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Virginal breast hypertrophy at puberty; a case report
P Sagot1, C Mainguené, P Barrière
1Department of Obstetric Gynecology, Nantes University Hospital, France.
Summary
Plastic surgery effectively reduced massive breast enlargement in an adolescent female diagnosed with virginal hypertrophy. This rare condition, characterized by rapid, excessive breast growth, was treated successfully with reduction mammoplasty and a free nipple graft.
Area of Science:
- Plastic Surgery
- Endocrinology
- Pathology
Background:
- Massive bilateral macromastia (enlarged breasts) can present in adolescents.
- Hormonal evaluation is crucial to rule out endocrine disorders.
- Virginal hypertrophy is a rare cause of adolescent macromastia.
Observation:
- An eleven-and-a-half-year-old girl presented with severe bilateral macromastia.
- Plastic surgery reduction with free nipple graft was performed.
- Hormonal studies showed no abnormalities.
Findings:
- Histopathological examination confirmed virginal hypertrophy.
- This diagnosis explains the infrequent etiology of adolescent macromastia.
- Surgical intervention was successful in managing the condition.
Implications:
- Virginal hypertrophy requires prompt diagnosis and management.
- Surgical reduction mammoplasty is an effective treatment option.
- Early intervention can improve quality of life for affected adolescents.