ABSTRACT

Witch's milk is the common name given to the whitish discharge that comes from the breast tissue of babies due to stimulation by maternal hormones. Transplacental influx of maternal hormones may cause some breast enlargement and nipple discharge. Breast carcinoma is rare in children and adolescents. However, the scenario of erythema, skin oedema nipple retraction and breast asymmetry is worrisome for inflammatory breast cancer. Simple fibroadenomas are the most common breast lesion in adolescent females. The patient often finds these lesions during self-examination. Fibroadenomas are usually painless, but they may enlarge slightly and become uncomfortable for the patient's menstrual period. Breast cysts are well characterised on ultrasound and may be aspirated. Montgomery tubercle cysts present with brownish nipple discharge. Adolescent breasts are typically fibrous with small lumps and cysts present throughout the breast.