title: Management of first trimester breast enlargement with necrosis.
abstract: We describe our management of two patients who had massive breast enlargement with necrosis in the first trimester. First, a therapeutic abortion was done to stop the breast growth, then we skin grafted the large ulcerated areas on the breasts, and finally we did a simple mastectomy with silicone gel implants for reconstruction. The latter procedure was to prevent almost certain recurrence of the problem during any succeeding pregnancy.
mesh_terms: D000032:Abortion, Therapeutic; D000293:Adolescent; D000328:Adult; D001941:Breast Diseases / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D004394:Dydrogesterone / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008408:Mastectomy; D009336:Necrosis; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery*; D011261:Pregnancy Trimester, First; D016038:Skin Transplantation; D013518:Surgery, Plastic
chemical_list: D004394:Dydrogesterone