A 7-month-old baby girl has a hard lump on one side of her breast?
Hello, I would like to inquire about a 7-month-old female infant who has a hard lump approximately 1 centimeter in diameter on one side of her nipple.
Is this normal? Could it be precocious puberty? Will it resolve on its own? If so, how long might it take? Should I take her for an examination? If so, which specialist should I see?
Kaili, 40~49 year old female. Ask Date: 2015/11/02
Dr. He Shenglong reply Pediatrics
Hello: Newborns may have swollen nipples and sometimes even milk due to the influence of maternal hormones during pregnancy, but this usually resolves over time.
In the case of a 7-month-old female infant with a hard lump on one nipple, it is recommended to observe first.
True precocious puberty would present with secondary sexual characteristics, which would warrant a more active investigation into the causes of precocious puberty.
Often, what causes concern and anxiety is benign premature breast development, which is typically a temporary phenomenon.
If follow-up examinations are necessary, a pediatric endocrinology and metabolism specialist would be appropriate.
Thank you for your letter!
Reply Date: 2015/11/02
More Info
When it comes to a hard lump on a 7-month-old infant's breast, it's important to approach the situation with care and understanding. In infants, the presence of breast tissue can sometimes lead to the development of small lumps, which are often benign and related to hormonal influences from the mother during pregnancy or breastfeeding. This phenomenon is known as "breast engorgement" or "breast hyperplasia," and it can occur in both male and female infants.
In your case, the hard lump you described, measuring about one centimeter in diameter, is likely not a cause for alarm. It is common for infants to experience some degree of breast tissue development, which can manifest as small lumps. These lumps are typically soft and can fluctuate in size. They are usually harmless and often resolve on their own as the infant grows and hormonal levels stabilize.
Regarding your concern about precocious puberty (early sexual maturation), it is important to note that true precocious puberty is characterized by the development of secondary sexual characteristics before the age of 9 in boys and before the age of 8 in girls. In infants, the presence of a hard lump does not necessarily indicate precocious puberty. However, if you notice other signs such as early breast development, pubic hair, or rapid growth, it would be advisable to consult a healthcare professional.
As for whether the lump will disappear on its own, many cases of benign breast tissue in infants do resolve naturally over time, often within a few months to a year. However, it is essential to monitor the lump for any changes in size, shape, or associated symptoms such as redness, warmth, or discharge, which could indicate an infection or other issues.
If you are concerned about the lump or if it does not seem to improve, it is a good idea to consult a pediatrician. They can perform a physical examination and determine if any further evaluation is necessary. If needed, the pediatrician may refer you to a pediatric endocrinologist or a pediatric surgeon for specialized care.
In summary, while a hard lump on your 7-month-old daughter's breast can be concerning, it is often a benign condition related to hormonal changes. Monitoring the lump and consulting with a pediatrician if you have concerns is the best course of action. They will provide you with the appropriate guidance and reassurance regarding your daughter's health.
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