Gigantomastia in pregnancy with an accessory axillary mass masquerading as inflammatory carcinoma

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dc.contributor.author Lokuhetty, M.D.S.
dc.contributor.author Saparamadu, P.A.
dc.contributor.author Al-Sajee, D.M.
dc.contributor.author Al-Ajmi, R.
dc.date.accessioned 2011-10-04T09:02:58Z
dc.date.available 2011-10-04T09:02:58Z
dc.date.issued 2011
dc.identifier.citation Diagn Cytopathol. 2011 Feb;39(2):141-3 en_US
dc.identifier.uri http://archive.cmb.ac.lk:8080/xmlui/handle/70130/109
dc.description.abstract Giagantomastia is a rare disorder known to occur in pregnancy, causing enlargement of the breasts greater than that of gravid enlargement. The histological features of gigantomastia are glandular hyperplasia and an increase of stromal tissue. Illustrated by one documented case, cytomorphology of gigantomastia was misdiagnosed as a phyllodes tumor. We document the cytomorphology of an axillary mass in a gravid woman of 24 years with gigantomastia. She presented in her first trimester with bilateral mastalgia and swelling, nonresponsive to antibiotics. Imaging excluded mass breast lesions and a pituitary prolactinoma. The breasts progressively enlarged, became warm, tender, and developed skin ulcerations and a peau d'orange appearance. Subsequently she developed a mass in her left axilla. On aspiration of the mass, some of the cytomorphological features were suspicious for a metastasis, which correlated well with her clinical features. Careful evaluation suggested cytomorphology to be compatible with benign accessory breast tissue with possible hormone related changes of pregnancy. Histology of the excised axillary mass confirmed this diagnosis. Thus, awareness of this rare condition and careful evaluation is mandatory to avoid misdiagnosis in a similar clinical context en_US
dc.language.iso en en_US
dc.title Gigantomastia in pregnancy with an accessory axillary mass masquerading as inflammatory carcinoma en_US
dc.type Research paper en_US


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