Alotaibi F. Gestational gigantomastia: A case report. J Case Rep Images Surg 2016;2:97–100.
Gigantomastia is a rare disorder characterized by excessive breast growth. Classified according to the etiology to Idiopathic, hormonal stimulation and drugs induced. The differential diagnosis of gigantomastia include fibroepithelial tumors such as fibroadenomas and cystosarcoma phyllodes and less likely malignant breast carcinoma. As the majority of gigantomastia cases are bilateral a malignant process is unlikely. Histopathologically the breast tissue shows varying degrees of stromal and ductal hyperplasia with dilatation. Collagenous fibrosis and cellular myxoid hyperplasia can sometimes be seen. There is often prominent ductal proliferation with cystic degeneration. Edema is a characteristic finding in both the interstitium and periductal regions.
We are reporting a case of 32-years-old female G4, P2+1 who presented with bilateral progressive breast enlargement over four months complicated by ulceration/infection and milk secretions. She underwent bilateral segmental mastectomy and started on bromocriptine, and the plan of management to be continued after delivery by reduction mammoplasty.
Gigantomastia defined as excessive breast growth of over 1.5 kg per breast. Classified to three groups according to the etiology. Diagnosis of this disease needs a histopathology and treatment always by surgical intervention with other modalities.
Faisal Alotaibi – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
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