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CC BY-NC-ND 4.0 · AJP Rep 2020; 10(03): e304-e308
DOI: 10.1055/s-0040-1715174
Case Report

Interdisciplinary Approach for the Medical Management of Gestational Gigantomastia

Camila Cabrera 
1   Department of Obstetrics and Gynecology, UPMC, Pittsburgh, Pennsylvania
,
Mackenzy Radolec
1   Department of Obstetrics and Gynecology, UPMC, Pittsburgh, Pennsylvania
,
Angela Prescott
2   Department of Plastic Surgery, UPMC, Pittsburgh, Pennsylvania
,
Carolyn De La Cruz
2   Department of Plastic Surgery, UPMC, Pittsburgh, Pennsylvania
,
Stacy Beck
1   Department of Obstetrics and Gynecology, UPMC, Pittsburgh, Pennsylvania
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Abstract

Background Gestational gigantomastia is a rare and debilitating condition that is thought to result from hormone hypersensitivity. Several definitions have been proposed using breast weight and change in body mass index, but the breast growth is best summarized as rapid, diffuse, and excessive.

Case We report a case of a 31-year-old woman with a history of infertility and cystic fibrosis that developed pathologic breast growth during hormonal preparation for in vitro fertilization. Her serum laboratories were unremarkable, and she was medically managed until 31 weeks of gestation. After delivery, she experienced rapid decrease in breast size and was followed by plastic surgery with plan to allow spontaneous regression with interval breast reduction

Conclusion We highlight a successful interdisciplinary medical management approach, which helped to avoid a morbid, intrapartum breast reduction.

Keywords

gigantomastia - pregnancy - cystic fibrosis - infertility - medical management - interdisciplinary


Publication History

Received: 14 April 2020

Accepted: 08 May 2020

Article published online:
23 September 2020

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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