Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Autor: Ho Yoon Jeong, Taewoo Kang, Heeseung Park, Kyoung Eun Kim, Su Bong Nam, Ju Young Go, Seong Hwan Bae
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Archives of Plastic Surgery, Vol 51, Iss 01, Pp 062-066 (2024)
Druh dokumentu: article
ISSN: 2234-6163
2234-6171
77150104
DOI: 10.1055/a-2181-8621
Popis: Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared with the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient's volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient's discomfort was resolved, and the shape and size of the breasts were satisfactory.
Databáze: Directory of Open Access Journals
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