Knowledge

Breast hypertrophy

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before, but in the morning, when she awaken’d, and attempted to turn herself in her bed, was not able, finding her Breasts so swell’d, that she was affrighted to an astonishment. Then endeavoring to sit up, the weight of her Breasts fastned her to her bed; where she hath layn ever since, yet without all pain and weakness either in her Breasts, or in any other part.
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breasts increased six cup sizes. After her third childbirth, they grew 10 cup sizes, and after her fourth child was born, they grew nine cup sizes. In this instance, the swelling abated about 10 days after childbirth, but her bra cup size remained E to a G for the next year. About one year postpartum, her breasts rapidly atrophied to AA cup size.
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chemistry and endocrine investigation was normal. A bilateral reduction mammaplasty with free nipple grafts was performed. 6 kg (13 lb) of the right breast and 6.5 kg (14 lb) of the left breast were removed, resulting in a removal of 12.5 kg (28 lb) of tissue in all (24% of the total body weight).
682:' talk show where she told how her chest grew from 86 cm (34 in) to 133 cm (52 in) in five months during her pregnancy. At their largest, one breast weighed 6.8 kg (15 lb) and the other 5.4 kg (12 lb). Her husband custom-made a special bra to support her breasts. 633:
Durston later wrote to the Society to report that Travers had died on October 21 of the same year, four months after the onset of enlargement. One breast removed after the woman's death weighed 29 kg (64 lb). Durston did not, as is sometimes stated, carry out breast reduction or mastectomy,
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with gigantomastia of pregnancy and the amount later removed from both breasts was 15 kg (33 lb) in total. A second case in North Macedonia was reported when the breasts of a 30-year-old woman from a remote mountain village in eastern North Macedonia suddenly grew to more than 30 kilograms
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Elizabeth Treves, 23. or 24. years of age, fair of complexion, brown-hair’d, of an healthy constitution, low of stature, of honest repute, but of mean and poor parentage, near this Town , was on Friday July 3d, 1669 in good health, and went well to bed, where she took as good rest and sleep, as ever
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The earliest description and illustration of gigantomastia dates to 1669. In July of that year the Plymouth physician William Durston wrote to the Royal Society, reporting the case of a patient named Elizabeth Travers (sometimes spelled Treves). Durston's account was soon published in the Society's
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that her condition may have been caused by a curse. The measured bust circumference without appropriate bra support was 160 cm (63 in). The weight of her breasts was not reported in detail, but seemed to weigh "as much as two children." She had breast reduction surgery performed, but her
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Another extreme case was observed in 2008 in Maria Vittoria Hospital in Turin, Italy, where the amount removed from both breasts was 17.2 kg (38 lb). The growth occurred during puberty making it a case of juvenile gigantomastia, but the patient did not seek treatment until the age of 29.
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In 2005, a woman reported that her breasts grew at puberty from nothing to a C cup in one month. When she became pregnant for the first time, her breasts increased two cup sizes in a few days. Immediately after her first birth, her breasts grew three cup sizes. After her second child was born, her
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Some women with virginal breast hypertrophy experience breast growth at a steady rate for several years, after which the breasts rapidly develop exceeding normal growth. Some adolescent females experience minimal or negligible breast growth until their breasts suddenly grow very rapidly in a short
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One of the most severe cases of macromastia was reported from Ilorin in Nigeria. In 2007, Ganiyu Adebisi Rahman and his colleagues reported the case of a 26-year-old woman who presented with massive swelling of her breasts and bilateral axillary swellings of 6 years duration. Rahman led a team of
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A more severe case of virginal breast hypertrophy of an 11-year-old girl was reported in 2008. The breasts had begun to grow rapidly at puberty and had reached the point of causing physical impairment and respiratory compromise after one year. The skin was intact without any ulcerations. Blood
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On April 17, 1848, a 42-year-old woman named Lu-shi was treated for hypertrophy in a Chinese hospital. She was treated by a missionary physician. On December 24, 1849, the left breast, measuring 67 cm (26 in) in circumference, and weighing 2.7 kg (6.0 lb), was removed in a
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Breast size in women with gestational breast hypertrophy typically reverts to approximately pre-pregnancy size or near it after pregnancy and cessation of breastfeeding. This is not always the case however and in some only partial reduction in breast size may occur, necessitating surgical
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The indication is an excess breast weight that exceeds approximately 3% of the total body weight. There are varying definitions of what is considered to be excessive breast tissue, that is the expected breast tissue plus extraordinary breast tissue, ranging from as little as 0.6 kilograms
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surgeons in Ilorin to perform a 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 kilograms (99 lb).
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magazine that boys taunted her, calling her "Punky Boobster". It affected her professional and social life negatively. "People started to think of me as a bimbo," she said in the interview. "I couldn't sit up straight without people looking at me like I was a prostitute[.]"
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The extremely rapid growth of the breasts can result in intense heat. The woman's breasts can generate extraordinary discomfort, turning feverish, red, itchy, and even causing the skin to peel. The swelling can suppress the milk supply, pinching off the milk ducts, and leading to
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is not clinically indicated unless at least 1.8 kilograms (4.0 lb) of tissue per breast needs to be removed. In the majority of cases of macromastia, surgery is medically unnecessary, depending on body height. Topical treatment includes regimens of ice to cool the breasts.
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This same effect can also occur at the onset of pregnancy or between the 16th to 20th week of gestation. When the swelling in the connective tissue occurs after birth, it can negatively impact long term milk supply. The swelling increases with each subsequent pregnancy.
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Finding large bra-sizes and styles that fit is challenging. Also, larger bras are more costly, challenging to find, and unflattering to the wearer. Ill-fitting bras with narrow straps can cause chronic irritation, redness, and indentations in the shoulders. Skin
735:. Over the next eight months, both breasts grew abnormally large, and physicians treating her found that her physiological development was normal except for her breasts. The weight produced by their symmetrical and massive enlargement resulted in marked 1772:
Martin, Regina M.; Lin, Chin J.; Nishi, Mirian Y.; Billerbeck, Ana Elisa C.; Latronico, Ana Claudia; Russell, David W.; Mendonca, Berenice B. (2003). "Familial Hyperestrogenism in Both Sexes: Clinical, Hormonal, and Molecular Studies of Two Siblings".
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The underlying cause of the rapidly growing breast connective tissue, resulting in gigantic proportions, has not been well elucidated. However, proposed factors have included increased levels/expression of or heightened sensitivity to certain
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When hypertrophy occurs in adolescence, noninvasive treatments, including pharmaceutical treatment, hormone therapy, and steroid use are not usually recommended due to known and unknown side effects. Once breast growth rate has stabilized,
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Li G, Robinson GW, Lesche R, Martinez-Diaz H, Jiang Z, Rozengurt N, Wagner KU, Wu DC, Lane TF, Liu X, Hennighausen L, Wu H (2002). "Conditional loss of PTEN leads to precocious development and neoplasia in the mammary gland".
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Hypertrophy of the breast can affect the breasts equally, but usually affects one breast more than the other, thereby causing asymmetry, when one breast is larger than the other. The condition can also individually affect the
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Das, Liza; Rai, Ashutosh; Vaiphei, Kim; Garg, Akhil; Mohsina, Subair; Bhansali, Anil; Dutta, Pinaki; Tripathy, Satyaswarup (2019). "Idiopathic gigantomastia: newer mechanistic insights implicating the paracrine milieu".
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In the case of a 12-year-old Japanese girl reported in 1993, her "massively enlarged" breasts caused her "intense psychological problems, incapacitating her in school activities and social relations". Actress
743:. Surgeons removed 2 kilograms (4.4 lb) of tissue from her right breast and 1.9 kilograms (4.2 lb) from her left breast. She was administered tamoxifen afterward to suppress breast regrowth. 739:. Lab tests of her blood for hormones and biochemical substances showed normal values, though tests revealed that it might have been caused by hypersensitivity to estrogen. She underwent a bilateral 171:
instead of or in addition to the entire breast. The effect can produce a minor size variation to an extremely large breast asymmetry. Breast hypertrophy is classified in one of five ways: as either
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may be an appropriate choice. In some instances after aggressive or surgical treatment, the breast may continue to grow or re-grow, a complete mastectomy may be recommended as a last resort.
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The reduction in size of the breasts after delivery may be incomplete and the patient may be left with very large breasts indeed, for which plastic surgical treatment should be considered.
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Morimoto, Tadaoki; Komaki, Kansei; Mori, Toshiaki; Sasa, Mitsunori; Miki, Hitoshi; Inoue, Hiroyuki; Monden, Yasumasa; Nakanishi, Hideki (1993). "Juvenile gigantomastia: Report of a case".
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Fiumara, Linda; Gault, David T.; Nel, Mark R.; Lucas, Dominique N.; Courtauld, Elizabeth (2009). "Massive bilateral breast reduction in an 11-year-old girl: 24% ablation of body weight".
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Insurance companies in the United States typically require the physician to provide evidence that a woman's large breasts cause headaches or back and neck pain before they will pay for
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reported on the case of a 12-year-old girl. Only 152 centimetres (60 in) tall and weighing 43 kilograms (95 lb), her breasts began to develop at age 11 before the onset of
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procedure lasting three and a half minutes. The right breast was removed one month later. It measured 61 cm (24 in) in circumference and weighed 2.5 kg (5.5 lb).
135:(1.3 lb) up to 2.5 kilograms (5.5 lb) with most physicians defining macromastia as excessive tissue of over 1.5 kilograms (3.3 lb). Some resources distinguish between 2336:
Dellal, Fatma Dilek; Aydin, Cevdet; Kaya, Mina Gulfem; Ersoy, Reyhan; Cakir, Bekir (2014). "A case with macroprolactinemia and gigantomastia responding to cabergoline treatment".
155:: giant), where excessive tissue is more than 2.5 kg. The enlargement can cause muscular discomfort and over-stretching of the skin envelope, which can lead in some cases to 2614:
Iwuagwu, Obi; Bajalan, Ahmed; Platt, Alastair; Stanley, Paul; Reese, Richard; Drew, Philip (2006-10-01). "Macromastia and Carpal Tunnel Syndrome: Is There an Association?".
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Antevski, Borce; Jovkovski, Oliver; Filipovski, Vanja; Banev, Saso (2010). "Extreme gigantomastia in pregnancy: Case reportβ€”my experience with two cases in last 5 years".
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Pregnancy is recognized as the second most common reason for hypertrophy. When secondary to pregnancy, it may resolve itself without treatment after the pregnancy ends.
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Rhinoplasty and facial plastic surgery with a supplement on mammaplasty and other operations in the field of plastic surgery of the body: an atlas and textbook
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At the onset of puberty, some females who have experienced little or no breast development can reportedly reach three or more cup sizes within a few days (see
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Baker, Stephen B.; Burkey, Brooke A.; Thornton, Paul; Larossa, Don (2001). "Juvenile Gigantomastia: Presentation of Four Cases and Review of the Literature".
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Extremely large breasts are a source of considerable attention. Some women try to hide or mask their breasts with special clothing, including minimizing
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Borsetti, G.; Merlino, G.; Bergamin, F.; Cerato, C.; Boltri, M.; Borsetti, M. (2009). "A 38 kg skin-reducing bilateral mastectomy: A unique case".
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surgery to relieve her pain. Surgeons removed 4.25 kilograms (9.4 lb) from one breast and 3.33 kilograms (7.3 lb) from the other breast.
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Mick, G. J.; McCormick, K. L.; Wakimoto, H. (1991). "Massive breast enlargement in an infant girl with central nervous system dysfunction".
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enlargement, which can occur in both breasts (bilateral) or only in one breast (unilateral). It was first scientifically described in 1648.
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Kupfer D, Dingman D, Broadbent R (August 1992). "Juvenile breast hypertrophy: report of a familial pattern and review of the literature".
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Zhong, Aimei; Wang, Guohua; Yang, Jie; Xu, Qijun; Yuan, Quan; Yang, Yanqing; Xia, Yun; Guo, Ke; Horch, Raymund E.; Sun, Jiaming (2014).
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connective tissues in which the breasts become excessively large. The condition is often divided based on the severity into two types,
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Only 15% of cases of breast hypertrophy are unrelated to puberty or pregnancy. Other types and causes of breast hypertrophy include
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Genzer-Nir, Mira; Khayat, Morad; Kogan, Leonid; Cohen, Hector I; Hershkowitz, Miriam; Geiger, Dan; Falik-Zaccai, Tzipora C (2010).
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A total of 115 cases of gigantomastia had been reported in the literature as of 2008 (a minimum of 116 cases reported as of 2022).
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Rezai, Shadi; Nakagawa, Jenna T.; Tedesco, John; Chadee, Annika; Gottimukkala, Sri; Mercado, Ray; Henderson, Cassandra E. (2015).
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period of time. This may cause considerable physical discomfort. Women with VBH often experience an excessive growth of their
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Kulkarni, Dhananjay; Beechey-Newman, N.; Hamed, H.; Fentiman, I.S. (2006). "Gigantomastia: A problem of local recurrence".
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Kulkarni, Dhananjay; Beechey-Newman, N.; Hamed, H.; Fentiman, I.S. (2006). "Gigantomastia: A problem of local recurrence".
1867:"Gigantomastia and Macroprolactinemia Responding to Cabergoline Treatment: A Case Report and Minireview of the Literature" 578:, and numbness or tingling in the fingers. There is a possible connection between macromastia and carpal-tunnel-syndrome. 466:. Gestational macromastia has been treated with breast reduction drugs alone without surgery. Surgical therapy includes 385: 354: 939:
Dancey, Anne; Khan, M.; Dawson, J.; Peart, F. (2008). "Gigantomastia – a classification and review of the literature".
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As the disorder becomes more widely known, media reports have increased. French Canadian Isabelle Lanthier appeared on
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Netscher, David T.; Mosharrafa, ALI M.; Laucirica, Rodolfo (1996). "Massive Asymmetric Virginal Breast Hypertrophy".
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Dafydd, H.; Roehl, K.R.; Phillips, L.G.; Dancey, A.; Peart, F.; Shokrollahi, K. (2011). "Redefining gigantomastia".
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Another extreme case was observed on August 28, 2003, when a 24-year-old woman was admitted to the Clinical Center
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Merlob, Paul (2018). "Congenital Malformations and Developmental Changes of the Breast: A Dysmorphological View".
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The first recorded case of gigantomastia, diagnosed in a 23- or 24-year-old woman, 1669. In 1669, the physician
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Sharma, K; Nigam, S; Khurana, N; Chaturvedi, KU (2004). "Unilateral gestational macromastia--a rare disorder".
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OhlsΓ©n, L.; Ericsson, O.; Beausang-Linder, M. (1996). "Rapid, massive and unphysiological breast enlargement".
708:, profiled the story of Pilma Cabrijas, a 30-year-old woman affected by gigantomastia. The woman was told by a 350: 1577:"Stromal-epithelial cell interactions and alteration of branching morphogenesis in macromastic mammary glands" 1717:"Understanding the pathological manifestations of aromatase excess syndrome: lessons for clinical diagnosis" 358: 1174:
Swelstad MR, Swelstad BB, Rao VK, Gutowski KA (September 2006). "Management of gestational gigantomastia".
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drew this illustration of first recorded case of non-gravid gigantomastia; the woman died of the condition.
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Oladele, AO; Olabanji, JK; Alabi, GH (2007). "Reduction mammoplasty: The experience in Ile-Ife, Nigeria".
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instead favouring a range of medicines, the details of which are redacted in the published account in the
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Zinn, Harry L.; Haller, J. O.; Kedia, Sanjay (1999). "Macromastia in a newborn with Alagille syndrome".
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Dellal, Fatma Dilek; Ozdemir, Didem; Aydin, Cevdet; Kaya, Gulfem; Ersoy, Reyhan; Cakir, Bekir (2016).
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Fahmy, Fahmy S.; Saleh, Mohamed Ahmed Amin (2013), Shiffman, Melvin A.; Di Giuseppe, Alberto (eds.),
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Moss WM (January 1968). "Gigantomastia with pregnancy. A case report with review of the literature".
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has been reported as a cause of some cases of macromastia. Macromastia has also been associated with
689:, who experienced ongoing back pain, making everyday tasks very difficult to perform. She underwent 3527: 3474: 3324: 2589: 373: 156: 3261: 3160: 2823: 2460: 1322:
C. J. Dewhurst (1981). "Miscellaneous Disorders Complicating Pregnancy". In C. J. Dewhurst (ed.).
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On October 29, 2009, the Philippine television network GMA News and Public Affairs, producers of
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Gestational gigantomastia is estimated to in 1 out of every 28,000 to 100,000 pregnancies.
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van der Meulen AJ (July 1974). "An unusual case of massive hypertrophy of the breasts".
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under the breasts are common, particularly during warm weather. Heavy breasts may cause
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Medical treatment has not proven consistently effective. Medical regimens have included
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In 2007, a Chilean TV station covered the story of 32-year-old Yasna Galleguillos from
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Note: the criterion of >600g is used with the term "macromastia" in this source:
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Increased levels or heightened sensitivity to certain hormones and/or growth factors
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Cheung KL, Alagaratnam TT (1997). "Pregnancy-related gigantomastia. Case report".
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Moschella, Francesco; Cordova, Adriana; Toia, Francesca (2016). "Gigantomastia".
1645: 392:. It is also notable that approximately two-thirds of women with macromastia are 3589: 3558: 3553: 3543: 3489: 3484: 3442: 3432: 2971: 2119: 1422: 761: 756: 686: 498: 483: 459: 424: 416: 405: 305: 301: 111: 76: 3034: 2899: 1375: 952: 844: 3340: 2934: 2627: 471: 289: 55: 2863: 2846: 2845:
Rahman, G. A.; Adigunt, I. A.; Yusuf, I. F.; Bamigbade, D. P. (1 July 2007).
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Roy, MΓ©lissa; Lee, James; Aldekhayel, Salah; Dionisopoulos, Tassos (2015).
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Syed A. Hoda; Edi Brogi; Fred Koerner; Paul Peter Rosen (5 February 2014).
852: 17: 3276: 3137: 2748: 2566: 2369:"Failure of bromocriptine therapy to control juvenile mammary hypertrophy" 2034: 1510: 1475: 1300: 1265: 1238: 1108: 1076: 3397: 3078: 3061: 736: 732: 571: 510: 334: 317: 266: 227: 2205:"Gestational gigantomastia with complete resolution in a Nigerian woman" 649:
of Lu-shi, age 42, on April 17, 1848, prior to breast reduction surgery.
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macromastia), in adult women without any obvious cause, associated with
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As of 1992, 70 cases of virginal breast hypertrophy had been reported.
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A handful of drugs have been associated with gigantomastia, including
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Treatment of hyperprolactinemia-associated macromastia with
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has been found to be effective in some, but not all cases.
147:: breast), where excessive tissue is less than 2.5 kg, and 3023:
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Macromastia occurs in approximately half of women with
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Archived from 8: 3433:Adipomastia (lipomastia, pseudogynecomastia) 3189:Plummer, Samuel C.; Bump, Warner S. (1927). 2486:"How Breast Size Affects How Women Exercise" 2688:"Reduction Mammoplasty: "The Piece of Art"" 2540: 2538: 1684:International Textbook of Aesthetic Surgery 3375: 3361: 3353: 3288: 2962: 2960: 2080:. Elsevier Health Sciences. pp. 19–. 1581:Journal of Cellular and Molecular Medicine 32: 3214: 3174:. Phoenix: Columella Press. p. 755. 3077: 2862: 2795: 2384: 2269: 2228: 2136: 2118: 2050: 1957: 1900: 1882: 1833: 1748: 1608: 1149:Juan, Ph.D., Stephen (January 13, 2007). 1125: 1107: 1096:Case Reports in Obstetrics and Gynecology 868:Stone's Plastic Surgery Facts and Figures 2968:"Macedonia faces 'giant' breast problem" 906: 904: 887:. Wolters Kluwer Health. pp. 152–. 3159:. P. Blakiston's Son & Co. p.  1926:"Pseudoangiomatous Stromal Hyperplasia" 1816:Rahman GA, Adigun IA, Yusuf IF (2010). 773: 549:, who starred as a child in the sitcom 246: 3238:. Vol. II. Saunders. p. 234. 3235:The International text-book of surgery 2367:Arscott GD, Craig HR, Gabay L (2001). 457:gonadotropin-releasing hormone agonist 222:. Some doctors suggest that the rapid 3564:Pseudoangiomatous stromal hyperplasia 2923:Archives of Gynecology and Obstetrics 2726: 2724: 1415:Nipple-Areolar Complex Reconstruction 390:pseudoangiomatous stromal hyperplasia 183:therapy, and associated with extreme 175:(virginal hypertrophy), gestational ( 7: 3191:"Massive Hypertrophy of the Breasts" 2692:Cosmetic Surgery: Art and Techniques 1231:10.1001/archsurg.1968.01330190029007 202:, the medical condition is known as 783:European Journal of Plastic Surgery 382:parathyroid hormone-related protein 90:is a rare medical condition of the 2588:Rosen, Marjorie (April 26, 1993). 2023:European Journal of Human Genetics 1188:10.1097/01.prs.0000232364.40958.47 1020:Casciola, Cheri (June–July 2005). 914:The Malaysian Journal of Pathology 25: 2770:Durston, W.; Darston, W. (1669). 2484:Reynolds, Gretchen (2019-03-06). 820:, vol. Cent II, Braunschweig 713:breasts regrew. The producers of 284:Other types of breast hypertrophy 238:as well. In severe cases of VBH, 122:. Breast hypertrophy is a benign 3275: 3207:10.1097/00000658-192701000-00008 3130:10.1097/00007611-199604000-00019 2851:West African Journal of Medicine 2271:10.1111/j.1524-4741.2008.00628.x 2174:10.1097/00000637-200105000-00011 1069:10.1097/00006534-199290020-00023 555:, reported in an interview with 41: 2517:Ellis, Stacy Ann (2013-08-22). 2168:(5): 517–25, discussion 525–6. 983:"Puberty Stages of Development" 71:Excessively large breast tissue 3246:The Science and art of surgery 1448:European Journal of Pediatrics 727:In 1993, the Japanese journal 256:Gestational breast hypertrophy 1: 3260:. Lea & Febiger. p.  3254:Ochsner, Albert John (1921). 3232:Warren, John Collins (1900). 2731:Meli, Nico Bertoloni (2015). 2411:Management of Breast Diseases 1871:Case Reports in Endocrinology 719:paid for additional surgery. 3243:Erichsen, John Eric (1885). 3097:Nigerian Journal of Medicine 2737:Huntington Library Quarterly 2700:10.1007/978-3-642-21837-8_45 2315:10.1016/j.breast.2005.03.002 1942:10.1097/GOX.0000000000000468 1733:10.1586/17446651.2014.926810 1692:10.1007/978-3-662-46599-8_18 1646:10.1016/j.breast.2005.03.002 386:systemic lupus erythematosus 355:insulin-like growth factor 1 216:virginal mammary hypertrophy 2666:"Too Much of a Good Thing?" 2120:10.1016/j.ijscr.2019.04.042 1423:10.1007/978-3-319-60925-6_2 989:. OBGYN.net. Archived from 723:Virginal breast hypertrophy 704:("Just My Wish") hosted by 226:occurs before the onset of 212:virginal breast hypertrophy 194:Virginal breast hypertrophy 3642: 3035:10.1016/j.bjps.2007.10.053 2900:10.1016/j.bjps.2008.03.067 1376:10.1007/s12020-019-02065-x 953:10.1016/j.bjps.2007.10.041 845:10.1016/j.bjps.2010.04.043 636:Philosophical Transactions 622:Philosophical Transactions 582:Medical insurance coverage 2935:10.1007/s00404-010-1714-8 2816:"Peter Parker Collection" 2628:10.1007/s00266-005-0214-x 2616:Aesthetic Plastic Surgery 2162:Annals of Plastic Surgery 366:aromatase excess syndrome 40: 3168:Joseph, Jacques (1987). 3118:Southern Medical Journal 2864:10.4314/wajm.v26i3.28321 2668:. Seattle Woman Magazine 2221:10.1136/bcr.01.2010.2632 1835:10.4103/1117-1936.181422 884:Rosen's Breast Pathology 351:hepatocyte growth factor 3468:Chronic cystic mastitis 2346:10.1530/endoabs.35.P878 2074:David J. Dabbs (2012). 1996:10.1242/dev.129.17.4159 715: 698: 574:, neck pain, upper and 359:epidermal growth factor 106:sensitivity to certain 3463:Duct ectasia of breast 3408:Granulomatous mastitis 3000:"Pilma's heavy burden" 2797:10.1098/rstl.1669.0048 2386:10.1054/bjps.2001.3691 1787:10.1210/jc.2002-021780 737:curvature of the spine 650: 631: 616: 208:juvenile gigantomastia 3424:Physiological changes 3403:Nonpuerperal mastitis 3282:Hypertrophy of breast 3060:Touraine, P. (2005). 2749:10.1353/hlq.2015.0026 2035:10.1038/ejhg.2009.236 1550:Pol. Merkur. Lekarski 1511:10.1007/s002470050601 1281:Arch. Gynecol. Obstet 1176:Plast. Reconstr. Surg 1057:Plast. Reconstr. Surg 741:reduction mammoplasty 644: 626: 610: 468:reduction mammaplasty 130:Description and types 3284:at Wikimedia Commons 3079:10.1210/jc.2005-0642 2986:"Jasna Galleguillos" 2782:(45–56): 1068–1069. 1884:10.1155/2016/3576024 1822:Niger Postgrad Med J 675:(66 lb) total. 594:for a year or more. 204:juvenile macromastia 3528:Nipple pigmentation 3475:Dense breast tissue 2788:1669RSPT....4.1068D 2590:"Now I Can Be Free" 2338:Endocrine Abstracts 1499:Pediatric Radiology 1109:10.1155/2015/892369 987:Ask the Expert FAQs 866:To Wo Chiu (2011). 816:Palmuth, T (1648), 528:Society and culture 374:Hyperprolactinaemia 3458:Breast hypertrophy 3453:Breast engorgement 3413:Subareolar abscess 3002:. October 29, 2009 2974:on August 3, 2012. 2814:(April 17, 1848). 2559:10.1007/BF00309238 2490:The New York Times 2258:The Breast Journal 1593:10.1111/jcmm.12275 1460:10.1007/BF01963555 1417:. pp. 31–45. 1293:10.1007/bf02505314 1153:. The Register U.K 1036:on October 4, 2017 795:10.1007/BF00180324 651: 617: 598:Reported instances 224:breast development 88:Breast hypertrophy 36:Breast hypertrophy 27:Rare human disease 3608: 3607: 3350: 3349: 3280:Media related to 3195:Annals of Surgery 3151:John Blair Deaver 2826:on 13 August 2009 2709:978-3-642-21837-8 2596:. People Magazine 2421:978-3-540-69743-5 2215:: bcr0120102632. 2087:978-1-4377-0604-8 1701:978-3-662-46598-1 1432:978-3-319-60924-9 894:978-1-4698-7070-0 402:genetic mutations 210:and sometimes as 85: 84: 30:Medical condition 16:(Redirected from 3633: 3516:Nipple discharge 3377: 3370: 3363: 3354: 3289: 3279: 3265: 3250: 3239: 3228: 3218: 3185: 3164: 3141: 3112: 3091: 3081: 3072:(9): 5287–5294. 3047: 3046: 3018: 3012: 3011: 3009: 3007: 2996: 2990: 2989: 2982: 2976: 2975: 2970:. Archived from 2964: 2955: 2954: 2918: 2912: 2911: 2883: 2877: 2876: 2866: 2842: 2836: 2835: 2833: 2831: 2822:. 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J 1244: 1209: 1163: 1141: 1082: 1047: 1003: 974: 947:(5): 493–502. 931: 900: 893: 873: 858: 823: 808: 772: 771: 769: 766: 765: 764: 759: 752: 749: 724: 721: 645:A painting by 604: 601: 599: 596: 583: 580: 552:Punky Brewster 534: 531: 529: 526: 485: 440: 437: 378:hypercalcaemia 347:growth factors 325: 322: 285: 282: 257: 254: 195: 192: 131: 128: 120:growth factors 83: 82: 79: 73: 72: 69: 63: 62: 53: 47: 46: 38: 37: 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 3638: 3627: 3626:Rare diseases 3624: 3622: 3619: 3618: 3616: 3601: 3598: 3596: 3593: 3591: 3588: 3586: 3583: 3581: 3578: 3577: 3575: 3571: 3565: 3562: 3560: 3557: 3555: 3552: 3550: 3547: 3545: 3542: 3541: 3539: 3535: 3529: 3526: 3522: 3519: 3518: 3517: 3514: 3512: 3509: 3507: 3504: 3503: 3501: 3497: 3491: 3488: 3486: 3483: 3481: 3478: 3476: 3473: 3469: 3466: 3464: 3461: 3460: 3459: 3456: 3454: 3451: 3449: 3446: 3444: 3441: 3439: 3436: 3434: 3431: 3430: 3428: 3422: 3414: 3411: 3409: 3406: 3405: 3404: 3401: 3399: 3396: 3395: 3393: 3389: 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Index

Macromastia
Adult man with hypertrophy of both breasts
Specialty
Gynecology
endocrinology
Symptoms
Risk factors
breast
histologic
hormones
sex hormones
prolactin
growth factors
ulceration
nipples
areola
pubertal
gravid
penicillamine
obesity
puberty
menstrual period
breast development
menstruation
nipples
clitoromegaly
below
mastitis
breast reduction
idiopathic

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