A CASE REPORT BILATERAL GIGANTOMASTIA WITH CONGENITAL GUM HYPERTROPHY IN 12 YEAR- OLD - GIRL

Introduction A benign disorder known as juvenile gigantomastia causes disproportionately large breasts for a child's age, either unilaterally or bilaterally, during puberty. There are a number of hypotheses that have been put forth, but the exact cause of gigantomastia is still unknown. The imbalance in endogenous hormone production is included in the widely accepted notion. When gigantomastia develops in adolescence, it causes a miserable condition, Physical and psychological issues result from it. physical issues including shoulder and back pain. Poorly tting clothing, a bad body image, and difculty exercising are secondary social issues. Here, we describe the case of a 12- year-old girl who underwent bilateral breast reduction surgery after being diagnosed with bilateral giagntomastia and congenital gum hypertrophy. Report of the case In this case report, we provide a novel observation in a 12-year-old oid-giri with congenital gum hypertrophy and juvenile gigantomastia (rapid and exaggerated growth in breast size during puberty in a year, with consequent skin ulcerations). She had a BMI of 20.6 kg/m2. No auxiliary lymphadenopathy was present. Prolactin, follicle-stimulating hormone, and serum estradiol levels were all within normal ranges. The results of the medical genetic study did not link to any syndrome. The breast's radiological imaging revealed nothing neoplastic-looking. Debulking of the gums was planned, and a reduction mammoplasty was performed. No recurrence has been documented following a follow-up of 4 months. We conducted a thorough literature search but were unable to locate any cases that were similar. Discussion In the unusual occurrence of gigantomasatia, breast development continues until adolescence. There are a number of theories that have been put up, but the precise underlying aetiology for gigantism has not yet been fully understood. The following techniques were used in the treatment of gignastomastia: (1) Surgical management, (2) preoperative or postoperative medical therapy, (3) postoperative medical therapy alone, and (4) medical therapy. Conclusion Adolescents readily accept reduction mammoplasty for gigantism, which can lead to better physical and psychological consequences. Since congenital gum hypertrophy and gigantism have only sometimes been discussed in the literature, this case will add to our understanding and aid future research into the best way to treat this crippling condition.