Macromastia in advanced pregnancy: an infrequently encountered condition
DOI:
https://doi.org/10.18597/rcog.458Keywords:
gravidic gigantomastia, gestational macromastia, simple bilateral mastectomy, bromocriptine, reduction mammoplastyAbstract
Background: gigantomastia is a condition having uncertain aetiology which is characterised by diffuse, massive and incapacitating breast enlargement, often associated with local breast necrosis, infection, ulcers and bleeding, thereby leading to important morbidity and mortality. It is usually presented in non-pregnant adolescents, being a rare condition in pregnancy (less than 100 cases have been reported).
Case: this study presents a 31-year-old woman (G5 P3 A1 C0) having a 29-week gestation w it h bilateral, massive breast enlargement, complicated by infection, ulcers and necrosis on the right breast diagnosed by pathologist as being gestational gigantomastia. She was offered reduction mammoplasty but intraoperative haemorrhage lead to right simple mastectomy. After resolving anaemia with transfusions, left simple mastectomy was carried out in our hospital for a similar clinical presentation in the left breast. She delivered a healthy baby at 38 weeks’ gestation.
Conclusion: gestational gigantomastia is a rare condition, its management being extremely controversial. Surgical treatment consists of simple bilateral mastectomy eliminating infection and haemorrhagic sources threatening maternal and foetal life.
Author Biographies
Ivette Marina Romero-Pérez
Dairo Salazar
Álvaro Monterrosa- Castro
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