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

Abstract EN

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.