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Updated: Jun 24, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[Bilateral gestational macromastia: case report]
1Institut du cancer de Dakar, université Cheikh Anta Diop de Dakar, BP 6604, Dakar-Etoile, Sénégal. adehdem@gmail.com
Purpose:
We report a case of bilateral gestationnal macromastia in order to discuss the pathogeny, the diagnosis and the treatment.
Methodology:
It was a case of a 33-year-old woman, admitted for a bilateral massive hypertrophy of the breast occurring on pregnancy and with progressive evolution. She had three pregnancies and one born-infant. Biological exams have shown a hyperprolactinemia. Pathological exam of the mammary biopsy had shown a benign hyperplasia.
Results:
Medical treatment of our patient by bromocriptin was inefficient. She has had a bilateral mastectomy. She is waiting for mammary plastic surgery.
Conclusion:
Gravidic macromastia is a rare pathology whose etiology and treatment are much debated. Frequent recurrence after mammary reduction justify the mastectomy followed by prothesis.
