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Virginal Hypetrophy
Woman's Diagnostic Cyber Disease Profile
Synonyms
menarchal hypertrophy of the breast
adolescent hypertrophy of the breast
hypertrophy of the breast(s) - menarchal
General
description
This is a condition where the breasts
enlarge excessively at the time of adolescence when breasts
normally become sensitive to estrogen.
Is it common?
rare
Differentiating
features
enlargement is bilateral, and excessive although each breast is not necessarily equal in size
Other features
breast pain due to weight of breasts
Cause
unknown, although probably some sort of
excessive sensitivity of breast tissue to estrogen
Unnecessary
studies
mammography
Natural history
untreated
breasts remain enlarged and
cause back and chest muscle pains
Goals of
therapy (Rx)
to restore patient's self image and relieve
pain
1st choice therapy
support bra
Other therapies used
surgical - reduction mammoplasty -
excision of a large part of breast. Usually
plastic surgery is not approved for this unless at least 150
grams of tissue per breast needs to be removed.
Treatments to
avoid
exogenous estrogen therapy may continue to stimulate breasts
Reason for Rx
choices
not known to be reduceable by any non-surgical therapy
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