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Gigantomastia post Hormonal Implant

Imaging findings

CT chest shows massive, symmetric enlargement of both breasts with diffuse glandular proliferation and minimal fat, causing significant chest wall mass effect.

Key takeaways

Gigantomastia is a rare condition characterized by rapid, massive enlargement of breast tissue. It can be triggered by hormonal changes, such as pregnancy, puberty, or exogenous hormone administration (e.g., subcutaneous birth-control implants like Nexplanon). Differential diagnosis includes lymphoma and PASH.

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