RT Journal A1 Allaben RD T1 PRemenarchal breast nodules JF JAMA JO JAMA YR 1979 FD August 17 VO 242 IS 7 SP 618 OP 618 DO 10.1001/jama.1979.03300070016015 UL http://dx.doi.org/10.1001/jama.1979.03300070016015 AB To the Editor.—  In addition to the proper answers to the question regarding a breast nodule in a premenarchal girl (241:1621, 1979), I believe there is another cause of unilateral breast nodules. This is local self-trauma. It usually occurs in the breast opposite the child's handedness and often is seen when the child has a sibling or good friend who is beginning to experience normal breast development. The treatment is reassurance of the child as well as the parents.