A case report of prepubescent idiopathic gigantomastia with pseudoangiomatous stromal hyperplasia

INTRODUCTION: This is an interesting case of a prepubescent female diagnosed and treated for gigantomastia, of unknown cause. PRESENTATION OF CASE: Gigantomastia treated with surgical intervention with the final pathology being that of Pseudoangiomatous stromal hyperplasia. DISCUSSION: 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. CONCLUSION: We describe our approach and successful surgical management, in such an unusual case, to add our experience to the limited reporting in the literature.