The team reported that treatment with estrogen-suppressing drugs can be an option, with tamoxifen, usually associated with post-breast cancer patients, seemingly the most effective. Unfortunately, hormone manipulation is not always the best choice for adolescent girls (Güneş 1).
They explained that breast reduction is the most common approach to treating JHB, but the risk of recurrence is relatively high. In a paper published just last month, researchers from the U.S. agreed. In an article published in Plastic and Reconstructive Surgery, the Journal of the American Society of Plastic Surgeons, four physicians reported finding that mastectomy, while admittedly deforming the patient, was the procedure least likely to result in recurrence of JHB. (Hoppe 1).
Until more can be learned, then, there's no perfect solution for those who suffer from the condition. And because there's not yet a treatment that reliably yields a good outcome, it's important to seek out a doctor who's experienced with JHB. Patience, perseverance and partnership are key to finding the way forward.
Fortunately JHB is as rare as it is strange, and those who do develop one or both enlarged breasts in adolescence can take small comfort from the fact that the condition itself is benign.
The Hormone Foundation. The Endocrine System: Endocrine Glands and Types of Hormones. Web. July 31, 2011. http://www.hormone.org/Endo101/page2.cfm
Güneş, Dilek; Mutafoğlu-Uysal, Kamer; Canda, Tulay; Saydam, Serdar; Cemeroğlu, Ayse Pinar; Olgun, Nur. Unilateral juvenile (virginal) hypertrophy of the breast. The Turkish Journal of Pediatrics. 2008. Web. July 31, 2011.
ASAPS -- The American Society for Aesthetic Plastic Surgery. Breast Reduction. The Mark of Distinction in Aesthetic Plastic Surgery. Web. July 31, 2011. http://www.surgery.org/consumers/procedures/breast/breast-reduction
Hoppe, Ian C. B.A.; Patel, Priti P. M.D.; Singer-Granick, Carol J. M.D.; Granick, Mark S. M.D. Virginal Mammary Hypertrophy: A Meta-Analysis and Treatment Algorithm. Plastic and Reconstructive Surgery.