Unilateral juvenile (virginal) hypertrophy of the breast.
We have read the case report entitled "Unilateral juvenile (virginal) hypertrophy of the breast" published in the Turkish Journal of Pediatrics (2008; 50: 278 281) To the best of our understanding, the patient is the first evaluated in the Department of Pediatric HematologyOncology, and the diagnosis was established with biopsy, which was performed following general surgery consultation. However, the medical history, age at onset of pathologically rapid breast enlargement as well as presence of erythema and tenderness are sufficient for a clinical diagnosis of "juvenile (virginal) hypertrophy of the breast" In addition, imaging studies are useful in further differential diagnosis of juvenile breast hypertrophy from benign or malignant tumors1,2. We think that the patient underwent an unnecessary invasive procedure since this entity is well known by pediatric endocrinologists and should be diagnosed based on history and physical examination. Furthermore, following the diagnosis, the patient was left untreated (as shown in Figure 1 in the article) owing to the stable clinical picture. However, it would have been more appropriate if the case underwent a surgical intervention by the end of pubertal development.
The Turkish journal of pediatrics