Pregnancy-associated gigantomastia recurrence and ectopic breast after reduction mammaplasty: A case report

Abstract

It has been reported that majority of cases of gigantomastia, also known as breast hypertrophy and macromastia, occur during either pregnancy or puberty. Gigantomastia is a rare disorder that does not have a clear etiology or well-established risk factors. We present a 26-year-old female patient who appeared to have pregnancy-associated gigantomastia recurrence, large accessory breast and, ectopic breast tissue at external genital three years after bilateral breast reduction surgery. The patient successively underwent bilateral mastectomy and vulvar tumor resection. Breast hypertrophy and progenital ectopic breast were pathologically confirmed. This the first case of gigantomastia reported worldwide.

The Place of Reductive Surgery in the Management of Gestational Ulcerative Gigantomastia: A Case Report at Sourô Sanou Teaching Hospital

“…The probable associated risk factors are described. The disease occurs in multiparous according to some authors [2, 4, 9], rarely in nulliparous women [11]; in our case study and as reported by other authors [5, 8], it occurs in the second gravidity. White race more involved in the literature, is more an observation than just a rational explanation [12].…”

“…The last impose an immediate [7] or differed [11] reconstruction according to the local conditions. However, reductive surgery exposes to risk of recurrence in some rare cases that have been described [5]. We opted for this plastic surgery on a patient who rejected bilateral mastectomy despite counseling concerning the risk of recurrence even though she did not desire future pregnancy.…”

“…The authors are unanimous on the local care to be brought about the cutaneous ulceration and the inefficiency of the hormonal medical treatment [2, 3]. For this benign disease, the option between radical surgery with immediate reconstruction or differed reconstruction protecting against potential recurrence [7] and mammary reduction surgery exposed to recurrence is a scientific debate [2, 5].…”

Gestational gigantomastia complicated with mastitis

“…GG or gravida macromastia is defined as a disorder characterized by diffuse, extreme, and disabling enlargement of one or both breasts during pregnancy, which was first described in 1648 by Palmuth 1,2,6 . Its etiology is still unknown 1,7,8 .…”

Cutaneous Disorders of the Breast

“…• Definition: Breast hyperplasia, presenting as large breasts, may unusually be problematic for a number of reasons including postural abnormalities, backache, psychological disturbance, and submammary intertrigo. The condition may occur at puberty (O'Hare and Frieden 2000) or during pregnancy (Parker et al 2017;Zhou et al 2017b;Shoma et al 2011). Its etiology is obscure, but a suggested cause is increased sensitivity of the breast tissue to normal levels of circulating hormones.…”