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Case Studies | Obstetrics and Gynecology | India | Volume 12 Issue 4, April 2023 | Rating: 4.9 / 10

Isolated Gigantomastia in Pregnancy: A Case Report

Dr. Jishma Jose | Dr. Jayashree Veerappa Kanavi | Dr. Sikha Thomas

Abstract: Introduction: Gestational Gigantomastia (GG) is rare clinical condition, which manifests itself by characteristically exacerbating and incapacitating hypertrophy of the breast only during pregnancy. Incidence range from 1 in 28, 000 to 1 in 100, 000 pregnancies. Case Report: In this case scenario we are reporting a patient at 8 months of amennorhea, with bilateral Gigantomastia, complaints of dyspnea and backache since 1 month. Patient was investigated for the same and all were within normal limits. Patient underwent Emergency Lower Segment Cesarean Section (LSCS) at 34 weeks of gestation in view of doppler changes with cerebro-placental reversal (CPR)for the fetus. Post surgery patient was followed up to note the size resolution. Discussion: The aetiology, risk factors and pathogenesis still remains unclear, Although the closest explanation is the hormone prolactin elevation during pregnancy can be considered responsible, other hypothesis include increased breast receptor sensitivity or underlying autoimmune conditions. Management is commonly surgical method by mastectomy, but for those who are not willing for surgical management, they can be conservatively treated with Bromocriptine. Conclusion: Gestational Gigantomastia is idiopathic clinical condition; effective treatment is to undergo breast reduction and reconstruction surgery. In this patient, she was treated medically.

Keywords: Gestational Gigantomastia, Breast, Case report, Mastectomy, Reconstruction, Bromocriptine

Edition: Volume 12 Issue 4, April 2023,

Pages: 1460 - 1462