Juvenile Breast Hypertrophy: A Successful Breast Reduction of 14.9% Body Weight without Recurrence in a 5-Year Follow-Up

Hisham, Akmal; Latib, M Abd; Basiron, Normala

doi:10.1155/2017/3491012

Cited by 11 publications

(15 citation statements)

References 19 publications

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“…Traditional and faith healers have a lot of influence in our environment. In common with findings elsewhere our patients complained of intertrigo in the infra-mammary fold , (4) except that in our patients the intertrigo was smelly. Probably our warm environment enabled growth of bacteria that produce smelling gasses.…”

Section: Medical Researchsupporting

confidence: 92%

“…The weight of our study population ranged between 27 -33 kg , therefore we could not associate breast hypertrophy to an upsurge of obesity as noted in other studies . (2) We did not do breast imaging as it has been shown to be of little value due to dense breast tissue. (7) Although we did not detect malignancy in our histology specimens, the potential for malignancy in these hyperplastic breasts still exists.…”

Section: Medical Researchmentioning

confidence: 99%

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Effect of gigantomastia on School attendance

Mzezewa

2020

jmrhs

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Introduction. We have been seeing a number of juvenile/teenage girls presenting to our out patient department with gigantomastia/large breasts. These school going girls had not been attending school due to the large breasts and taunting by school mates as well as scrutiny by the public. Aims and Objectives. To do Reduction Mammoplasty. To do histological investigation. To encourage these teenage girls to go back to school. Materials and Methods. Nine juvenile/teenage girls aged between 11 and 16 years were prospectively enrolled for this study from 2016 to 2020. Eight had reduction mammaplasty and one had sub cutaneous mastectomy with free nipple graft. The specimens were weighed and sent for histology. Results. Nine juvenile/teenage girls were included. The age range was 11- 16 years and the weight range was 27-33 Kg. Loss of school attendance time was 3 months to 2 years. Median weight of excised breast tissue was 2.5(1.2 – 5 kg. Histology. Normal breast = 6, Fibroadenosis = 3. Conclusion. Gigantomastia affected school attendance by as much as two years. Reduction mammoplasty was our treatment of choice. Taunting and lack of fitting clothes affected self-esteem of these patients. The juvenile girls have now returned back to school.

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Section: Medical Researchsupporting

confidence: 92%

Section: Medical Researchmentioning

confidence: 99%

Effect of gigantomastia on School attendance

Mzezewa

2020

jmrhs

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“…This can lead to a significant limitation of the woman’s daily routine, resulting in psychological problems. Other entities, which must be differentiated from juvenile breast hypertrophy, are breast masses and idiopathic obesity [9, 10].…”

Section: Resultsmentioning

confidence: 99%

Breast Disorders in Adolescence: A Review of the Literature

et al. 2020

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Background: Adolescence is accompanied by a variety of changes in young breast development, which greatly affects the adolescent’s psychology and socialization. Summary: PubMed, EMBASE, and the Cochrane Library were searched for studies relative to epidemiology, clinical characteristics, diagnosis, and management of all breast disorders in adolescence and their consequences. Development disorders are breast asymmetry, breast atrophy, breast hypoplasia, hypomastia, juvenile breast hypertrophy, and tuberous breast. Breast congenital abnormalities include athelia, amastia, accessory breast tissue, polymastia, polythelia, and congenital disorders of nipples. Breast infections are commonly caused from Gram-positive coccus rather than Gram-negative bacteria. Breast abscess occurs when breast infections are not promptly treated. Nipple discharge is caused by a variety of conditions and should be managed carefully. Fibrocystic changes, cysts, and fibroadenomas are the most common benign masses in adolescence. Primary, secondary, or metastatic breast cancer is extremely rare in adolescence. However, clinicians should include breast cancer in the differential diagnosis of a breast mass in adolescence. Key Messages: Clinicians should be aware of all breast disorders that may occur in adolescence. Early diagnosis and treatment will result in the reassurance of adolescents and their families without any detrimental effect on their psychology, sexual behavior, and socialization. Adolescents with breast disorders may require a multidisciplinary approach by a pediatrician, a gynecologist specializing in pediatric-adolescent gynecology, a plastic surgeon, and a psychologist for the best management of breast disorders.

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“…4 This is an extremely uncommon condition arising sporadically, though a familial case has been reported. 5 Hoppe et al 4 mentioned sixty five cases reported in the literature till 2010 A.D. Later on, Hisham et al 6 acknowledged nine more cases in addition to Hoppe et al from 2010 to 2016 A.D. Reduction mammoplasty with its modifications, is generally advisable to decrease the mass effect of the breast causing neck and back pain and to prevent hemorrhage and ulceration in the skin.…”

Section: Introductionmentioning

confidence: 99%