The Place of Reductive Surgery in the Management of Gestational Ulcerative Gigantomastia: A Case Report at Sourô Sanou Teaching Hospital.

Autor: Roland SO; Department of Surgery of the CHUSS of Bobo Dioulasso, Burkina Faso., Cyprien Z; Department of Surgery of the CHUSS of Bobo Dioulasso, Burkina Faso., Damien K; Department of Surgery of the CHUSS of Bobo Dioulasso, Burkina Faso., Adama D; Department of Gynecology and Obstetrics of the CHUSS of Bobo Dioulasso, Burkina Faso., Valentin K; Department of Anatomo-Pathology of the CHUSS of Bobo Dioulasso, Burkina Faso., Nassirou Y; Department of Surgery of the CHUSS of Bobo Dioulasso, Burkina Faso., Moussa B; Department of Gynecology and Obstetrics of the CHUSS of Bobo Dioulasso, Burkina Faso.
Jazyk: angličtina
Zdroj: Case reports in surgery [Case Rep Surg] 2019 May 20; Vol. 2019, pp. 7946240. Date of Electronic Publication: 2019 May 20 (Print Publication: 2019).
DOI: 10.1155/2019/7946240
Abstrakt: Introduction: Gestational gigantomastia is a rare benign disease of unknown cause. We report a case of bilateral gigantomastia in pregnancy in order to locate the place of reductive surgery in its care which is quite controversial.
Case: A 25-year-old woman gravida 2 para 1 was referred for an exaggerated bilateral breast enlargement at 32-week gestation. The examination showed bilateral giant breasts with collateral venous circulation and trophic changes marked by the necrosis of the distal third of the mammary skin involving the nipple-areolar complex. She underwent a biopsy of the ulcerative breast tissue, and the histology report did not show a malignant cell. After active foetal lung maturation and induced delivery, a breast reductive surgery with nipple plasty was performed 21 days postpartum. The postoperative course was marked by a period of lymphangitis. The cosmetic and psychological result was satisfactory at 6 months and at 18 months.
Conclusion: Gestational gigantomastia is a benign disease that can simulate carcinomatous mastitis. The breast reductive plasty keeps its place in our context.
Databáze: MEDLINE
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