Gestational gigantomastia on a Saudi woman: A case report on surgical removal and reconstruction and management of complications, KFSH&amp;RC

Mahabbat, Nehal; Abdulla, Asma; Alsufayan, Fares; Al-Harbi, Abdullah; Rafique, Atif; Alqahtani, Moraya; hashem, Foad

doi:10.1016/j.ijscr.2020.10.080

Cited by 6 publications

(4 citation statements)

References 12 publications

(8 reference statements)

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“…According to the literature review by Shoma et al, among 46 articles, there were an equal number of cases, 16 each, where mastectomy and reduction mammoplasty were performed [6]. For the reconstruction methods following simple mastectomy, the majority involved delayed reconstruction using tissue expanders or direct-to-implant reconstruction [7,13,14]. In the case of delayed reconstruction, the use of the deep inferior epigastric artery perforator flap or implant exchange has been reported [3].…”

Section: Discussionmentioning

confidence: 99%

“… 6 For the reconstruction methods following simple mastectomy, the majority involved delayed reconstruction using tissue expanders or direct-to-implant reconstruction. 7 13 14 In the case of delayed reconstruction, the use of the deep inferior epigastric artery perforator flap or implant exchange has been reported. 3 There have also been reports of reconstruction using the latissimus dorsi muscle flap immediately after mastectomy, but finding reports on other reconstruction methods was extremely difficult.…”

Section: Discussionmentioning

confidence: 99%

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Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Yoon Jeong,

Kang,

Park

et al. 2023

Arch Plast Surg

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Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared to the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient’s volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient’s discomfort was resolved, and the shape and size of the breasts were satisfactory.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Yoon Jeong,

Kang,

Park

et al. 2023

Arch Plast Surg

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“…Immediate breast reconstruction has been described in GGM surgical management. 4 , 7 , 8 , 9 Nevertheless, skin retraction and wound healing issues are difficult to predict and could lead to poorer aesthetic results, or even to reconstruction failure. Therefore, a delayed approach is often offered to minimize these potential problems.…”

Section: Discussionmentioning

confidence: 99%

Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report

et al. 2021

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Summary Gestational gigantomastia (GGM) is a rare condition characterized by a massive overgrowth of breast tissue during pregnancy. Surgical sanction may be required when conservative measures fail. In this study, we report the case of a 29-year-old woman who presented with an evolutive GGM responsible for physical and emotional distress, despite medical treatment. A multidisciplinary decision was made to induce delivery at 32 weeks. In the postdelivery period, the patient developed breast wounds, complicated with septic cardiomyopathy. An emergency bilateral mastectomy was then carried out, together with banking of both nipple-areola complexes. Thereafter, delayed bilateral 2-stage breast reconstruction was started at 12 months with subcutaneous tissue expanders, later on followed by implants removal and autologous reconstruction with bilateral deep inferior epigastric artery perforator flaps and bilateral nipple replantation.

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“…Typically gigantomastia involves only mammary tissue, yet there are reports of other complications such as pulmonary hypertension [12]. While this pathology can occur outside of pregnancy, gestational gigantomastia is estimated to occur in 1 in 28,000-100,000 pregnancies worldwide [13][14][15][16]. It is hypothesized that both gestational and juvenile gigantomastia are hormonally mediated.…”

Section: Review Of Gigantomastia Etiology and Risk Factorsmentioning

confidence: 99%

Gestational Gigantomastia: Case Report and Review of Treatment Options

2024

Ann Case Report

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Gestational gigantomastia is a rare and devastating condition involving rapid and excessive enlargement of the breast tissue during pregnancy or postpartum. We review the workup, assessment, and care of a patient with gestational gigantomastia with superimposed mastitis. Conservative treatment, medical management, and surgical options should be explored with patients. It is also important for providers to be cognizant of the psychological impact of this condition.

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Gestational gigantomastia on a Saudi woman: A case report on surgical removal and reconstruction and management of complications, KFSH&RC

Cited by 6 publications

References 12 publications

Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report

Gestational Gigantomastia: Case Report and Review of Treatment Options

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