Gestational Gigantomastia in the Setting of Myasthenia Gravis

Excerpt

Gestational gigantomastia is excessive, incapacitating and diffuse enlargement of unilateral or bilateral breasts that occurs during pregnancy. It is a rare disorder, with an incidence of 1 in 28,000 to 100,000 pregnancies [1]. Although physiological enlargement of breast tissue occurs during puberty and in pregnancy, but in a patient with gigantomastia, the growth is usually acute and massive. Such massive breast growth affects the patient physically as well as psychosocially. Symptoms may range from mastalgia to ulceration and infection, backache and postural problems to chronic traction injury to 4th/5th/6th intercostal nerves resulting in loss of nipple sensation [1]. Lewison et al. [2] described it as ‘True gigantomastia develops rapidly during pregnancy, undergoes regression after delivery, and recurs with subsequent pregnancies’. …