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Related Experiment Videos

Unilateral virginal breast hypertrophy.

G Ağaoğlu1, F Ozgür, Y Erk

  • 1Department of the Plastic and Reconstructive Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Annals of Plastic Surgery
|October 19, 2000
PubMed
Summary

This case study presents unilateral virginal breast hypertrophy in a teen, initially suspected as cystosarcoma phyllodes or fibroadenoma. Surgical treatment and reconstruction resulted in stable breast volume post-operatively.

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Area of Science:

  • Reproductive Medicine
  • Surgical Oncology
  • Pediatric Endocrinology

Background:

  • Unilateral virginal breast hypertrophy is a rare condition characterized by rapid, excessive breast growth in adolescent females.
  • Distinguishing it from neoplastic conditions like cystosarcoma phyllodes and fibroadenoma is crucial for appropriate management.

Observation:

  • A 16-year-old female presented with rapid, unilateral breast enlargement over 5 months.
  • Mammography suggested cystosarcoma phyllodes, and fine-needle aspiration biopsy indicated giant fibroadenoma, with some suspicious features.
  • Histopathological examination post-surgery confirmed virginal hypertrophy.

Findings:

  • Surgical intervention involving subcutaneous mastectomy and subpectoral silicone gel implant placement was performed.

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  • The patient achieved stable breast volume with no recurrence or contralateral breast growth at 4-year follow-up.

    • Implications:

    • This case highlights the importance of thorough histopathological evaluation for accurate diagnosis of breast hypertrophy.
    • Successful surgical management and reconstruction can provide satisfactory cosmetic and functional outcomes for patients with virginal breast hypertrophy.