title: Massive asymmetric virginal breast hypertrophy.
abstract: Massive unilateral virginal breast hypertrophy in a 13-year-old girl was treated by right breast reduction, with removal of 2,968 g of breast tissue. A year later, the patient had enlargement of the left breast, and contralateral reduction mammoplasty was done. Two-year follow-up has shown no further enlargement. This case lends itself to a discussion with regard to the differential diagnosis of unilateral breast hypertrophy in adolescence. True virginal gigantomastia is relatively rare. Surgical reduction mammoplasty plays a pivotal role in the treatment of massive virginal breast hypertrophy.
authors.affiliation: Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
authors.forename: D T
authors.initials: DT
authors.lastname: Netscher
authors.forename: A M
authors.initials: AM
authors.lastname: Mosharrafa
authors.forename: R
authors.initials: R
authors.lastname: Laucirica
mesh_terms: D000293:Adolescent; D001940:Breast / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy; D016462:Mammaplasty