Are swollen breasts in young girls precocious? What tests should be done?

  Patient: In the middle of June 2008, when I gave my little girl a bath, I found enlarged breasts on both sides, but nothing else. I was too sloppy to pay attention to it before, and brought it to the local hospital, where it was said that an MRI of the brain and a sleeping injection were required, and the parents were worried. The doctor told the family to take it back and observe for half a month, saying that if it was a pseudo-development the lumps would recede. Now it’s almost a month later and no significant improvement. What should we do is there any other way to check? I am very anxious to get help, kind doctor help me! Laboratory tests, no tests Controlling the diet and not consuming anything with hormones has not been very effective. Is this condition of my daughter precocious? Can it be treated? Will it have any effect on future growth?  Meng Zhe, Department of Pediatrics, The Second Hospital of Sun Yat-sen University: Hello! From your description, it should be precocious puberty, but there are true precocious puberty and pseudo-precocious puberty, and partial precocious puberty. To clarify the cause, you need to be examined to be able to clarify. Of course, you can check in steps: 1, first distinguish whether it is true precocious puberty or pseudoprecocious puberty, that is, GnRHa excitation test, bone age, gynecological ultrasound to understand the development of the uterus and ovaries, etc., general pediatric endocrinologist will give you a clear answer.  2.If it is true precocious puberty, you must do MRI of head and saddle area, i.e. MRI.  3, of course, the doctor may do other tests such as AFP, HCG, etc. according to the situation.