title: "Gestational gigantomastia": a review article and case presentation of a new surgical management option.
abstract: BACKGROUND
  Gestational gigantomastia is a nightmare to pregnant women. The currently available surgical intervention is either reduction mammoplasty or simple mastectomy. Reduction mammoplasty carries high risk of recurrence. Simple mastectomy is a mutilating option for a benign condition.
  
  
  METHODS
  A thorough literature research was performed for all reported gestational gigantomastia cases. In addition, this study presents a case that was diagnosed and treated at the authors' center.
  
  
  RESULTS
  The patients' age mean age was 26.8 years. Surgical intervention is the only currently available curative option. The authors were able to introduce an alternative surgical technique: bilateral subcutaneous mastectomy (BSCM) with latissimus dorsi muscle flaps (LDF) and free nipple areola complex grafting (FNAG).
  
  
  CONCLUSIONS
  Despite being a benign condition, gestational gigantomastia could turn to be a catastrophe. BSCM with LDF and FNAG represents an excellent alternative breast saving surgical option. It offers the advantage of restoring normal breast shape with no fear of future recurrences.
authors.affiliation: Surgery Department, Mansoura University, Mansoura, Egypt. ashoma@hotmail.com
authors.forename: Ashraf
authors.initials: A
authors.lastname: Shoma
authors.forename: Loai
authors.initials: L
authors.lastname: Elbassiony
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Amin
authors.forename: Khaled
authors.initials: K
authors.lastname: Zalata
authors.forename: Nirmeen
authors.initials: N
authors.lastname: Megahed
authors.forename: Mostafa
authors.initials: M
authors.lastname: Elkhiary
authors.forename: Hosam
authors.initials: H
authors.lastname: Abdelhafez
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Abdelaal
mesh_terms: D001940:Breast / Q000002:abnormalities / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D006984:Hypertrophy / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D016462:Mammaplasty / Q000379:methods*; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D055815:Young Adult