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Aesth Plast Surg (2011) 35:414417 DOI 10.1007/s00266-010-9597-4
CASE REPORT
Juvenile Gigantomastia in a 12-Year-Old Girl: A Case Report
F. Gentimi A. Ch. Loupatatzi K. P. Euthimoglou
E. G. Michailidou A. A. Tzovaras
A. D. Kaja N. S. Poniros M. V. Vasiliou
Received: 27 June 2010 / Accepted: 27 August 2010 / Published online: 7 October 2010 Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2010
Abstract Juvenile gigantomastia is a rare, massive breast enlargement. It appears in adolescence and can affect one or both breasts of otherwise healthy girls. This report describes a case of a bilateral and symmetric gigantomastia in a 12-year-old girl.
Keywords Juvenile Gigantomastia Macromastia
Reduction mammaplasty
Juvenile gigantomastia is a rare, massive enlargement of one or both breasts in otherwise healthy adolescent girls. The etiology of this disorder remains unclear [1]. The exact diagnosis is established after other causes of gigantomastia have been excluded. Many surgical techniques have been performed to date, but the optimal surgical technique for reduction mammoplasty to manage gigantomastia remains controversial [2, 3]. We report a 12-year old girl with bilateral and symmetric gigantomastia who was treated successfully using a modied Pitanguy reduction mammoplasty.
Case Report
A 12-year-old girl from the Philippines weighing 45 kg was referred to the plastic surgery department due to progressive, massive, bilateral, and symmetric breast enlargement during a 10-month period consistent with juvenile gigantomastia (Fig. 1). The girl had no family history of gigantomastia and was otherwise healthy. She was not receiving any drugs. Her blood count examinations were normal as were her hormonal tests of the hypothalamic-hypophysial axon. A pregnancy test was negative.
Urine 17-ketosteroid and 17-hydroxysteroid exhibited normal levels. Neither X-rays of the spine or sella turcica nor bone age showed any abnormality (Fig. 2). A breast ultrasound demonstrated brocystic disease. Chromosomal analysis described a normal 46 XX karyotype.
After denite diagnosis and because of the profound physical and psychological effects to the patient, she underwent surgery. We performed a bilateral reduction mammoplasty with preservation of the nipples and some areolar tissue to retain sensibility and future breastfeeding. We used the modied superior pedicle (Pitanguy method), thus preserving the normal embryologic relationship between the skin and the underlying gland, the nippleareolar...