Does a hard lump in a child's breast mean precocious puberty?

Written by Zeng Hai Jiang
Pediatrics
Updated on September 02, 2024
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Children's breasts have lumps, and it is indeed necessary to consider whether it is precocious puberty, but there are other conditions that can cause lumps in children's breasts. For example, cysts or other solid occupying lesions. Besides the development of secondary sexual characteristics, including the development of breasts, growth of axillary hair, and even menstruation in girls, if these secondary sexual characteristics appear before the age of nine and are accompanied by a recent rapid growth in height, then we need to consider the possibility of precocious puberty.

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Written by Zeng Hai Jiang
Pediatrics
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What should I do if precocious puberty is not treated in time?

Precocious puberty is defined as the abnormal condition where secondary sexual characteristics develop before the age of eight in girls and nine in boys. The harm of this disease includes shorter adult height, earlier sexual behavior, and suppressed personality, among other effects. The principle of treatment primarily focuses on improving the child's adult height, with treatments mainly including medication and etiological treatment. If diagnosed and treated early, the prognosis is generally good, and the final adult height can be significantly improved. If treatment is not administered in a timely manner, and the epiphyses of the bones have closed, it may not be possible to alter the final height.

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Written by Yan Xin Liang
Pediatrics
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What should I do if I find out my child is maturing early?

Interventional treatment for precocious puberty varies according to different causes. In principle, once diagnosed with central precocious puberty, aggressive pharmacological treatment is recommended, using inhibitory hormones to suppress development to pre-pubertal levels and inhibit further development of the ovaries and uterus. For peripheral precocious puberty or pseudoprecocious puberty, the cause must be removed. Clinically, if a child accidentally ingests their mother's contraceptive pills causing transient vaginal bleeding, it is essential to carefully inquire about the medical history, thoroughly understand the cause, and determine the treatment method. Also, ask if there has been any special dietary intake recently, including foods or drinks high in estrogen, and if so, remove the cause for treatment.

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Written by Quan Xiang Mei
Pediatrics
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Premature breast pain has now stopped hurting, does that mean it's healed?

When girls develop breasts before the age of eight, they may experience pain at the breast bud nodules. Pain does not necessarily mean recovery; it is possible that as the breast bud enlarges, the pain will naturally disappear. Whether treatment is needed once precocious puberty occurs and whether it has reached a level of cure mainly depends on the assessment through pediatric bone age, gonadal ultrasound examinations, or a combination of brain pituitary MRI and blood hormone levels to analyze the severity of the condition. For mild cases, with appropriate medication, diet, and exercise guidance, children can reach a basic level of clinical cure. Severe cases require the control of the child's sexual development through the injection of gonadal hormones or hormone-releasing analogues. Psychological impacts due to early sexual development may also necessitate behavioral and psychological interventions.

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Written by Huang Kun Mei
Pediatrics
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Should people with precocious puberty eat fewer eggs?

Children with precocious puberty can normally eat eggs, but they should avoid eating fried foods, including chicken. It is also important to determine the cause of the child's precocious puberty, such as whether there is a hormone abnormality, for example, high levels of sex hormones, or if the child exhibits breast development, enlarged testicles, or premature growth of underarm and pubic hair, etc. It is necessary to check the child's sex hormones and growth hormones in a timely manner, including checking their bone age. If it is confirmed that the child indeed has precocious puberty, timely and targeted intervention treatments should be provided.

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Written by Yan Xin Liang
Pediatrics
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Will babies drinking soy milk lead to precocious puberty?

Soy milk is a rather nutritious food, containing rich plant protein and phospholipids, as well as vitamins B1, B2, and folic acid. Additionally, it contains iron, calcium, minerals, and other nutrients, making it an exceptional source of nutrition for children. It is generally fine for babies to drink soy milk in moderation as it can supplement various nutrients in the body. However, it should not be consumed in excess, as some studies have indicated that excessive consumption of soy milk could lead to pseudoprecocious puberty, which refers to early breast development. But, this is only pseudoprecocity, so there is no need for excessive worry. At the same time, attention should also be paid to other aspects of the diet, such as not consuming too many beverages and avoiding out-of-season vegetables.