INTRODUCTION
Virginal breast hypertrophy (VBH)
is a benign condition manifesting as atypical, rapid, and continued
increase in either unilateral or bilateral breast size, disproportionate
to other body parts during puberty.1,2 Patients
experience an initial period of quickened growth for three to six
months. If left untreated, a longer period of slower growth may last for
childbearing years.3 Terms like juvenile hypertrophy,
gigantomastia, and virginal or juvenile macromastia have been used
interchangeably to define VBH in the literature.4 This
is an extremely uncommon condition arising sporadically, though a
familial case has been reported.5 Hoppe et
al4 mentioned sixty five cases reported in the
literature till 2010 A.D. Later on, Hisham et al6acknowledged nine more cases in addition to Hoppe et al from 2010 to
2016 A.D. Reduction mammoplasty with its modifications, is generally
advisable to decrease the mass effect of the breast causing neck and
back pain and to prevent hemorrhage and ulceration in the skin. However,
there are chances of recurrences.7
Virginal breast hypertrophy has not been reported from Nepal to the best
of our knowledge. Herein, we describe the case of a 14-year-old girl,
who was diagnosed with this rare entity and corrected surgically.