A breast bud generally does not suggest that there are any significant hormonal problems or that this is related to breast cancer (if there is a family history of breast cancer, I would mention it to your child s doctor). I do not think you need a second opinion at this time. This can cause it to become sore because of the constant manipulation. Once someone feels it, however, the family tends to follow it more closely, checking it frequently to see if it changes at all. There is no discharge from the nipple, no dimpling of the skin in the area, and no evidence of infection. It can be on only one side and is movable, not attached to the muscle or ribs beneath, and does not cause any pain. Oftentimes a small firm mass is appreciated right under the areolar (darker-colored) tissue on the chest. What you have described does sound very much like a breast bud, which is common particularly in girls at this stage. It sounds like your daughter is simply in the early beginnings of puberty.
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