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玛西亚·赫尔曼-吉登斯（Marcia Herman-Giddens）在北卡罗来纳州达勒姆的杜克大学医学中心担任儿童虐待团队负责人。在对遭受虐待的女孩进行评估时，她注意到一个现象：不少孩子在6岁或7岁时就已经开始出现乳房发育。