Virginal mammary hypertrophy in children and surgical treatment

• Autores: Figueroa Ángel, Santino, Romero Flores, Venecia
• Formato: artículo
• Fecha de Publicación: 2014
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/85
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/85
• Nivel de acceso: acceso abierto

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.