A case report of prepubescent idiopathic gigantomastia with pseudoangiomatous stromal hyperplasia

This is an interesting case of a prepubescent female diagnosed and treated for gigantomastia, of unknown cause.

Gigantomastia treated with surgical intervention with the final pathology being that of Pseudoangiomatous stromal hyperplasia.

Hormonal manipulation, as a treatment, was considered before surgical intervention. It was discarded as deemed, in accordance to published cases, to be slow and inconsistent and would not allow the breast tissue to regress.

We describe our approach and successful surgical management, in such an unusual case, to add our experience to the limited reporting in the literature.