Resolution Of Gestational Gigantomastia With Termination Of Pregnancy.

J Ayub Med Coll Abbottabad

Department of Surgery, Hayatabad Medical Complex, Hayatabad-Peshawar, Pakistan.

Published: October 2018

AI Article Synopsis

  • Less than 100 cases of gestational gigantomastia have been documented, with unclear causes and risk factors.
  • A 47-year-old woman presented with severely enlarged and painful breasts during her 16th week of pregnancy, but lab tests and biopsies showed normal tissue.
  • Due to inadequate pain relief, the decision was made to terminate the pregnancy, after which she recovered quickly without needing further treatment.

Article Abstract

Less than 100 cases of gestational gigantomastia have been described in literature. The aetiology and risk factors are not well-established. Various treatments have been used with some consensus. We present the case of a 47-year-old female who presented to us with bilateral gigantomastia in her 16th week of gestation. She had massively enlarged breasts which were very painful. Relevant laboratory investigations were normal. An incisional biopsy done prior to, and two trucut samples at presentation to us, showed normal breast tissue proliferation. In the absence of adequate pain control, it was decided to electively terminate the pregnancy and give a trial of tamoxifen. She made a rapid recovery following termination without requiring the use of tamoxifen.

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