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Neonatal giant mastauxe: a case report.

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Giant mastauxe, a rare physiological breast enlargement in newborns, typically resolves spontaneously. Early diagnosis through clinical examination and imaging prevents unnecessary interventions for this benign condition.

Keywords:
breast enlargementcase reportgiant mastauxeneonate

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Area of Science:

  • Neonatology
  • Pediatric Endocrinology

Background:

  • Giant mastauxe is a rare physiological breast enlargement in newborns, defined by a breast bud diameter exceeding 3 cm.
  • While common in newborns, significant enlargement (giant mastauxe) can lead to parental concern and potential unnecessary medical interventions.

Purpose of the Study:

  • To describe a case of giant mastauxe in a neonate.
  • To highlight the diagnostic approach and management of this condition.
  • To emphasize the importance of differentiating giant mastauxe from infectious causes like neonatal mastitis.

Main Methods:

  • A case presentation of a 13-day-old male neonate with bilateral breast enlargement and milky discharge.
  • Clinical examination revealing bilateral breast swellings (3.6x3.8 cm right, 3.2x3.4 cm left).
  • Diagnostic workup including ultrasonography and laboratory tests (WBC, CRP, discharge culture) to rule out infection.

Main Results:

  • Ultrasonography showed hypoechoic breast tissue with minimal vascularization.
  • Laboratory tests and discharge cultures were normal, excluding infection.
  • The infant's breast swellings spontaneously reduced in size within two weeks of follow-up.

Conclusions:

  • Giant mastauxe is a benign condition often caused by hormonal influences.
  • Accurate diagnosis through clinical assessment and supportive investigations is crucial.
  • Management should focus on parental reassurance and observation, avoiding unnecessary treatments.