice, it is essential to monitor the lump for any changes in size, shape, or associated symptoms such as increased pain or changes in skin texture. Keeping a record of these observations can be helpful for the healthcare provider during the evaluation.
It is also important to consider the overall health and development of your daughter. Her height and weight suggest that she may be on the lower end of the growth spectrum, which could be a factor in her overall development. Ensuring that she has a balanced diet and regular check-ups with her pediatrician can help monitor her growth and development.
In summary, while breast lumps in young girls can often be benign and related to normal development, it is crucial to seek medical advice to ensure that any potential issues are addressed promptly. Consulting with a pediatrician or a specialist will provide you with the best course of action and peace of mind regarding your daughter’s health.
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