Journal of

Case Reports and Images in Surgery

 
     
Case Report
 
Gestational gigantomastia: A case report
Faisal Alotaibi
MD, SB-SURG, Department of general surgery, prince sultan Riyadh military medical city, Riyadh, Saudi Arabia.

Article ID: 100033Z12FA2016
doi:10.5348/Z12-2016-33-CR-25

Address correspondence to:
Faisal Alotaibi
MD, SB-Surg, Department of general surgery
Prince sultan Riyadh military medical city
Riyadh
Saudi Arabia, 4584-13214

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How to cite this article:
Alotaibi F. Gestational gigantomastia: A case report. J Case Rep Images Surg 2016;2:97–100.


Abstract
Introduction: 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.
Case Report: 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.
Conclusion: 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.

Keywords: Gigantomastia, Stromal Hyperplasia, PASH


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Author Contributions
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
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Faisal Alotaibi. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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