PMC4680110_01
Patient with gestational gigantomastia at 37 weeks (initial presentation).
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In July 2014, a 28-year-old G2P0101 Guinean woman presented for her first prenatal visit at 37 weeks of gestation with bilateral gigantomastia (Figure 1).
Dilated veins on the upper thorax in a patient presenting at 37 weeks with gestational gigantomastia.
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Physical exam was remarkable for distended and indurated superficial veins on the upper thorax (Figure 2) and altered spinal curvature.
Breast ultrasound: 6 o'clock: huge ducts that should be going in the direction of the nipples (but there are not!). These dilated ducts end bluntly and are not connected to the outside. Therefore, the fluids and materials in them cannot decongest and stay as fluid filled.
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Ultrasound modality demonstrated skin thickening and linear hypoechoic areas (due to dilated ducts and vascular structures) (Figure 3), with no abnormal growth:findings consistent with breast hypertrophy.