Pat writes:
> I have a client whose 10-year-old daughter has a firm lump under the
> nipple/areola on one breast.  The lump is between a quarter and half
dollar
> size and is graspable and "hard."

This is a breast bud. Congratulate her, she's becoming a woman.
One side usually starts before the other.
I'd make an event of it and suggest that she and Mom go out for lunch to
celebrate. (yes, I'm serious) This sets all the "changes" coming into a
positive framework and will help maintain a open channel for future
dicussions of "growing up" stuff.


Gail
Gail Hertz, MD, IBCLC
Pediatric Resident
author of the little green breastfeeding book - disclaimer: owner of Pocket
Publications