Some doctors suggest that the rapid breast development occurs before the onset of menstruation. A diagnosis is made when an adolescent's breasts grow rapidly and achieve great weight, usually soon after her first menstrual period. Along with the excessive breast size, other symptoms include red, itchy lesions and pain in the breasts. When gigantomastia occurs in young women during puberty, the medical condition is known as juvenile macromastia or juvenile gigantomastia and sometimes as virginal breast hypertrophy or virginal mammary hypertrophy. Many definitions of macromastia and gigantomastia are based on the term of "excessive breast tissue", and are therefore somewhat arbitrary.Ī total of 115 cases of breast hypertrophy had been reported in the literature as of 2008. Breast hypertrophy is classified in one of five ways: as either pubertal (virginal hypertrophy), gestational ( gravid macromastia), in adult women without any obvious cause, associated with penicillamine therapy, and associated with extreme obesity. The effect can produce a minor size variation to an extremely large breast asymmetry. The condition can also individually affect the nipples and areola instead of or in addition to the entire breast. Hypertrophy of the breast can affect the breasts equally, but usually affects one breast more than the other, thereby causing asymmetry, when one breast is larger than the other. The enlargement can cause muscular discomfort and over-stretching of the skin envelope, which can lead in some cases to ulceration. Some resources distinguish between macromastia (Greek, macro: large, mastos: breast), where excessive tissue is less than 2.5 kg, and gigantomastia (Greek, gigantikos: giant), where excessive tissue is more than 2.5 kg. There are varying definitions of what is considered to be excessive breast tissue, that is the expected breast tissue plus extraordinary breast tissue, ranging from as little as 0.6 kilograms (1.3 lb) up to 2.5 kilograms (5.5 lb) with most physicians defining macromastia as excessive tissue of over 1.5 kilograms (3.3 lb). Scott Griessel/iStock/Getty Images Congratulations on your lifetime appointment as supreme dictator of Wrongsylvania.The indication is an excess breast weight that exceeds approximately 3% of the total body weight. Yes, obviously a literal child was intentionally flaunting her shameful body despite the clear distress it caused, you horror-show of a person. It was an embarrassingly long time before I realized that her statement was so many kinds of wrong that it's actually sold at the Wrong Store in Wrongingham, Wrongland, in different shades of wrong. I think I just stammered out an objection that the shirt I was wearing - a perfectly normal T-shirt - wasn't that tight. In response, this 60-year-old woman said, quite matter-of-factly, "Maybe you wouldn't have such a problem if you didn't wear such tight shirts." I didn't know what to say at the time. During a meeting with my sixth-grade teacher to discuss why my grades had fallen from "Now you're just showing off" to "We've had to start using an entirely different alphabet," I hesitantly opened up about the teasing that played no small part in the problem. I didn't expect the adults to join in, though.
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