ACOG Committee Opinion No. 350, November 2006: Breast concerns in the adolescent.

Breast disease in the adolescent female encompasses an expansive array of topics. Benign disease overwhelmingly dominates the differential diagnosis and dictates a different protocol for care in the adolescent compared with the adult patient to avoid inappropriately high assessments of risk and unnecessary diagnostic procedures and surgery. There also are emerging issues pertaining to the care of the adolescent breast, such as breast augmentation, nipple piercing, and management of the adolescent patient with a family history of breast cancer.