Juvenile gigantomastia: Subcutaneous mastectomy with primary reconstruction

Abstract

Introduction: One of the most serious anomalies of the female breast by means of their pathological enlargement is known as gigantomastia. Juvenile gigantomastia (JG) of the breasts is a rare disease of an unknown aetiology which is characterized by a sudden and alarmingly rapid, continued growth of the breasts in the pubertal period. Case report: We present two patients with massive bilateral JG. Both patients had normal hormonal statuses and denied any other health issues, including a positive family history for gigantomastia. Skin overlying the breasts was red in colour, without ulcerations, with visibly enlarged superficial veins, the nipples were not well defined from the surrounding skin and were positioned below the level of the umbilicus. Patients were successfully treated by means of a surgical technique consisting of a bilateral subcutaneous mastectomy with a primary reconstruction of the breasts using polyurethane implants and reconstruction of the nipple by the free nipple graft technique. The histopathological reports from both patients? biopsy specimens presented diffuse hyperplasia of the glandular and stromal tissue. Both patients had excellent aesthetic results with minimally visible postoperative scars. Conclusion: Surgical management of JG is the primary means of treatment. This paper presents significant results and effects of plastic surgery, and the applied surgical method can be recommended for a successful management of JG.