Tamoxifen as first-line treatment in a premenarchal girl with juvenile breast hypertrophy

J Pediatr Adolesc Gynecol. 2010 Oct;23(5):e133-6. doi: 10.1016/j.jpag.2009.11.003.

Abstract

Background: Juvenile breast hypertrophy is uncommon and is characterized by excessive breast enlargement in the peripubertal period. The clinical entity is thought to result from increased sensitivity of mammary tissue to normal levels of circulating hormones.

Case: Here, we report a female patient, aged 12 years and 6 months, suffering from juvenile breast hypertrophy, who presented at the third month of symptoms and benefited from tamoxifen treatment.

Comments: In experienced clinics, use of tamoxifen in the treatment of juvenile breast hypertrophy during the brisk growth period may become a medical alternative to reconstructive surgery.

Publication types

  • Case Reports

MeSH terms

  • Breast / abnormalities
  • Breast / pathology*
  • Child
  • Female
  • Humans
  • Hypertrophy / drug therapy
  • Selective Estrogen Receptor Modulators / therapeutic use*
  • Tamoxifen / therapeutic use*

Substances

  • Selective Estrogen Receptor Modulators
  • Tamoxifen

Supplementary concepts

  • Gigantomastia