Gestational Gigantomastia After Reduction Mammaplasty: Complication or Coincidence?

Gestational Macromastia: A Medical and Surgical Challenge

“…Others may have severe skin ulceration that will preclude the ability to perform a reduction mammaplasty. Although reduction mammaplasty was effective in this patient, previous reports have demonstrated that recurrence can occur (6).…”

“…The rapid increase in breast size can lead to pain, skin ulceration, infection, bleeding, and necrosis as well as difficulty with ambulation and performing activities of daily living. These complications have on occasion necessitated emergent mastectomy or termination of the pregnancy (3–10).…”

“…(1,12–14). Despite the initial reduction in breast volume following surgery, recurrence has been observed (6,7,10). Given this high likelihood of recurrence, it has been recommended that women have mastectomy rather than reduction mammaplasty in the event that future pregnancy is desired (1,2,7,9,12,14).…”

Management of Gestational Gigantomastia

“…Hormone profiles are intermittently reported by various authors, but no conclusive trends have been observed (Tables 1 and 2). [5][6][7]11,12,15,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] The notion that malignancy can cause gestational gigantomastia was proposed by Windom and McDuffie. 29 They reported a case of massive breast enlargement during pregnancy found postpartum to be massive lymphomatous infiltration from a non-Hodgkin's lymphoma.…”