Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

A Rare Case of Gestational Gigantomastia with Hypercalcemia: The Challenges of Management and Follow up

Authors
Bahram Moazzami 1
Shahla Chaichian 2
Mohammad Reza Farahvash 3
Saeedeh Taheri 1
Seyed Ali Ahmadi 4
Majid Mokhtari 5
Kourosh Sheibani 6
1 Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran
2 Minimally Invasive Techniques Research Center in Women, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
3 Department of Plastic Surgery, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Pathology, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
5 Department of Medicine, Pulmonary and Critical Care Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6 Clinical Research and Development Center, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract
Background: Gigantomastia is a breast disorder marked by exaggerated rapid growth of the breasts, generally bilaterally. Since this disorder is very rare and has been reported only in sparse case reports its etiology has yet to be fully established. Treatment is aimed at improving the clinical and psychological symptoms and reducing the treatment side effects; however, the best therapeutic option varies from case to case. Case Presentation: The present report described a case of gestational gigantomastia in a 30-year-old woman, gravida 2, parity 1, 17 week pregnant admitted to Pars Hospital, Tehran, Iran, on may 2014. The patient was admitted to hospital at week 17 of pregnancy, although her breasts initially had begun to enlarge from the first trimester. The patient developed hypercalcemia in her 32nd week of pregnancy. The present report followed this patient from diagnosis until the completion of treatment. Conclusion: Although gestational gigantomastia is a rare condition, its timely prognosis and careful examination of some conditions like hyperprolactinemia and hypercalcemia is essential in successful management of this condition.
Keywords
Breast
Diagnosis
gestational age
Gigantomastia
Hypercalcemia
Iran
Therapeutics
Journal of Reproduction & Infertility
Volume 17, Issue 4
Autumn 2016
Pages 243-246