Gigantomastia: clinical cases, ultrasound characteristics
The review highlights the issues showing the possibility of diagnosing gigantomastia, a rare breast disease of unknown origin and uncertain prognosis, and that of using the methods for its treatment and prognosis.Sencha A.N., Gus A.I., Rodionov V.V., Shmakov R.G., Bikeev Yu.V., Kometova V.V., Gailish Yu.P.
Material and methods. The review includes the results of cases of foreign and Russian meta-analyses found in Pubmed on this topic. The authors give their own observations, the clinical examples of the results of diagnosis and treatment, the use of the up-to-date ultrasound imaging technologies for different types of gigantomastia.
Results. The data obtained in the meta-analyses of studies, as well as the diagnostic characteristics of different types of gigantomastia were generalized, and the results of the authors’ own observations were analyzed. Ultrasound examination was shown to play a role in the primary, differential diagnosis and dynamic monitoring of patients with this pathology.
Conclusion. The findings, the above results, and their analysis just now and in the short term can be used as criteria for the diagnosis of gigantomastia in the clinical practice of physicians, mammologists, obstetricians/gynecologists, ultrasound diagnosticians, radiologists, endocrinologists, and oncologists, to largely determine further treatment policy and to predict outcomes.
Keywords
gigantomastia
breast
gestational form
ultrasound study
mastectomy
juvenile fibroadenoma
References
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Received 09.06.2017
Accepted 23.06.2017
About the Authors
Sencha Alexander, MD, head of the department of visual diagnostics, Medical Research Center of Obstetrics, Gynecology, and Perinatology namedafter Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79688449015. E-mail: senchavyatka@mail.ru
Gus Alexander Iosifovich, MD, Professor, Head of the Department of ultrasound and functional diagnostics, Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia.
117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79852319744. E-mail: aleksandr_gus@mail.ru
Rodionov Valery V., MD, head of the department of breast pathology, Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79272710492. E-mail: dr.valery.rodionov@gmail.com
Shmakov Roman Georgievich, MD, Ph.D., chief physician, Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79272710492
Bikeyev Yury Vasilievich, doctor of the department of ultrasound and functional diagnostics, Medical Research Center of Obstetrics, Gynecology, and Perinatology named
after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79037130303. E-mail: yu.bikeev@gmail.com
Kometova Vlada Vladimirovna, Ph.D., Senior Researcher, Medical Research Center of Obstetrics, Gynecology, and Perinatology named after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79051837783. E-mail: vladakometova@gmail.com
Gailish Yuri Petrovich, doctor of the Department of Breast Pathology, Medical Research Center of Obstetrics, Gynecology, and Perinatology named
after Academician V.I. Kulakov, Ministry of Health of Russia. 117997, Russia, Moscow, Ac. Oparina str. 4. Tel.: +79037130303. E-mail: y_gaylish@oparina4.ru
For citations: Sencha A.N., Gus A.I., Rodionov V.V., Shmakov R.G., Bikeev Yu.V., Kometova V.V., Gailish Yu.P. Gigantomastia: clinical cases, ultrasound characteristics. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (1): 113-20. (in Russian)
https://dx.doi.org/10.18565/aig.2018.1.113-120
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