Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Ho Yoon Jeong; Taewoo Kang; Heeseung Park; Kyoung Eun Kim; Su Bong Nam; Ju Young Go; Seong Hwan Bae

doi:10.1055/a-2181-8621

Archives of Plastic Surgery, Inhaltsverzeichnis

CC BY 4.0 · Arch Plast Surg 2024; 51(01): 062-066
DOI: 10.1055/a-2181-8621

Breast/Trunk

Case Report

Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

Ho Yoon Jeong

¹Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Republic of Korea

,

Taewoo Kang

²Busan Cancer Center and Biomedical Research Institute, Pusan National University Hospital, and Department of Surgery, Pusan National University, School of Medicine, Busan, Republic of Korea

,

Heeseung Park

²Busan Cancer Center and Biomedical Research Institute, Pusan National University Hospital, and Department of Surgery, Pusan National University, School of Medicine, Busan, Republic of Korea

,

Kyoung Eun Kim

²Busan Cancer Center and Biomedical Research Institute, Pusan National University Hospital, and Department of Surgery, Pusan National University, School of Medicine, Busan, Republic of Korea

,

Su Bong Nam

⁴Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Yangsan, Republic of Korea

,

Ju Young Go

⁵Atelier Plastic Surgery Clinic, Seoul, Republic of Korea

,

Seong Hwan Bae

¹Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Republic of Korea

³Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea

› Institutsangaben

Abstract

Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared with the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient's volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient's discomfort was resolved, and the shape and size of the breasts were satisfactory.

Keywords

gigantomastia - mastectomy - breast

Volltext

Referenzen

References
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