[Bilateral gestational macromastia: case report].
OBJECTIVE
We report a case of bilateral gestationnal macromastia in order to discuss the pathogeny, the diagnosis and the treatment.


METHODS
It was a case of a 33-year-old woman, admitted for a bilateral massive hypertrophy of the breast occurring on pregnancy and with progressive evolution. She had three pregnancies and one born-infant. Biological exams have shown a hyperprolactinemia. Pathological exam of the mammary biopsy had shown a benign hyperplasia.


RESULTS
Medical treatment of our patient by bromocriptin was inefficient. She has had a bilateral mastectomy. She is waiting for mammary plastic surgery.


CONCLUSIONS
Gravidic macromastia is a rare pathology whose etiology and treatment are much debated. Frequent recurrence after mammary reduction justify the mastectomy followed by prothesis.
Dem
A
A
Institut du cancer de Dakar, université Cheikh Anta Diop de Dakar, BP 6604, Dakar-Etoile, Sénégal. adehdem@gmail.com
Wone
H
H
Faye
M E
ME
Dangou
J M
JM
Touré
P
P
D000328:Adult; D001940:Breast / Q000473:pathology* / Q000601:surgery; D001941:Breast Diseases / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000601:surgery; D008408:Mastectomy; D011247:Pregnancy; D011248:Pregnancy Complications / Q000473:pathology* / Q000601:surgery