Massive Assymetrical Virginal Breast Hypertrophy: A Case Report

Virginal breast hypertrophy (VHB) is a rare , distinct disorder of unknown etiology with the rapid onset of macromastia at the onset of puberty.We reported a 12 year old, peripubertal girl presented to us with abnormal assymetrical growth of her breasts in 10 months. Due to the enormous breast volume, which caused her physical and psychological problems, she curtailed her social life. On examination, left breast was enlarged more in comparision to right, with associated skin changes. Endocrinological investigations were normal. A bilateral reduction mammaplasty with free nipple graft was performed. Histological analysis of the breast tissue revealed the diagnosis of virginal hypertrophy. During the follow-up period of 13 months, no recurrence was noted and patient is physically and psychologically satisfied.