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Subject:
From:
Cheri Casciola <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 12 Jan 2006 11:45:24 EST
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Hi Loni -
 
 
As others have stated, I would concur that this mom sounds like a likely  
candidate for gigantomastia.  Thus said mom sure has the classic telltale  signs: 
 petite, basketballs for breasts in short amount of time, blanched  shiny 
skin.  Cathy hit upon the fact that her breasts sound like they  are abscessing 
due to the enormous growth experienced in such a short amount of  time.  It's a 
connective tissue growth - not really a fluid, therefore, I  don't know how 
likely cabbage leaves will be.  I know in my case, the exact  opposite 
occurred, and my swelling about doubled over night when cabbage was  applied.  Instead 
I would ice them as much as possible for comfort.   Also, if this is 
gigantomastia, then at the moment it is believed to be a  prolactin reactor.... and 
what to do with that?  The billion dollar  question!
 
I'm also the person who wrote the article found in June - July 2005 Leaven,  
that Norma referred to in her post.  I have experienced gigantomastia in  all 
3 stages that it can present itself:  puberty, gestation and post  pregnancy.  
The worst scenario is what this mom is presenting with -  gestation.
 
I would advise this mom to seek out Dr. Craig Randall in Chandler AZ or Dr.  
Ruth Lawrence in Rochester NY.  I have both contact #s availabe if  desired.  
These two are the only specialists that I'm aware of that know  of this 
condition and are willing to work with thus said clientele.  I  believe Dr. Craig 
treats with Bromocriptine during pregnancy in order to slow  down the 
excelerated growth.  Should her breast tissue survive and not  require mastectomies 
(partial, full) it will be a wait and see what they will do  after the birth of 
the baby.  For some women the breast tissue goes back  down to a more 
"manageable" size... while others won't.  I would also  believe either of these two 
doctors could rule out/in cancer  too.  
 
This condition occurs 1:100,000 pregnancies and once it starts, then a  woman 
can be most certain to experience it again for subsequent  pregnancies.  This 
is also genetic, and therefore, can be passed on to her  offspring - daughter 
and any offspring daughters of her sons.
 
I'm currently on nomail right now and was alerted to this line of  discussion 
by a colleague.  So should you want to seek out any further  information, 
feel free to contact me at my other email address:   [log in to unmask] 
(mailto:[log in to unmask])      I'd be  willing to talk via phone once private contact has 
been established.   There's more info to give on this topic... and a cure has 
got to be found....  for I dread this happening to my daughters and 
granddaughters.
 
ps - you are correct to NOT have her pump!  and I'd be curious to know  her 
female bloodline relatives breast Hx, her puberty Hx, etc.
 
Regards,
Cheri Casciola, IBCLC, RLC
Chandler AZ
Gigantomastia survivor

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