Archives of Plastic Surgery

  • 제51권1호
  • /
  • Pages.62-66
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  • 2024
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Management of Gestational Gigantomastia with Goldilocks Procedure after Mastectomy: A Case Report and Review of Literature

  • Ho Yoon Jeong (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) ;
  • Taewoo Kang (Busan Cancer Center and Biomedical Research Institute, Pusan National University Hospital, and Department of Surgery, Pusan National University, School of Medicine) ;
  • Heeseung Park (Busan Cancer Center and Biomedical Research Institute, Pusan National University Hospital, and Department of Surgery, Pusan National University, School of Medicine) ;
  • Kyoung Eun Kim (Busan Cancer Center and Biomedical Research Institute, Pusan National University Hospital, and Department of Surgery, Pusan National University, School of Medicine) ;
  • Su Bong Nam (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) ;
  • Ju Young Go (Atelier Plastic Surgery Clinic) ;
  • Seong Hwan Bae (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
  • 투고 : 2023.05.31
  • 심사 : 2023.09.22
  • 발행 : 2024.01.15
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초록

Gestational gigantomastia is characterized by the rapid growth of breasts during pregnancy. The treatment method of gestational gigantomastia is unclear; if the medical treatment is ineffective, surgery is considered. However, sufficient research on which method is best to perform breast reconstruction for the gestational gigantomastia patient has not yet been conducted. Our patient was young and had aesthetic needs; thus, we did not recommend modified radical mastectomy. However, it was difficult for the patient to consider active reconstruction using an implant or autologous tissue because of the expected complications and economic problems. The patient had a thin body shape and very large breasts compared with the trunk. Therefore, breast volume was not significantly required after reconstruction. Additionally, we expected that a considerable portion of skin would remain after mastectomy as a tubular-shaped breast. It was expected that the Goldilocks technique would be sufficient to meet the patient's volume needs. Therefore, we proceeded with total mastectomy and reconstruction using the Goldilocks procedure. No complications were recorded after the operation; most of the patient's discomfort was resolved, and the shape and size of the breasts were satisfactory.

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과제정보

This work was supported by clinical research grant from Pusan National University Hospital in 2021.

참고문헌

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