{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:25:59Z","timestamp":1787318759390,"version":"build-2736575974"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Juvenile gigantomastia is a rare clinical entity associated with major functional and psychological consequences. We report the case of a 15-year-old adolescent with a body mass index of 24.2\u00a0kg\/m2 who presented with extreme bilateral gigantomastia progressing over 2 years. Reduction mammoplasty using the Thorek technique was performed, with a total excision of 16.5\u00a0kg (27% of body weight). The procedure was complicated by postoperative hypovolemic shock requiring blood transfusion and intensive care monitoring. Secondary partial necrosis involving both the nipple and areolar components of the nipple\u2013areola complex subsequently occurred and was treated with a full-thickness skin graft harvested from the inguinal region. Despite these complications, the patient achieved satisfactory functional and esthetic outcomes at 8-month follow-up. This case highlights the severity of extreme juvenile gigantomastia and the importance of staged surgical management.<\/jats:p>","DOI":"10.1093\/jscr\/rjag534","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:30:14Z","timestamp":1781613014000},"source":"Crossref","is-referenced-by-count":0,"title":["Extreme juvenile gigantomastia with bilateral excision of 16.5\u00a0kg (27% of body weight) in a 15-year-old adolescent: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-4350-8570","authenticated-orcid":false,"given":"Ismail","family":"Hailouma","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Mohammed VI University Hospital , Oujda ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy, Mohammed First University , Oujda ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soufyane","family":"El Kadiri","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Mohammed VI University Hospital , Oujda ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy, Mohammed First University , Oujda ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed Amine","family":"Gazanayi","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Mohammed VI University Hospital , Oujda ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy, Mohammed First University , Oujda ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doha","family":"Arreyouchi","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Mohammed VI University Hospital , Oujda ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy, Mohammed First University , Oujda ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayat Allah","family":"Oufkir","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Mohammed VI University Hospital , Oujda ,","place":["Morocco"]},{"name":"Faculty of Medicine and Pharmacy, Mohammed First University , Oujda ,","place":["Morocco"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026082108364019000_ref1"},{"key":"2026082108364019000_ref2","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1016\/S0929-693X(97)82606-1","article-title":"Morphological abnormalities of the adolescent breast","volume":"4","author":"Grolleau","year":"1997","journal-title":"Arch Pediatr"},{"key":"2026082108364019000_ref3","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1007\/BF01600213","article-title":"Megalomasia: histological, histochemical 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literature","volume":"61","author":"Dancey","year":"2008","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2026082108364019000_ref7","author":"Breast deformities and malformations"},{"key":"2026082108364019000_ref8","first-page":"77","article-title":"Breast reduction with areola graft: a report on 50 cases","volume":"40","author":"Bardot","year":"1995","journal-title":"Ann Chir Plast Esthet"},{"key":"2026082108364019000_ref9","doi-asserted-by":"publisher","first-page":"63","DOI":"10.5505\/achmedj.2025.70298","article-title":"Modified Thorek mammoplasty for the treatment of idiopathic gigantomastia","volume":"4","author":"Ozdemir","year":"2025","journal-title":"ACH Med J"},{"key":"2026082108364019000_ref10","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/S0294-1260(01)00064-4","article-title":"Juvenile breast hypertrophy: analysis of long-term outcomes of breast reduction surgery","volume":"46","author":"Aillet","year":"2001","journal-title":"Ann Chir Plast 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