What is the reason for a hard lump in one breast of a 7-year-old girl?

Patient's question:

7 years and 9 months. Height 130 cm. Weight 50 jin. Two weeks ago, suddenly felt a hard lump the size of a peanut. Painful to the touch. Hospital blood test results: Luteinizing hormone 0.32, Follicle-stimulating hormone 3.30, Prolactin 5.4, Testosterone less than 0.1.

Doctor's answer:

For children aged seven. If there is a lump on one side of the breast. it should be considered as a simple breast nodule in the child. In this case. you should first check with color Doppler ultrasound. Additionally. it is necessary to consider whether the child has precocious puberty. It may be necessary to measure sex hormone levels. ovarian ultrasound and pituitary MRI. If the child's luteinizing hormone is above 3.5-5.0. it should be considered as precocious puberty. The first-line drug for suppressing gonadal activation should be Dafetide.

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