GESTATIONAL GIGANTOMASTIA: A CASE REPORT

Abstract

Introduction: Gestational Gigantomastia is rare condition characterized by rapid, and unnecessary breast growth, that reduced quality of life in pregnancy. The pathophysiology is not fully clear, although hormonal especially prolactin changes in pregnancy are considered responsible.

Case Reoprt: In this case patient presented with bilateral Gigantomastia for past 10 months. Her hormonal levels within normal range. There was no complication occur in her gestation. She was not willing for normal delivery. So, elective cesearen section was performed at 39 weeks. After delivery her breast size remain same and there was no sign of resolution. At 2 months postpartum, she was undergoing total bilateral mastectomy and then breast reconstruction.

Discussion: The etiology and pathophysiology of this disease still unknown but variors studies suggest that it is due to hormonal imbalance. Hematology, endocrinology and biopsy should be performed for diagnose this disease. Conservative management with bromocriptine is recommended. Total mastectomy and breast reconstruction is indicated after delivery or in case of any complication during pregnancy.

Conclusion: The effective treatment for this condition is surgical interventions for women who wish future pregnancies.