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Benign Premature Thelarche

Aka: Benign Premature Thelarche

Pathophysiology
1. Benign self-limited cause of Precocious Puberty
Epidemiology
1. Onset as early as age 18 months
Signs
1. Early Breast development (not to mature Breast contour)
2. No other signs of Puberty
3. Normal prepubertal growth rate
Radiology
1. Bone age consistent chronological age
2. Ovarian ultrasound normal
Labs
1. Serum Gonadotropin levels normal
2. Serum Estradiol normal
Management
1. Reassurance
2. Do not biopsy Breast
  1. Biopsy results in partial Mastectomy
  2. Further Breast development abnormal post-biopsy
Course
1. Spontaneous resolution

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 2/5/2012.

This is one of 5663 pages in the Family Practice Notebook