Extreme gigantomastia in pregnancy: case report—my experience with two cases in last 5 years

Abstract

We present an extreme case of gigantomastia in pregnancy during the second gemelar pregnancy of a 30-year-old woman. Her first pregnancy was 8 years ago, was also gemelar and she delivered with caesarean section. From the beginning of her current pregnancy, the patient noted steady growth of both of her breasts that reached enormous dimensions at the end of the pregnancy. This kind of breast changes did not occur during her first pregnancy. The patient also suffered from myasthenia gravis that was in remission during this pregnancy, without any therapy. The patient was in the 38 weeks of gestation, and a delivery with caesarean section was performed in line with the reduction of her breasts. The main reasons that led me to perform these two interventions as one act were the fact that puerperal mastitis could develop on these enormous breasts, further the small regression of these huge breasts during the bromocriptine treatment, as well as the intention to avoid other operative traumas, considering possibility of exacerbation of myasthenia gravis. I had already performed bilateral reduction mammaplasty with free areola-nipple graft, when a tissue with total weight of 20 kg (2 × 10 kg) was removed. The patient had an excellent post-operation recovery course.

Gestational gigantomastia: Asystematic review of case reports

“…[1] Although it can occur in any pregnancy, the occurrence of GG in one pregnancy is probably the strongest risk factor for its recurrence in subsequent pregnancies. [789] One significant risk factor which has not received much attention in the past is the concurrent presence of other autoimmune diseases. It is more common in patients with autoimmune conditions such as myasthenia gravis, systemic lupus erythematosus, rheumatoid arthritis or autoimmune thyroiditis.…”

Gestational gigantomastia with spontaneous resolution in an Indian woman

“…The incidence is more common among Caucasian women 7. The gigantomastia may occur during any pregnancy8 with an increased risk if previous pregnancies were complicated by gestational gigantomastia 9 10…”

Gigantomastia no ciclo gravídico-puerperal: relato de caso

“…A mastectomia bilateral é a técnica cirúrgica de mais fácil execução e que apresenta o menor risco de recidivas, mas tem pior resultado estético e compromete a lactação em gestações futuras. A mamoplastia é uma abordagem conservadora que deve ser considerada visando aspectos estéticos e a possibilidade de novas gestações 14 . A adoção de contracepção definitiva, como a laqueadura tubária, também pode ser considerada em conjunto com o procedimento cirúrgico para prevenir recidivas em pacientes com prole definida 12 .…”