Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention

Summary:. Gigantomastia is an exceedingly rare condition characterized by extraordinary growth of breasts during pregnancy, and its underlying etiology remains elusive. Although surgical intervention is the primary treatment modality, there have been emerging prospects for utilizing adjunctive medic...

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Main Authors: Misha A. Lemma, MD, Yisihak S. Debodina, MD, Martha F. Gebremedhin, MD, Meki K. Aman, MD, Don Eliseo III Lucero-Prisno, MD, MSc, PhD
Format: Article
Language:English
Published: Wolters Kluwer 2025-01-01
Series:Plastic and Reconstructive Surgery, Global Open
Online Access:http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006446
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author Misha A. Lemma, MD
Yisihak S. Debodina, MD
Martha F. Gebremedhin, MD
Meki K. Aman, MD
Don Eliseo III Lucero-Prisno, MD, MSc, PhD
author_facet Misha A. Lemma, MD
Yisihak S. Debodina, MD
Martha F. Gebremedhin, MD
Meki K. Aman, MD
Don Eliseo III Lucero-Prisno, MD, MSc, PhD
author_sort Misha A. Lemma, MD
collection DOAJ
description Summary:. Gigantomastia is an exceedingly rare condition characterized by extraordinary growth of breasts during pregnancy, and its underlying etiology remains elusive. Although surgical intervention is the primary treatment modality, there have been emerging prospects for utilizing adjunctive medical therapies, such as bromocriptine, to address this challenging condition. Herein, we report the case of a 26-year-old woman who experienced abrupt and asymmetric bilateral breast enlargement commencing in the second month of her pregnancy. Remarkably, this enlargement persisted for an extended duration of 3 years. Despite the absence of prior medical therapy involving bromocriptine or other interventions, the patient ultimately underwent a simple mastectomy coupled with nipple-areola complex reconstruction. Although bromocriptine treatment holds potential benefits, its availability may vary in different healthcare settings. Therefore, the consideration of surgical management as an alternative approach becomes crucial, particularly when bromocriptine is not accessible or proves ineffective. This approach ensures the appropriate management of gestational gigantomastia, with the choice of treatment tailored to the individual patient’s needs and resource availability.
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issn 2169-7574
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publishDate 2025-01-01
publisher Wolters Kluwer
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series Plastic and Reconstructive Surgery, Global Open
spelling doaj-art-1f1b316857074b499e1b9f1223db16c12025-01-24T09:19:58ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-01-01131e644610.1097/GOX.0000000000006446202501000-00043Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic InterventionMisha A. Lemma, MD0Yisihak S. Debodina, MD1Martha F. Gebremedhin, MD2Meki K. Aman, MD3Don Eliseo III Lucero-Prisno, MD, MSc, PhD4From the * St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaFrom the * St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaFrom the * St. Paul’s Hospital Millennium Medical College, Addis Ababa, EthiopiaFrom the * St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia† Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United KingdomSummary:. Gigantomastia is an exceedingly rare condition characterized by extraordinary growth of breasts during pregnancy, and its underlying etiology remains elusive. Although surgical intervention is the primary treatment modality, there have been emerging prospects for utilizing adjunctive medical therapies, such as bromocriptine, to address this challenging condition. Herein, we report the case of a 26-year-old woman who experienced abrupt and asymmetric bilateral breast enlargement commencing in the second month of her pregnancy. Remarkably, this enlargement persisted for an extended duration of 3 years. Despite the absence of prior medical therapy involving bromocriptine or other interventions, the patient ultimately underwent a simple mastectomy coupled with nipple-areola complex reconstruction. Although bromocriptine treatment holds potential benefits, its availability may vary in different healthcare settings. Therefore, the consideration of surgical management as an alternative approach becomes crucial, particularly when bromocriptine is not accessible or proves ineffective. This approach ensures the appropriate management of gestational gigantomastia, with the choice of treatment tailored to the individual patient’s needs and resource availability.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006446
spellingShingle Misha A. Lemma, MD
Yisihak S. Debodina, MD
Martha F. Gebremedhin, MD
Meki K. Aman, MD
Don Eliseo III Lucero-Prisno, MD, MSc, PhD
Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention
Plastic and Reconstructive Surgery, Global Open
title Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention
title_full Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention
title_fullStr Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention
title_full_unstemmed Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention
title_short Surgical Management of Gestational Gigantomastia: A Case Report Highlighting Therapeutic Intervention
title_sort surgical management of gestational gigantomastia a case report highlighting therapeutic intervention
url http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006446
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