Abstract
Juvenile hypertrophy of the breast (JHB) is a rare and relentless disease affecting women in the peripubertal period. We present a 13-year-old girl with massive bilateral JHB, successfully treated with a breast reduction and free nipple graft technique. A total of 7300 grams of breast tissue had been removed, accounting for 14.9% of the patient's total body weight. Prophylactic hormonal therapy was not commenced. During the 5-year follow-up period, there was no recurrence and the patient remains satisfied with the aesthetic outcome. A recent meta-analysis study indicates that subcutaneous mastectomy is associated with reduced risk of recurrence, but it is more deforming and the aesthetic result is inferior to a reduction mammaplasty. In patients treated with the latter technique, some evidence exists suggesting that the use of a free nipple graft is associated with a less frequent risk of recurrence than a pedicle technique. This present case is unique as it demonstrates the clinical course of this patient at a considerably longer follow-up period than most reported studies. We adhered to the limited available evidence and highlight the long-term reliability of breast reduction with free nipple grafting as the first line surgical option in JHB, eliminating the need for repeated surgeries.
Highlights
Juvenile hypertrophy of the breast (JHB) is a benign condition where atypical, alarmingly rapid, and continued breast growth occurs during puberty
There are a myriad of terms describing this entity in the literature including virginal hypertrophy, juvenile gigantomastia, and juvenile macromastia [2, 3]
We report a 13-year-old girl with massive bilateral juvenile breast hypertrophy successfully treated with a breast reduction and free nipple graft technique
Summary
Juvenile hypertrophy of the breast (JHB) is a benign condition where atypical, alarmingly rapid, and continued breast growth occurs during puberty. It often follows a 6-month period of extreme breast enlargement, superseded by a longer period of slower but sustained breast growth [1]. There are a myriad of terms describing this entity in the literature including virginal hypertrophy, juvenile gigantomastia, and juvenile macromastia [2, 3]. We report a 13-year-old girl with massive bilateral juvenile breast hypertrophy successfully treated with a breast reduction and free nipple graft technique
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