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Massive asymmetric virginal breast hypertrophy

D T Netscher1, A M Mosharrafa, R Laucirica

  • 1Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

Southern Medical Journal
|April 1, 1996
PubMed
Summary

Massive virginal breast hypertrophy, a rare condition, was treated with bilateral breast reduction surgery in a 13-year-old girl. Follow-up confirmed no further breast enlargement, highlighting surgical success.

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Area of Science:

  • Adolescent gynecology
  • Plastic surgery
  • Endocrinology

Background:

  • Virginal breast hypertrophy is a rare condition characterized by rapid, excessive breast growth during adolescence.
  • Unilateral presentation, while less common than bilateral, necessitates specific diagnostic and treatment considerations.
  • Early diagnosis and intervention are crucial for managing physical and psychological well-being.

Observation:

  • A 13-year-old female presented with massive unilateral virginal breast hypertrophy.
  • Initial treatment involved a right breast reduction, removing 2,968 grams of tissue.
  • Subsequent contralateral breast enlargement occurred, requiring a second reduction mammoplasty.

Findings:

  • Surgical reduction mammoplasty was effective in managing massive virginal breast hypertrophy.

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  • Bilateral surgical intervention resolved the issue, with no further enlargement noted at two-year follow-up.
  • The case underscores the importance of considering differential diagnoses for unilateral breast hypertrophy in adolescents.

    • Implications:

    • This case highlights the effectiveness of surgical reduction mammoplasty for virginal gigantomastia.
    • It emphasizes the need for a comprehensive approach to managing unilateral breast hypertrophy, potentially involving staged bilateral procedures.
    • Further research into the etiology and optimal management of virginal breast hypertrophy is warranted.