RESOLUTION OF GESTATIONAL GIGANTOMASTIA WITH TERMINATION OF PREGNANCY
AbstractLess than 100 cases of gestational gigantomastia have been described in literature. The aetiology and risk factors are not well-established. Various treatments have been used with some consensus. We present the case of a 47-year-old female who presented to us with bilateral gigantomastia in her 16th week of gestation. She had massively enlarged breasts which were very painful. Relevant laboratory investigations were normal. An incisional biopsy done prior to, and two trucut samples at presentation to us, showed normal breast tissue proliferation. In the absence of adequate pain control, it was decided to electively terminate the pregnancy and give a trial of tamoxifen. She made a rapid recovery following termination without requiring the use of tamoxifenKeywords: Gigantomastia; Pregnancy; Gestational gigantomastia
Ohlsen L, Ericsson O, Beausang- Linder M. Rapid, massive and unphysiological breast enlargement. Eur J Plast Surg 1996;19(6):307–13.
Dafydd H, Roehl KR, Phillips LG, Dancey A, Peart F, Shokrollahi K. Redefining gigantomastia. J Plast Reconstr Aesthet Surg 2011;64(2):160–3.
Sharma K, Nigam S, Khurana N, Chaturvedi KU. Unilateral gestational macromastia--a rare disorder. Malays J Pathol 2004;26(2):125–8.
Pasta V, Redler A, Giofrè M, Merola R, Monti M. Observations and considerations on a case of Mondor's syndrome associated with gigantomastia. Ann Ital Chir 2011;82(6):481–5.
Antevski B, Jovkovski O, Filipovski V, Banev S. Extreme gigantomastia in pregnancy: case report—my experience with two cases in last 5 years. Arch Gynecol Obstet 2011;284(3):575–8.
Rezai S, Nakagawa JT, Tedesco J, Chadee A, Gottimukkala S, Mercado R, et al. Gestational Gigantomastia Complicating Pregnancy: A Case Report and Review of the Literature. Case Rep Obstet Gynecol 2015;2015:892369.