Chronic cough in a child: a novel therapeutic approach

malformations, as haemangiomas and lympahgiomas. Considering the absence of alarm signs for malignancy and a normal laboratory study and Doppler, it was decided to maintain surveillance and repeat the ultrasound. With temporal evolution, ultrasonographic follow-up revealed the presence of breast tissue. Timing of the tumefaction onset corresponded with thelarche of the child. Most breast changes during childhood and adolescence are benign. However, they lead to anxiety and concern among parents. Polymastia presupposes the presence of glandular tissue and its most frequent location is the lower axillary region. Residual breast tissue in the axilla results from a failure of regression of primitive mammary tissue along the embryonic milk line. It may only be palpable with hormonal stimulation, as during menarche. Considering the benign nature of polymastia, it usually does not have long-term consequences. However, its excision should be considered if there are considerable concerns regarding its aesthetic appearance; for prevention of painful growth during a future pregnancy or emergence of pathological lesions detected in normal breast tissue.