Unilateral gestational gigantomastia in the third trimester

Ahmet Necati Sanli
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Abstract

Gestational gigantomastia is a sudden and rapidly developing unilateral or bilateral excessive breast enlargement during pregnancy. In this case report, we aimed to present a 27-year-old female patient who presented with the complaint of unilateral breast enlargement while she was 7 months pregnant in her second pregnancy and diagnosed with gestational gigantomastia, with clinical and treatment features. Since it is very rare, it may cause difficulties for clinicians in differential diagnosis. Although clinical and examination features suggest malignant or inflammatory processes, it is easy to exclude with radiological imaging methods. Medical or surgical treatment methods should be applied before delivery, as they may cause both psychological and physical deterioration, breast pain, or life-threatening complications such as ulceration-hematoma in the breast for the patient. Malignant and inflammatory processes should be ruled out in the case of rapidly developing breast enlargement during pregnancy, and medical or surgical treatment options should be performed based on the patient's preferences and the gestational week.

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怀孕三个月时的单侧妊娠巨大乳房症
妊娠巨乳症是指在妊娠期间突然发生的、迅速发展的单侧或双侧乳房过度增大。在本病例报告中,我们旨在介绍一位 27 岁的女性患者,她在第二次怀孕 7 个月时主诉单侧乳房增大,被诊断为妊娠巨乳症,并介绍了临床和治疗特点。由于该病非常罕见,可能会给临床医生的鉴别诊断带来困难。虽然临床和检查特征提示有恶性或炎症过程,但通过放射成像方法很容易排除。应在分娩前采用内科或外科治疗方法,因为这些方法可能会导致患者的心理和身体状况恶化、乳房疼痛或危及生命的并发症,如乳房溃疡-血肿。如果妊娠期乳腺增生发展迅速,应排除恶性和炎症过程,并根据患者的喜好和孕周选择药物或手术治疗方案。
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