Grundlagen

Zusammenfassung

Die pubertäre Entwicklung der weiblichen Brust wird als Thelarche bezeichnet und steht unter dem Einfluss der weiblichen Sexualhormone. In Mitteleuropa setzt die Thelarche derzeit durchschnittlich mit 11 Jahren ein. Nach Tanner [1] durchläuft die physiologische Reifung 5 typische Stadien innerhalb eines Zeitraums von knapp 4 Jahren (⊡ Abb. 1.1, Tabelle 1.1). Durchaus physiologisch ist ein meist einseitiger — vorwiegend linksseitiger — Entwicklungsbeginn. Im weiteren Verlauf der Entwicklung gleicht sich die dadurch entstehende Seitendifferenz weitestgehend aus, wobei geringe persistierende Unterschiede bis etwa 50 g als physiologisch angesehen werden. Etwa im Alter von 17 Jahren ist die Entwicklung der reifen weiblichen Brust mit Erreichen des Tanner-Stadiums B5 abgeschlossen. In Einzelfällen kann auch im Erwachsenenalter die Knospenbrust, Tanner-Stadium B4, persistieren.

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Literatur

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© Springer-Verlag Berlin Heidelberg 2004

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  • K. Bock

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