VIRGINAL HYPERTROPHY

A 13-year-old girl with virginal hypertrophy (bilateral extensive juve nile hypertrophy) of the breasts is presented. Her breasts began to gr ow rapidly after puberty and reached an enormous size within a year. O n examination, both breasts were greatly enlarged. Routine blood chemi stry and the endocrinological investigations were normal. The computer ized tomography scan of the sella was unremarkable. A bilateral reduct ion mammaplasty was performed, and histological analysis of the breast tissue revealed the diagnosis of virginal hypertrophy. After four mon ths her breasts began to grow again, and a second mammaplasty was perf ormed. After this operation, tamoxifen citrate was given to prevent re currence for four months, and during the follow-up period of 20 months , no recurrence was noted.