Question

A 7-year-old 4-month-old girl has a hard lump in her right breast. The bone age examination shows that 10 out of 10 ossification centers have appeared in her left wrist, the ulna shaft is prominent, the sesamoid bone on the inside of the thumb has not appeared, and the epiphyseal lines of all metacarpophalangeal bones have not closed, as well as the distal epiphyseal line of the ulna has not closed.

Answer

  1. This condition is classified as precocious puberty, typically beginning in girls around the age of 9.5.
  2. According to the bone age examination results, the girl’s development has advanced by approximately 2 years, but an X-ray is needed for a definitive diagnosis.
  3. It is currently impossible to predict her final height. Generally, from the start of breast development, a girl’s height potential is about 25cm.
  4. Da Bu Yin Wan has a certain degree of relief effect on breast development with minimal side effects.
  5. If Da Bu Yin Wan is ineffective, it is recommended to undergo an LHRH stimulation test to determine whether needle treatment is necessary.