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A review of pediatric macromastia etiology and indications for reduction mammaplasty.
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- Additional Information
- Source:
Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101264239 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-0539 (Electronic) Linking ISSN: 17486815 NLM ISO Abbreviation: J Plast Reconstr Aesthet Surg Subsets: MEDLINE
- Publication Information:
Original Publication: Amsterdam, The Netherlands : Elsevier, c2006-
- Subject Terms:
- Abstract:
Background: Macromastia in adolescents is both physically and psychologically debilitating during a period in life when individuals are particularly vulnerable to peer pressure and social norms. Early recognition and intervention by both pediatricians and surgeons are critical to avoid unnecessary suffering. While reduction mammaplasty is the gold standard for the management of symptomatic macromastia in adults, the management of macromastia in pediatric patients remains controversial. In particular, there is great discussion regarding the timing of reconstructive breast surgery in pediatric patients.
Methods: A comprehensive review of the literature was performed to identify all articles related to macromastia in patients ≤16 years of age, the age at which full development is typically achieved in the United States. The etiologies of pediatric macromastia, approaches to management, and outcomes are summarized herein.
Findings: Pathological breast hypertrophy in pediatric patients is a rare finding and may occur secondary to juvenile hypertrophy of the breast (JHB) and pseudoangiomatous stromal hyperplasia (PASH). While medical management of these pathologies has been attempted with varying success, reduction mammaplasty is safe and effective in pediatric patients. There are, however, a number of pediatric-specific considerations that must be taken into account prior to surgery. We provide an algorithm for approaching pediatric macromastia.
(Copyright © 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
- Contributed Indexing:
Keywords: JHB; Juvenile hypertrophy of the breast; PASH; Pediatric macromastia; Pseudoangiomatous stromal hyperplasia
- Subject Terms:
Gigantomastia
- Publication Date:
Date Created: 20230101 Date Completed: 20230207 Latest Revision: 20230316
- Publication Date:
20240829
- Accession Number:
10.1016/j.bjps.2022.12.003
- Accession Number:
36587475
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