| Gigantomastia--a classification and review of the literature. | |
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MedLine Citation:
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PMID: 18054304 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Gigantomastia is a rare, psychologically and physically disabling condition characterised by excessive breast growth. To date, there is no universal classification or accepted definition for this condition. Many authors cite gigantomastia as breast enlargement that requires reduction of over 1500 g per breast. However, there is discordance in the literature with the weight of reduction ranging from 0.8 to 2 kg, or even a D cup bra size. Practically this is a postoperative definition which is of little use to the clinician in terms of patient management or prognosis. METHOD: We conducted a literature review and meta analysis of all published cases of gigantomastia. We combined this with seven cases managed at Selly Oak Hospital, Birmingham, to give us a series of 115 patients. In order to devise a universally accepted definition of gigantomastia, a survey of 150 plastic surgery consultants within Europe was conducted. Participants were e-mailed a questionnaire, requesting their definition of gigantomastia with an appropriate excision weight. They were also asked to comment on any preoperative measurements taken to establish this predicted weight. CONCLUSION: We propose a classification of gigantomastia based on the cause, management and prognosis of the disease. |
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Authors:
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Anne Dancey; M Khan; J Dawson; F Peart |
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Publication Detail:
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Type: Journal Article; Review Date: 2007-11-28 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 61 ISSN: 1878-0539 ISO Abbreviation: - Publication Date: 2008 |
Date Detail:
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Created Date: 2008-04-25 Completed Date: 2008-06-20 Revised Date: 2009-05-21 |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 493-502 Citation Subset: IM |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Selly Oak Hospital, Birmingham, UK. annedancey@yahoo.co.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Breast / pathology* Child Female Humans Hypertrophy / diagnosis, etiology, pathology, therapy Mammaplasty / methods Mastectomy Middle Aged Organ Size Pregnancy Pregnancy Complications Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Plast Reconstr Aesthet Surg. 2009 Jan;62(1):112-4; author reply 114-5
[PMID:
18805078
]
J Plast Reconstr Aesthet Surg. 2009 Feb;62(2):262-3; author reply 263-4 [PMID: 19010105 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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