Rahman G A, Adigunt I A, Yusuf I F, Bamigbade D P
Department of Surgery, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
West Afr J Med. 2007 Jul-Sep;26(3):250-2.
Breast hypertrophy presents at puberty or thereafter. It is a condition of abnormal enlargement of the breast tissue in excess of the normal proportion. Gland hypertrophy, excessive fatty tissue or a combination of both may cause this condition. Macromastia can be unilateral or bilateral.
To present a case of massive bilateral gigantomastia with huge bilateral hypertrophy of the axillary breasts.
Review of the prentation, clinical and investigative findings aswell as the outcome of surgical intervention of a young Nigerian woman with bilateral severe breast hypertrophy and severe hypertrophy of axillary breasts.
The patient was a 26-year-old woman who presented with massive swelling of her breasts and bilateral axillary swellings, both of six years duration.. In addition to the breast pathology, she also suffered significant psychological problems. The breast ultrasonography confirmed only diffuse swellings, with no visible lumps or areas of calcifiCation. She had total bilateral excision of the hypertrophied axillary breasts, and bilateral breast amputation with composite nipple-areola complex graft of the normally located breasts.The total weight of the breast tissues removed was 44.8 kilogram.
Macromastia of this size is very rare. This case to date is probably the largest in the world literature. Surgical treatment of the condition gives a satisfactory outcome.
乳房肥大在青春期或之后出现。它是一种乳房组织异常增大且超出正常比例的病症。腺体肥大、过多的脂肪组织或两者兼而有之都可能导致这种情况。巨乳症可以是单侧的或双侧的。
呈现一例双侧巨大乳房伴双侧腋下乳房巨大肥大的病例。
回顾一名患有双侧严重乳房肥大和双侧腋下乳房严重肥大的年轻尼日利亚女性的临床表现、临床及检查结果以及手术干预的结果。
患者为一名26岁女性，乳房和双侧腋下均出现巨大肿胀，持续时间均为六年。除了乳房病变外，她还存在严重的心理问题。乳房超声检查仅证实为弥漫性肿胀，未见明显肿块或钙化区域。她接受了双侧腋下肥大乳房的全切术，以及双侧乳房切除术，并对正常位置的乳房进行了复合乳头乳晕复合体移植。切除的乳房组织总重量为44.8千克。
如此大小的巨乳症非常罕见。迄今为止，该病例可能是世界文献中最大的。该病症的手术治疗取得了满意的效果。
