title: [Bilateral gestational macromastia: case report].
abstract: 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.
authors.affiliation: Institut du cancer de Dakar, université Cheikh Anta Diop de Dakar, BP 6604, Dakar-Etoile, Sénégal. adehdem@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Dem
authors.forename: H
authors.initials: H
authors.lastname: Wone
authors.forename: M E
authors.initials: ME
authors.lastname: Faye
authors.forename: J M
authors.initials: JM
authors.lastname: Dangou
authors.forename: P
authors.initials: P
authors.lastname: Touré
mesh_terms: 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