Compound in the breast in children
author: pediatrician Zheludkov AS
Condensation in the breast in children can occur for various reasons. The cause may be tumor growth (more often fibroadenoma). In girls, compaction (telarhex) in the breast can be the result of premature onset of the activity of the genital organs (ovaries). However, of particular interest is the increase in breast gland - gynecomastia.
What is the cause of gynecomastia?
Discussions of the seals in the breast gland are reflected in the relevant material in sufficient detail, but the children have their own peculiarities.
The development of gynecomastia is associated with the proliferation of breast gland tissue in boys and an increase in their size. The cause of the growth of breast gland is the excessive production of estrogen, or the decreased production of testosterone. Thus, the development of gynecomastia in children is associated with a violation of the equilibrium of sex hormones.
It should be noted that in newborn children there is a physiological gynecomastia. It is caused by an increased content of maternal hormones in the newborn's body and is observed in every second child.
In adolescence, boys have pubertal transient gynecomastia. Her manifestations are not noticeable in nature and in the process both of the baby's breast glands are used most often.
Hyperproduction of female hormones in the body of boys can be a manifestation of a number of diseases. For example, an elevated level of estrogen in the child's body is observed in testicular tumors, hypogonadism, impaired metabolism of sex hormones and other conditions.
In children, breast enlargement may occur due to excess fat deposition in the chest. In this case, the growth of the breast does not occur. In this case, they speak of a false gynecomastia.
Symptoms of gynecomastia during compaction
If the child is suspected of having gynecomastia, first of all answer the question whether true or false gynecomastia is observed in this case. Sometimes, when pressing on the area of an enlarged and compacted chest, pain may appear. This is a sign of rapid growth of the gland tissues. In addition, a secret of a different nature (colostrum, bloody, serous discharge) can separate from the nipple.
If the diagnosis of gynecomastia is not in doubt, determine the cause of the violation of the hormonal status of the child. Research the condition of the adrenal glands, kidneys, thyroid gland, liver, determine the level of testosterone, prolactin, the presence of signs of hypogonadism.
Treatment of a baby's gynecomastia in a child
In the period of neonatal and pubertal, gynecomastia usually passes without any treatment on its own. Parents and adolescents are informed that these manifestations are temporary and persist for 3 years.
The appointment of drug treatment is indicated, with persisting manifestations of more than three years, and also with unexplained (idiopathic) gynecomastia in children before puberty.
At the moment, there is some information about the effectiveness of androstanolone. This drug, diluted in a water-alcohol gel, is prescribed in the form of cutaneous applications 2 times a day.
The use of surgical methods of treatment is indicated if the symptoms of gynecomastia persist after the end of the pubertal period. The operation is to remove excess fat and glandular tissue.
Author: Rudenko M.G.
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