Hipertrofia virginal mamaria en niños y manejo quirúrgico

Santino Figueroa Ángel; Venecia Romero Flores

doi:10.31403/rpgo.v58i85

Authors

Santino Figueroa Ángel Hospital Infantil de México Federico Gómez, México DF
Venecia Romero Flores Hospital Regional Licenciado Adolfo López Mateos, México DF

DOI:

https://doi.org/10.31403/rpgo.v58i85

Abstract

Introduction: Virginal breast hypertrophy is a female condition frequently present during puberty as a fast growing breast that causes psychological, aesthetic and functional alterations. It is a benign breast pathology of difficult clinical diagnosis when present unilaterally, and its surgical treatment is still controversial. Methods: Five clinical cases of virginal breast hypertrophy were treated at Hospital Infantil de México Federico Gómez from 2009-2011. We present their clinical characteristics, surgical treatment, and results obtained. Results: Most patients had either superior or inferior pedicle mammary reduction with favorable results or no re-intervention due to recurrence. A patient had suspicion of phyllodes tumor and subcutaneous mastectomy was performed. The only complication was nipple areola complex necrosis in one patient. Conclusions: The surgical technique should be individualized in each patient according to characteristics, presentation, and personal objectives. Mammary reduction for adolescents with this pathology is a good option, with good aesthetic results, easily accepted by the pediatric patient, lowering morbidity of a second surgical procedure.

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References

Albert H. Diffuse idiopathic hypertrophy of the mammary glands in the female. JAMA. 1910;55:1339.

Koltz PF, Sbitany H, Myers RP, Shaw RB, Patel N, Girotto JA. Reduction mammaplasty in the adolescent female: the URMC experience. Int J Surg. 2011;9(3):229-32.

Fallat ME, Ignacio RC Jr. Breast disorders in children and adolescents. J Pediatr Adolesc Gynecol. 2008;21(6):311-6.

Moore RL, Mungara A, Shayan K, Wallace AM. Bilaterally symmetric juvenile fibroadenomas and tubular breast deformity in a prepubescent girl. J Pediatr Surg. 2007;42:1133–6.

Govrin-Yehudain J, Kogan L, Cohen HI, Falik-Zaccai TC. Familial juvenile hypertrophy of the breast. J Adolesc Health. 2004;35(2):151-5.

Güneş D, Mutafoğlu-Uysal K, Canda T, Saydam S, Cemeroğlu AP, Olgun N. Unilateral juvenile (virginal) hypertrophy of the breast. Turk J Pediatr. 2008;50(3):278-81.

Boothroyd A, Carty H. Breast masses in childhood and adolescence: a presentation of 17 cases and a review of the literature. Pediatr Radiol. 1994;24:81–4.

Tezel E, Numanoğlu A. Practical do-it-yourself device for accurate volume measurement of breast. Plast Reconstr Surg. 2000;105(3):1019-23.

Al-Saif AA, Al-Yahya GM, Al-Qattan MM. Juvenile mammary hypertrophy: is reduction mammaplasty always feasible? J Plast Reconstr Aesthet Surg. 2009;62(11):1470-2.

Hoppe IC, Patel PP, Singer-Granick CJ, Granick MS. Virginal mammary hypertrophy: a meta-analysis and treatment algorithm. Plast Reconstr Surg. 2011;127(6):2224-31.

Beer GM, Spicher I, Cierpka KA, Meyer VE. Benefits and pitfalls of vertical scar breast reduction. Br J Plast Surg. 2004;57(1):12-9.

Andrades P, Prado A. Understanding modern breast reduction techniques with a simplified approach. J Plast Reconstr Aesthet Surg. 2008;61(11):1284-93.

Robbins TH. A reduction mammaplasty with the areolanipple based on an inferior dermal pedicle. Plast Reconstr Surg. 1977; 59: 64-7.

Pitanguy I. A new technic of plastic surgery of the breast. Study of 245 consecutive cases and presentation of a personal technic. Ann Chir Plast. 1962;7:199e