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Real Doctors (Life Makers)  |  Clinical  |  Pediatrics  |  Case discussion  |  unilateral breast enlargement in 1 yr old girl « previous next »
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Author Topic: unilateral breast enlargement in 1 yr old girl  (Read 10700 times)
3abeer
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unilateral breast enlargement in 1 yr old girl
« on: /September/ 30, 2005, 09:40:45 AM »

a 1 yr old child, was brought 2 ur clinic by her motger, due 2 unilateral breast enlargement,
1- what would look for?
2- what is ur diagnosis, then?
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3abeer
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #1 on: /November/ 14, 2005, 04:33:53 AM »

1st:
look dor any signs of inflammation
2nd any other seconday sexual characteristics
if both are negative , the mother is reassured that this unilateral thelarce is a bengin condition & no need to worry

any comments Cool
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d.imad
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #2 on: /June/ 03, 2006, 07:33:38 AM »

could I ask the mother if she is taking any drugs (hormones)?
is there any malignancy that could present that way in this age??
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3abeer
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #3 on: /June/ 03, 2006, 09:18:47 AM »

we would think about hormones, if the patient is newborn, so this pic is common, due to the high maternal estrogen in pregnancy

the hormones, that i can think about here, is estrogen in Combined oral contaceptive pills, & their use is prohibitrd in lactating females, they should use instead mini pills ( progesterone only pillls)  Wink


regarding , tumors in peds ,
i didnt pass through any one that presents in asimilar weay. if u know any, we are happy 2 know it  Smiley
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d.imad
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #4 on: /June/ 04, 2006, 11:05:37 AM »

also if the condition is due to estrogen it would be bilateral & not unilateral ( I think)
I try to find a tumourpresenting like that , but for now I dont know.
thanks for the data about hormones
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dr-ghazwanshama
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #5 on: /June/ 06, 2006, 05:35:08 AM »

thanks dr 3abeer for this question .
you will first ask the mother is the enlargment since birth or not ,its tender ,is there any secondry sexual maturation [but i dont think it will be present]
then we will serch for any signe of inflamatin,
my openion it is infection [mastitis}
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3abeer
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #6 on: /June/ 06, 2006, 07:41:09 AM »

dr-ghazwanshama , welcome 2 thw team

what u have said is correct,
but as theres no signs of inflammation, this is premature thelarche

this is SHOULDNT be excised as some people do , this  Roll Eyes
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dr-ghazwanshama
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #7 on: /June/ 06, 2006, 12:51:55 PM »

thanks 3abeer for your answer but i think there must be other secondary sexual maturation befor thelarch develop,
becouse why its unilateral ,no pubic hair or axillary hair.
difintly the mass not excised ,befor hormonal study will done
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3abeer
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Re: unilateral breast enlargement in 1 yr old girl
« Reply #8 on: /June/ 07, 2006, 08:08:03 AM »

Quote
1st:
look dor any signs of inflammation


2nd any other seconday sexual characteristics
if both are negative , the mother is reassured that this unilateral thelarce is a bengin condition & no need to worry


dear dr ghazwanshama :

this a known condition in peds , just few days i faced a similar case
u can review that in nelson  Smiley
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