European Journal of Plastic Surgery

, Volume 12, Issue 2, pp 220–222 | Cite as

Gigantomastia with bilateral axillary breasts: Acute onset in pregnancy

  • P. Ben Meir
  • A. Sagi
  • L. Rosenberg
Case Reports


The case of a young pregnant woman who developed an acute gigantomastia during pregnancy is presented, in addition to the unusual finding of bilateral axillary breasts. The condition was treated by simple mastectomy and immediate reconstruction with a subpectoral silicone implant. The literature is reviewed, and this rare combination of pathology is discussed.

Key words

Gigantomastia Pregnancy Axillary breasts Mastectomy 


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  1. 1.
    Bambhani S (1987) Fine needle aspiration cytology in supernumerary breasts. Acta Cytol 31:311Google Scholar
  2. 2.
    Baruchin A, Rosenberg L (1981) Polythelia: a supernumerary nipple in a rare site. J Dermatol Surg Oncol 7:918PubMedGoogle Scholar
  3. 3.
    Burslem RW, Denhurst CJ (1952) Massive hypertrophy of breast in pregnancy. J Obstet Gynecol 59:380Google Scholar
  4. 4.
    Cardoso de Castro CC (1977) Subcutaneous mastectomy for gigantomastia in an adolescent girl (case report). Plast Reconstr Surg 59:575CrossRefGoogle Scholar
  5. 5.
    Charoenkull V (1978) Gigantic bilateral aberrant axillary breasts: a case report. Mt Sinai J Med (NY) 45:455Google Scholar
  6. 6.
    Cogswell HD, Czerney EW (1961) Carcinoma of aberrant breast of the axilla. Am Surg 27:388PubMedGoogle Scholar
  7. 7.
    Corthout EP (1979) Polymastia in Congolese women. Bull Soc R Belge Gynecol Obstet 39:127Google Scholar
  8. 8.
    De Chonolky T (1951) Accessory breast tissue in the axilla. NY State J Med 51:2245Google Scholar
  9. 9.
    Durston W (1970) Concerning a very sudden and excessive swelling of a woman’s breasts. Phil Trans R Soc London 4:1047Google Scholar
  10. 10.
    Finner N, Emery P, Hicks BH (1984) Mammary gigantism andd-penicillamine. Clin Endocrinol 21:219CrossRefGoogle Scholar
  11. 11.
    Fisher W, Smith JW (1971) Macromastia during puberty. Plast Reconstr Surg 47:445PubMedGoogle Scholar
  12. 12.
    Gargan TJ, Goldwyn RM (1987) Gigantomastic complicating pregnancy. Plast Reconstr Surg 80:121PubMedCrossRefGoogle Scholar
  13. 13.
    Geshickter CF (1945) Diseases of the breast, 2nd edn. Lippincott, Philadelphia, p 611Google Scholar
  14. 14.
    Gneer J (1974) Accessory axillary breasts. Arch Dermatol 109:88CrossRefGoogle Scholar
  15. 15.
    Goodman BA (1934) Mastitis gargantuans: an unusual case of puberty hypertrophy of the breasts. JAMA 103:375Google Scholar
  16. 16.
    Hardikar C (1984) J Post Grad Med 30:53Google Scholar
  17. 17.
    Hedberg K, Karlson K, Linstedt G (1979) Gigantomastia during pregnancy: The effect of a dopamine agonist. Am J Obstet Gynecol 133:928PubMedGoogle Scholar
  18. 18.
    Kaye BL (1974) Axillary breasts: a significant aesthetic deformity. Plast Reconstr Surg 53:61PubMedCrossRefGoogle Scholar
  19. 19.
    Kozakow P (1973) Axillary breast. Clin Plast Surg 2:397Google Scholar
  20. 20.
    Lafreniere R, Temple W, Katchan A (1984) Gestational macromastia. Am J Surg 48:413CrossRefGoogle Scholar
  21. 21.
    Lejour M, Loriaux C, Hardy A (1974) Traitement chirurgical et hormonal d’un gigantsme mammaire pubertaire. Ann Chir Plast 19:347–352PubMedGoogle Scholar
  22. 22.
    Lewinson EF Jones GS, Trimble FH (1960) Gigantomastia complicating pregnancy. Surg Gynecol Obstet 110:215Google Scholar
  23. 23.
    Mayl N, Vasconez CO, Jurkiewiz MJ (1974) Treatment of macromastia in the actively enlarging breast. Plast Reconstr Surg 54:6PubMedGoogle Scholar
  24. 24.
    Nolan JJ (1962) Gigantomastia. Obstet Gynecol 19:526PubMedGoogle Scholar
  25. 25.
    Osoria C (1985) An abberant axillary breast. Rev Chil Obstet Ginecol 50:12Google Scholar
  26. 26.
    Patnack P (1978) Axillary and vulval breast associated with pregnancy. Br J Obstet Gynecol 85:156Google Scholar
  27. 27.
    Ramsden CH (1962) An interesting case of mammary gigantism. Br J Plast Surg 16:177CrossRefGoogle Scholar
  28. 28.
    Ship AG, Shulman J (1971) Virginal and gravid mammary gigantism: reccurrence after reduction mammoplasty. Br J Plast Surg 24:396PubMedCrossRefGoogle Scholar
  29. 29.
    Speert H (1942) Supernumerary mammae with special references to Rhesus monkey. Q Rev Biol 17:59CrossRefGoogle Scholar
  30. 30.
    Weinberg A (1976) Abberant axillary breast tissue. Family with 6 affected women. Clin Genet 10:325PubMedCrossRefGoogle Scholar
  31. 31.
    Wolner-Hanssen P, Palmer B, Sjöberg NO, Astedt (1981) Case report—gigantomastia. Acta Obstet Gynecol Scand 60:525–527PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • P. Ben Meir
    • 1
  • A. Sagi
    • 1
  • L. Rosenberg
    • 1
  1. 1.Department of Plastic Surgery, Center for R and D of Advance, Services in Plastic Surgery, Soroka Medical Center, Faculty of Health SciencesBen-Gurion University of the NegevBeer-ShevaIsrael

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