caa a22 4500 445310162 CHVBK 20180317142626.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-010-1714-8 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1714-8 Extreme gigantomastia in pregnancy: case report—my experience with two cases in last 5years [Elektronische Daten] [Borce Antevski, Oliver Jovkovski, Vanja Filipovski, Saso Banev] We present an extreme case of gigantomastia in pregnancy during the second gemelar pregnancy of a 30-year-old woman. Her first pregnancy was 8years ago, was also gemelar and she delivered with caesarean section. From the beginning of her current pregnancy, the patient noted steady growth of both of her breasts that reached enormous dimensions at the end of the pregnancy. This kind of breast changes did not occur during her first pregnancy. The patient also suffered from myasthenia gravis that was in remission during this pregnancy, without any therapy. The patient was in the 38weeks of gestation, and a delivery with caesarean section was performed in line with the reduction of her breasts. The main reasons that led me to perform these two interventions as one act were the fact that puerperal mastitis could develop on these enormous breasts, further the small regression of these huge breasts during the bromocriptine treatment, as well as the intention to avoid other operative traumas, considering possibility of exacerbation of myasthenia gravis. I had already performed bilateral reduction mammaplasty with free areola-nipple graft, when a tissue with total weight of 20kg (2×10kg) was removed. The patient had an excellent post-operation recovery course. Springer-Verlag, 2010 Gigantomastia nationallicence Pregnancy nationallicence Breast nationallicence Reduction nationallicence Mammaplasty nationallicence Antevski Borce Clinic for Thoracic and Vascular Surgery, Clinical Center, University of "Ss. Cyrill and Methodiuos” Skopje, "Vodnjanska bb”, 1000, Skopje, Republic of Macedonia aut Jovkovski Oliver Clinic for Pulmology, Clinical Center, University of "Ss. Cyrill and Methodiuos” Skopje, Vodnjanska bb, 1000, Skopje, Republic of Macedonia aut Filipovski Vanja Institute of Pathology, Medical Faculty, University of "Ss. Cyrill and Methodiuos” Skopje, "50 Divizija br. 6”, 1000, Skopje, Republic of Macedonia aut Banev Saso PZO "Biopsija”, "Vasil Levski No 1”, 1000, Skopje, Republic of Macedonia aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 575-578 0932-0067 284:3<575 2011 284 404 https://doi.org/10.1007/s00404-010-1714-8 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1714-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Antevski Borce Clinic for Thoracic and Vascular Surgery, Clinical Center, University of "Ss. Cyrill and Methodiuos” Skopje, "Vodnjanska bb”, 1000, Skopje, Republic of Macedonia aut NATIONALLICENCE 700 1- Jovkovski Oliver Clinic for Pulmology, Clinical Center, University of "Ss. Cyrill and Methodiuos” Skopje, Vodnjanska bb, 1000, Skopje, Republic of Macedonia aut NATIONALLICENCE 700 1- Filipovski Vanja Institute of Pathology, Medical Faculty, University of "Ss. Cyrill and Methodiuos” Skopje, "50 Divizija br. 6”, 1000, Skopje, Republic of Macedonia aut NATIONALLICENCE 700 1- Banev Saso PZO "Biopsija”, "Vasil Levski No 1”, 1000, Skopje, Republic of Macedonia aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 575-578 0932-0067 284:3<575 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer