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妊娠性巨乳症合并假性血管瘤样间质增生——罕见病例报告

Gestational gigantomastia with pseudoangiomatous stromal hyperplasia - a case report of rare entities.

作者信息

Moore Sophia, Neblett Carlos, Appiah Kenneth, Thompson Rory

机构信息

Division of Plastic & Reconstructive Surgery, Department of Surgery, Kingston Public Hospital, North Street, Kingston, Jamaica.

Department of Pathology, University Hospital of the West Indies, Kingston, Jamaica.

出版信息

J Surg Case Rep. 2025 Jan 7;2025(1):rjae835. doi: 10.1093/jscr/rjae835. eCollection 2025 Jan.

DOI:10.1093/jscr/rjae835
PMID:39776831
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11705995/
Abstract

Gestational gigantomastia (GG) is a rare and severe clinical complication of pregnancy. It is characterized by dramatic and uncontrolled growth of the breasts, often leading to physical discomfort, psychological distress and significant surgical complications. Its pathophysiology is poorly understood; management options include conservative pharmacological and surgical interventions. Pseudoangiomatous stromal hyperplasia of the breast is a very rare, incidental, and histological diagnosis seen predominantly in women aged 30-40 years old, with the management generally involving surgical excision. The authors herein discuss an unusual case of bilateral GG complicated by pseudoangiomatous stromal hyperplasia in a premenopausal Caribbean woman, which is the second reported case in this population, with the first reported by one of our authors.

摘要

妊娠期巨乳症(GG)是一种罕见且严重的妊娠临床并发症。其特征为乳房急剧且不受控制地增大,常导致身体不适、心理困扰以及严重的手术并发症。其病理生理学尚不清楚;治疗选择包括保守的药物治疗和手术干预。乳腺假血管瘤样间质增生是一种非常罕见的、偶然发现的组织学诊断,主要见于30 - 40岁的女性,治疗通常包括手术切除。本文作者讨论了一例绝经前加勒比地区女性双侧GG合并假血管瘤样间质增生的罕见病例,这是该人群中报道的第二例,第一例由本文作者之一报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/cdaf0471cebb/rjae835f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/a698e4eee858/rjae835f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/17233699c29f/rjae835f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/cdaf0471cebb/rjae835f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/a698e4eee858/rjae835f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/17233699c29f/rjae835f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c537/11705995/cdaf0471cebb/rjae835f3.jpg

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本文引用的文献

1
Gestational gigantomastia-a rare entity complicated by life-threatening haemorrhage.
J Surg Case Rep. 2021 Apr 14;2021(4):rjab050. doi: 10.1093/jscr/rjab050. eCollection 2021 Apr.
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Gestational gigantomastia with fatal outcome.妊娠性巨乳症并致死结局。
Autops Case Rep. 2020 Nov 20;10(4):e2020213. doi: 10.4322/acr.2020.213.
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Gestational gigantomastia: A case report and brief review of the literature.妊娠期巨乳症:一例病例报告及文献简要综述。
JAAD Case Rep. 2020 Jul 21;6(11):1159-1161. doi: 10.1016/j.jdcr.2020.07.016. eCollection 2020 Nov.
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Pseudoangiomatous stromal hyperplasia - a benign and rare tumor of the breast in an adolescent: a case report.假性血管瘤样间质增生——青少年乳腺的一种罕见良性肿瘤:一例报告
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Gestational Gigantomastia: A Systematic Review of Case Reports.妊娠期巨乳症:病例报告的系统评价
J Midlife Health. 2017 Jan-Mar;8(1):40-44. doi: 10.4103/jmh.JMH_92_16.
6
Pseudoangiomatous Stromal Hyperplasia of the Breast: Multimodality Review With Pathologic Correlation.乳腺假血管瘤样间质增生:多模态影像学检查与病理对照研究
Curr Probl Diagn Radiol. 2017 Mar-Apr;46(2):130-135. doi: 10.1067/j.cpradiol.2016.01.005. Epub 2016 Feb 2.
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Redefining gigantomastia.重新定义巨乳症。
J Plast Reconstr Aesthet Surg. 2011 Feb;64(2):160-3. doi: 10.1016/j.bjps.2010.04.043. Epub 2010 Jun 8.
8
Pseudoangiomatous stromal hyperplasia (PASH): a brief review.假血管瘤样间质增生(PASH):简要回顾。
Int J Surg. 2011;9(1):20-2. doi: 10.1016/j.ijsu.2010.09.005. Epub 2010 Sep 29.
9
Gigantomastia--a classification and review of the literature.巨乳症——文献分类与综述
J Plast Reconstr Aesthet Surg. 2008;61(5):493-502. doi: 10.1016/j.bjps.2007.10.041. Epub 2007 Nov 28.
10
Management of gestational gigantomastia.妊娠期巨乳症的管理
Plast Reconstr Surg. 2006 Sep 15;118(4):840-848. doi: 10.1097/01.prs.0000232364.40958.47.