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Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report

Gestational gigantomastia (GGM) is a rare condition characterized by a massive overgrowth of breast tissue during pregnancy. Surgical sanction may be required when conservative measures fail. In this study, we report the case of a 29-year-old woman who presented with an evolutive GGM responsible for...

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Autores principales: Hassayoune, Noureddine, Mhallem Gziri, Mina, Lentini, Audrey, Chrelias, Theodoros, Hammer, Jennifer, Berlière, Martine, Lengelé, Benoît, Coyette, Maude
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220097/
https://www.ncbi.nlm.nih.gov/pubmed/34189231
http://dx.doi.org/10.1016/j.jpra.2021.04.011
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author Hassayoune, Noureddine
Mhallem Gziri, Mina
Lentini, Audrey
Chrelias, Theodoros
Hammer, Jennifer
Berlière, Martine
Lengelé, Benoît
Coyette, Maude
author_facet Hassayoune, Noureddine
Mhallem Gziri, Mina
Lentini, Audrey
Chrelias, Theodoros
Hammer, Jennifer
Berlière, Martine
Lengelé, Benoît
Coyette, Maude
author_sort Hassayoune, Noureddine
collection PubMed
description Gestational gigantomastia (GGM) is a rare condition characterized by a massive overgrowth of breast tissue during pregnancy. Surgical sanction may be required when conservative measures fail. In this study, we report the case of a 29-year-old woman who presented with an evolutive GGM responsible for physical and emotional distress, despite medical treatment. A multidisciplinary decision was made to induce delivery at 32 weeks. In the postdelivery period, the patient developed breast wounds, complicated with septic cardiomyopathy. An emergency bilateral mastectomy was then carried out, together with banking of both nipple-areola complexes. Thereafter, delayed bilateral 2-stage breast reconstruction was started at 12 months with subcutaneous tissue expanders, later on followed by implants removal and autologous reconstruction with bilateral deep inferior epigastric artery perforator flaps and bilateral nipple replantation.
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spelling pubmed-82200972021-06-28 Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report Hassayoune, Noureddine Mhallem Gziri, Mina Lentini, Audrey Chrelias, Theodoros Hammer, Jennifer Berlière, Martine Lengelé, Benoît Coyette, Maude JPRAS Open Case Reports and Short Communication Gestational gigantomastia (GGM) is a rare condition characterized by a massive overgrowth of breast tissue during pregnancy. Surgical sanction may be required when conservative measures fail. In this study, we report the case of a 29-year-old woman who presented with an evolutive GGM responsible for physical and emotional distress, despite medical treatment. A multidisciplinary decision was made to induce delivery at 32 weeks. In the postdelivery period, the patient developed breast wounds, complicated with septic cardiomyopathy. An emergency bilateral mastectomy was then carried out, together with banking of both nipple-areola complexes. Thereafter, delayed bilateral 2-stage breast reconstruction was started at 12 months with subcutaneous tissue expanders, later on followed by implants removal and autologous reconstruction with bilateral deep inferior epigastric artery perforator flaps and bilateral nipple replantation. Elsevier 2021-05-18 /pmc/articles/PMC8220097/ /pubmed/34189231 http://dx.doi.org/10.1016/j.jpra.2021.04.011 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Reports and Short Communication
Hassayoune, Noureddine
Mhallem Gziri, Mina
Lentini, Audrey
Chrelias, Theodoros
Hammer, Jennifer
Berlière, Martine
Lengelé, Benoît
Coyette, Maude
Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report
title Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report
title_full Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report
title_fullStr Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report
title_full_unstemmed Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report
title_short Severe Gestational Gigantomastia: from Mastectomy to Staged Autologous Breast Reconstruction. A Case Report
title_sort severe gestational gigantomastia: from mastectomy to staged autologous breast reconstruction. a case report
topic Case Reports and Short Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8220097/
https://www.ncbi.nlm.nih.gov/pubmed/34189231
http://dx.doi.org/10.1016/j.jpra.2021.04.011
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