Rapid increase in breast volume in a 14-year old
Abakka Sanae , Ansari Chenguiti Anas
The Pan African Medical Journal. 2013;16:85. doi:10.11604/pamj.2013.16.85.3489

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Rapid increase in breast volume in a 14-year old

Cite this: The Pan African Medical Journal. 2013;16:85. doi:10.11604/pamj.2013.16.85.3489

Received: 16/10/2013 - Accepted: 07/11/2013 - Published: 08/11/2013

Key words: Juvenile gigantomastia, breast, macromastia

© Abakka Sanae et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/16/85/full

Corresponding author: Abakka Sanae, Department of Obstetrics, Gynaecology and High risk Pregnancies, Maternity Hospital Souissi – Ibn Sina teaching hospital of Rabat-Salé, Morocco (sanaeabakka@gmail.com)


Rapid increase in breast volume in a 14-year old

 

Abakka Sanae1,&, Ansari Chenguiti Anas1

 

1Department of Obstetrics, Gynaecology and High risk Pregnancies, Maternity Hospital Souissi – Ibn Sina teaching hospital of Rabat-Salé, Morocco

 

 

&Corresponding author
Abakka Sanae, Department of Obstetrics, Gynaecology and High risk Pregnancies, Maternity Hospital Souissi – Ibn Sina teaching hospital of Rabat-Salé, Morocco

 

 

Image in medicine

This 14 year-old girl presented with a 2-month history of massive increase in breast volume. She was peripubertal and became homebound ever since. On examination, she had an important bilateral and symmetric breast ptosis with widening of the nipple-areolar complex. No breast nodule, axillary lymphadenopathy or galactorrhea was found. Serum Calcium, FSH, LH, estradiol, progesterone, and prolactin were within normal range. Breast ultrasound revealed enlarged glands with zones of necrosis and ductal dilatation. Diagnosis of juvenile gigantomastia was made. She underwent free nipple graft reduction mammoplasty, with resection of 4450 g and 3850 g from the right and left breasts respectively. Pathology confirmed the macromastia. She relapsed 4 months after having her menarche, ie 8 months later, for which she had another reduction mammoplasty. Juvenile gigantomastia is a rare condition, in which local hypersensitivity for estrogen has been suggested. Surgical treatment is either reduction mammoplasty or subcutaneous mastectomy.

Figure 1: A) Front view of the gigantomastia; B) Lateral view

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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