Macromastia of pregnancy: A unique presentation of this rare clinicohistopathological entity

ABSTRACT

The present case is a unique presentation of a patient who developed a small lump in her breast during her first pregnancy but it was only during her third pregnancy that it increased in size and became a huge fungating mass. Although, gigantic sizes of this pathologic entity have been reported, the present case had the involved breast hanging till below the inguinal ligament and required sling to support the breast. Since the pre-operative diagnosis was suggestive of cystosarcoma phylloides, no attempt at reconstructive surgery was contemplated.

KEY WORDS

Breast - macromastia

• REFERENCES

• 1 Ship AG. Shulman J. Virginal and gravid mammary gigantism: recurrence after reduction mammoplasty. Br J Plast Surg 1971; 24: 396-401
• 2 Jurkiewiez MJ. Stevenson TR. Plast and reconstr surg. In principles of Surg. Eds Schwartz SE. Shires GT. Spencer DD. Storer EH. (Principles of Surg; Vol 2). Singapore: McGraw Hill; 1984: 2101-50
• 3 Zargar AH. Laway BA. Masoodi SR. et al Unilateral gestational macromastia-an unusual presentation a rare disorder. Postgrad Med J 1999; 75: 101-3
• 4 Wolf Y. Pauzer D. Groutz A. Gigantomastia complicating pregnancy. Case report and review of literature. Acta Obstet Gynecol Scand 1995; 74: 159-63
• 5 Wolner-Hansen P. Palmer B. Sjoberg NO. Gigantomasti. Acta Obstet Gynecol Scand 1981; 60: 525-7
• 6 Gargan TJ. Goldwyn RM. Gigantomasia complicating pregnancy. Plast Reconstr Surg 1987; 80: 121-4
• 7 Zienert A.. Macromastia in pregnancy-normal or a complication? Zentralbl Gynakol. 1990; 112: 1303-7
• 8 Leis SN. Palmer B. Ostberg G. Gravid Macromastia. Scand J Plast Reconstr Surg 1974; 8: 247-9
• 9 Greely PW. Robertson LE. Curtin JW. Mastoplasty for bilateral benign breast hypertrophy associated with pregnancy. Ann Surg 1965; 162: 1081-3
• 10 Miller CV. Becker DW. Management of first trimester breast enlargement with necrosis. Plast Reconstr Surg 1979; 63: 383-6
• 11 Agarwal N. Kriplani A. Gupta A. Management of Gigantomastia complicating pregnancy. A case report. J Reprod Med 2002; 47: 871-4
• 12 Lewison EF. Jones GS. Trimble FH. et al Gigantomastia complicating pregnancy. Surg Gyecol Obstet 1958; 110: 215-23
• 13 Lafreniere R. Temple W. Ketcham A. Gestational macromastia. Am J Surg 1984; 148: 413-8
• 14 Miller CJ. Becker Jr DW. Management of first trimester breast enlargement with necrosis. Plast Reconstr Surg 1979; 63: 383-6