Breast reconstruction after mastectomy for gestational gigantomastia.
BACKGROUND
Gestational gigantomastia (GGM) is a rare complication of pregnancy. Management usually is initiated with bromocriptine. If this is unsuccessful, surgery may be required. The surgical management may be by breast reduction or by mastectomy and delayed reconstruction.


METHODS
A 24-year-old woman (G1P0) presented at 24 weeks gestation with massive hypertrophy of her breasts. A decision to operate was made by a multidisciplinary team. At 30 weeks gestation, bilateral mastectomies were performed, with removal of more than 8 kg per side. Reconstruction was started 10 months after delivery using tissue expanders followed by definitive implants.


CONCLUSIONS
GGM can be successfully reconstructed. Knowledge of the treatment process and the expected outcomes can help clinicians inform their patients.


METHODS
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Department of Plastic Reconstructive and Hand Surgery, Academic Medical Center, University of Amsterdam, Meibergdreef 9, Postbus 22660, 1100 DD, Amsterdam, The Netherlands, olapid@yahoo.com.
Oren
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Lapid
D001940:Breast / Q000002:abnormalities / Q000503:physiopathology / Q000601:surgery; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D006984:Hypertrophy / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016462:Mammaplasty / Q000379:methods*; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D009558:Nipples / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis / Q000601:surgery*; D011256:Pregnancy Outcome; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult