Breast reconstruction after mastectomy for gestational gigantomastia.

摘要

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.A 24-year-old woman (G1P0) presented at 24爓eeks gestation with massive hypertrophy of her breasts. A decision to operate was made by a multidisciplinary team. At 30爓eeks gestation, bilateral mastectomies were performed, with removal of more than 8爇g per side. Reconstruction was started 10爉onths after delivery using tissue expanders followed by definitive implants.GGM can be successfully reconstructed. Knowledge of the treatment process and the expected outcomes can help clinicians inform their patients. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .