Juvenile Gigantomastia: A Rare Case Treated by Reduction Mammoplasty

Abstract

Introduction: Gigantomastia is a rare benign disorder of the breast, in which the breasts undergo a massive hypertrophy and increase in size. It is the most serious anomalies of the female breast by means of their pathological enlargement. Juvenile Gigantomastia is a rare disease of unknown etiology which is characterized by a sudden and alarmingly rapid, continued growth of the breasts in the pubertal period. Case Report: We present a patient of 12 years with massive bilateral juvenile Gigantomastia. She had normal hormonal statuses and no other health issues including no such family history. It is usually associated with psychological effect on the patient and her family and physical disability due to excessive breast growth. Skin overlying the breasts was dark in color, without ulcerations, with visible enlarged superficial veins, the nipples were not well defined and areola were in wide area. Both nipples were positioned below the umbilicus. Patient was successfully treated surgically following principle of reduction Mammoplasty. 4.8 kilogram of tissue was excised in total from both sides. The histopathological report presented stromal proliferation, collagenization and fibrosis. It also revealed ductal hypertrophy. After six months follow up, though there are diffuse scar marks, both patient and her mother were satisfied with the aesthetic outcome. Conclusion: The management of Gigantomastia is operative treatment. This paper presents significant results and effects of plastic surgery, and the applied surgical method can be recommended for a successful management of juvenile Gigantomastia.