Is a 9-year-old girl having hard lumps in both breasts a sign of precocious puberty?

Patient's question:

A 9-year-old girl has lumps in both breasts. Is it precocious puberty? Please ask how to treat it.

Doctor's answer:

For girls, the onset of secondary sexual characteristics before the age of eight is considered precocious puberty. For a nine-year-old girl, the development of breast growth should be considered the beginning of puberty. If there are hard lumps in both breasts, it should be considered whether the breast development is caused by the onset of puberty. If you still feel, you can consult a local gynecologist for a check-up, and if necessary, have sex hormone and bone age tests.

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