Old women huge breast-Woman with L-cup breasts is donating her 'gift' to science

By Sarah Finley For Mailonline. A young mother who claims her size 36k breasts are ruining her life, has been turned down twice for a breast reduction operation on the NHS. However she was devastated after being told two years ago, and again in March this year, by two different GP's that she would not be referred for an NHS breast reduction because her problems were not serious enough to warrant funding. Her breasts even cost her her job - quitting as a soft play supervisor 18 months ago as she had to move around a lot and the strain put on her back by her breasts was too uncomfortable. Dani Markerson pictured , 20, from Caerphilly, South Wales, is a slim size 12 from the waist down but is forced to wear a size 18 on top.

Old women huge breast

Old women huge breast

How to Reduce Breast Size Naturally. The condition is usually treated on a case-by-case basis. Analysis of ninety-four cases. A core biopsy will give a tissue diagnosis and will also sample some of the surrounding tissue. Medical regimens have included tamoxifen[26] progesteronebromocriptinethe gonadotropin-releasing hormone agonist leuprorelinand testosterone. In some cases, the condition resolves on its own, but many women with gigantomastia will need to have breast reduction surgery or a mastectomy. Gynecologyendocrinology. When gigantomastia occurs in young women during pubertythe medical condition is known as juvenile macromastia or juvenile woemn and sometimes as virginal breast hypertrophy or virginal Old women huge breast hypertrophy. Phyllodes tumor of the breast: a clinicopathologic Women masturbating toys techniques of 34 cases.

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Phyllodes tumour is an unusual fibroepithelial tumour of the breast constituting only 0. The tumour was subsequently diagnosed as a borderline-grade giant phyllodes tumour. A year-old woman noticed a lump in her right breast while bathing 3 years ago. It was firm, mobile, and nontender. Instead, they resorted to traditional forms of medication in the hope that the mass would resolve.

However, the mass continued to steadily increase in size and 19 months later she revisited her physician, as the mass was now too big to bear and had begun to ulcerate at 2 places Figure 1. Her physician immediately referred her to the surgical outpatient department at the local hospital. On examination, the surgeon noticed that the right breast was grossly enlarged and lobulated and the skin over the breast appeared stretched, shiny, and hyperpigmented, with dilated superficial veins.

The right nipple appeared stretched and flattened out. However, it was neither ulcerated nor retracted and there was no discharge from the nipple. It was firm, nontender, mobile, and not attached to the underlying structures. The mass also appeared to be well demarcated, with a lobulated surface.

The left breast was normal on examination. Cervical and axillary lymph nodes were not palpable. The lung fields were clear and there was no evidence of enlarged hilar or mediastinal glands.

Ultrasonography of the abdomen revealed no abnormality. The liver, spleen, pancreas, and kidneys appeared normal. There was no evidence of enlarged abdominal lymph nodes. A core tissue biopsy was performed. On microscopy, a well-circumscribed tumour was seen, showing slitlike ducts and pushing borders Figure 3A , with focal fibroadipose tissue invasion.

The tumour consisted of stromal proliferation with elongated leaflike papillae protruding into dilated spaces. These structures were lined by ductal epithelium and myoepithelial cells. The spaces were filled with eosinophilic fluid and blood. Hyalinization and myxoid changes were seen throughout the tumour Figure 3B.

Scattered rounded acini were seen lined by hyperplastic epithelial cells without atypia. The stromal cells showed moderate cellularity and spindle-shaped nuclei with some areas of cells exhibiting ovoid, slightly plump nuclei. Occasional mitosis was seen Figure 4A. Areas of chondromyxoid cartilaginous and osseous metaplasia were also seen Figure 4B.

There was no evidence of Paget disease of the nipple. The ulcerated skin was covered by exudate and necrotic debris, with underlying granulation tissue. The tumour showed infiltration at the inferior and lateral margins.

Consequently, a diagnosis of borderline-grade giant phyllodes tumour was made, and the patient was advised to undergo simple mastectomy. Surgery was performed and the tumour mass was found to weigh 5. A large, well-demarcated tumour with a lobulated surface is seen in the right breast. It is well demarcated, firm, nontender, mobile, and has a lobulated surface. Tumour microscopy: A Phyllodes tumour showing slitlike ducts black arrow and pushing borders.

B Tumour microscopy showing hyalinization black arrow and myxoid changes. Cell microscopy: A Stromal cells showing moderate cellularity and spindle-shaped nuclei black arrow with some areas of cells exhibiting ovoid, slightly plump nuclei white arrow. Occasional mitosis seen. B Phyllodes tumour showing areas of chondromyxoid and osseous metaplasia black arrow. Postmastectomy: Tumour is a large, fleshy mass weighing 5.

Postoperatively, the resected tumour mass was subjected to multiple sections 1 section per centimetre of tissue.

It usually occurs in middle-aged women but occasionally occurs at a younger age and in men. The mean age of patients presenting with phyllodes tumour of the breast is about 41 years. The patient usually presents with a breast lump that is firm, mobile, and nontender. The lump is usually well defined, with distinct borders, and is difficult to distinguish from a fibroadenoma. Malignant phyllodes tumour is usually suspected in older patients, those with a strong family history of breast cancer, those with clinical signs such as skin dimpling or vein reticula, and irregular or indistinct margins on tumour palpation.

Complications such as bleeding and ulceration over the lesion, lymphedema, brachial plexus injuries, hematoma formation, cosmetic disfiguration due to the abnormally large size of the tumour mass, and metastasis to the lungs, bone, liver, and distant lymph nodes are also hallmarks of a malignant phyllodes tumour. The differential diagnosis is predominantly fibroadenoma; however, other conditions such as metastatic carcinoma, angiosarcoma, pleomorphic adenoma, pure sarcoma, and myofibroblastoma also need to be considered.

The median size of phyllodes tumour is 4 cm. These tumours can get even larger, growing up to 40 cm. However, the optimal diagnostic test is still debated.

While mammography typically shows lobulated, benign-appearing opacities, microcalcification is rare. It shows smooth contours, low-level internal echoes, absence of posterior shadowing, and intramural cysts.

Core needle biopsy is the mainstay in the preoperative diagnosis of phyllodes tumour. In comparison, fine-needle aspiration cytology has certain shortcomings, as its accuracy depends on an adequate and representative sample. Phyllodes tumours are by nature heterogeneous tumours with focal areas of hypercellular fragments.

Consequently, sampling problems can occur, and fine-needle aspiration cytology might be inaccurate if sampling has been done from a relatively hypocellular, myxoid, or hyalinized area of stromal tissue. Phyllodes tumours have a similar basic structure to intracanalicular fibroadenomas but have a greater degree of stromal cellularity and contain leaflike or club-like epithelial-lined papillary projections pushing into cystic spaces.

However, histologic appearance does not always correlate with clinical behaviour, 4 , 11 , 22 , 23 as both malignant and borderline tumours have been shown to be capable of metastasizing. Also, while benign phyllodes tumours might recur, borderline phyllodes tumours show higher propensity to recur locally. In our patient, the tumour was graded as borderline, as there was stromal overgrowth, evidence of occasional mitotic activity, and infiltration at the inferior and lateral margins.

It was not graded as malignant because there were neither sarcomatous stroma nor a high mitotic index. The lung fields were clear and there was no evidence of enlarged hilar or mediastinal glands, and the liver, spleen, pancreas, and kidneys appeared to be normal.

Follow-up of the patient 17 months after surgery showed no evidence of local recurrence or metastasis to the axillary lymph nodes Figure 6 , liver, bone, or lungs. Postoperative follow-up at 17 months: No evidence of local recurrence or metastasis to the axillary lymph nodes. Good wound healing was observed at the site of surgery black arrows. Management of giant phyllodes tumour presents unique challenges to the treating surgeon.

Adjuvant chemotherapy and radiotherapy have not proven to be useful in the treatment of phyllodes tumour and response to chemotherapy and radiotherapy is known to be poor in case of metastasis. Hormonal therapy has also been unsuccessful in the treatment of phyllodes tumour.

Axillary lymph node metastasis is usually rare, and dissection should be limited to patients with evidence of metastasis to these sites.

Skin involvement by the tumour does not appear to be a predictor of metastasis. Family physicians who follow up with their patients diagnosed with borderline-grade giant phyllodes tumours need to remember that isolated lung metastases can develop years later, which might be resectable if detected early.

Hence, detailed follow-up accompanied by chest x-ray scans at regular intervals is useful in such patients. Expected outcome essentially depends on the histologic type benign, borderline, malignant of phyllodes tumour. In one large study 10 involving women with phyllodes tumour, the overall 5-year survival rate was Patients with benign phyllodes tumours had a 5-year survival rate of Breast swellings are a common problem encountered by family physicians in the course of their busy medical practices.

The causes usually include fibroadenoma, metastatic carcinoma, pure sarcoma, hamartoma, myofibroblastoma, phyllodes tumour, and angiosarcoma. A diagnosis of phyllodes tumour is typically confirmed on histologic examination after excision. Core needle biopsy is the usual method of tissue collection for making a preoperative diagnosis of phyllodes tumour.

Expected outcome depends on the histologic type benign, borderline, malignant. Our patient was diagnosed with a borderline-grade tumour, and follow-up 17 months after surgery revealed no evidence of local recurrence or metastasis to the axillary lymph nodes.

Phyllodes tumour is defined as an unusual mixed epithelial and stromal-mesenchymal proliferation of breast tissue characterized by increased stromal cellularity and broad leaflike papillae inserted into cleftlike spaces. Tumours larger than 10 cm are known as giant phyllodes tumours. The diagnosis of phyllodes tumour is confirmed by excision and histologic examination. This article has been peer reviewed. Competing interests. National Center for Biotechnology Information , U.

Journal List Can Fam Physician v. Can Fam Physician. Author information Copyright and License information Disclaimer. This article has been cited by other articles in PMC. Case A year-old woman noticed a lump in her right breast while bathing 3 years ago. Open in a separate window. Figure 1. Figure 2.

Figure 3. Figure 4.

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Unusually large breast tumour in a middle-aged woman

By Sarah Finley For Mailonline. A young mother who claims her size 36k breasts are ruining her life, has been turned down twice for a breast reduction operation on the NHS. However she was devastated after being told two years ago, and again in March this year, by two different GP's that she would not be referred for an NHS breast reduction because her problems were not serious enough to warrant funding.

Her breasts even cost her her job - quitting as a soft play supervisor 18 months ago as she had to move around a lot and the strain put on her back by her breasts was too uncomfortable. Dani Markerson pictured , 20, from Caerphilly, South Wales, is a slim size 12 from the waist down but is forced to wear a size 18 on top. Single Dani, who has split up with Theo's dad but remains friends, said her boobs have been the bane of her life since she was 12 when they 'grew overnight,' attracting lurid comments from older men.

The pretty 5ft 7in brunette recalled: 'When I was a teenager I'd walk to school in my uniform and men would stop and beep the horn, shouting at me to go home with them. The attention I got was disgusting. I would shout back at them, 'I'm only 14,' but they didn't care.

I would say to her, 'Mum I'm a big girl now. Dani says that when she was a teenager she'd'd walk to school in her uniform and men would stop and beep the horn, shouting at her to go home with them. I've not actually weighed them, but I reckon they could weigh as much as a newborn baby. She said: 'When I was pregnant they became freakishly big and now they just won't go down.

I'd sit down and not be able to get back up again. And it's not like I can put them down. Dani says her breasts 'popped up' out of nowhere and by the age of 12 she was a D cup — leaving her with agonising back ache and making her neck swell up when she walks. She says the added weight of pregnancy has caused them to start giving way, with a physiotherapist suggesting she may even need a double knee replacement op, despite being so young.

Dani said she explained her physical difficulties, as well as telling doctors she was suffering with anxiety and depression because of her huge breasts, yet she claims her case was not deemed serious enough to warrant NHS funding.

The stay-at-home mother explained: 'I've spoken to two GPs who told me there would be no help from the NHS because they do not see it as a serious enough thing to spend money on. I explained the problem with my joints and they said joints do pop. They said the NHS won't fund a reduction unless you have serious health problems.

I felt like they thought I was wasting their time. She reveals how she's spoken to two GPs who told her there would be no help from the NHS because they do not see it as a serious enough thing to spend money on.

Health chiefs said they do fund breast reduction operations across Wales, but only when it has been proved there is 'significant pain or discomfort which affects daily activities and is not amenable to routine treatment,' according to the Welsh Health Specialised Services Committee. Dani explained: 'I've suffered from anxiety, stress and depression because of my breasts.

My confidence has plummeted because I fear being judged. Whenever I go out I feel I've got 10 pairs of eyes on me.

Dani says the added weight of pregnancy pictured with Theo caused her knees to to start giving way, with a physiotherapist suggesting she may even need a double knee replacement op, despite being so young. I'm a size 12 on the bottom and wear a size 18 on top, but there's nothing hiding them.

My knees kept giving way and I couldn't keep myself upright. Instead of being a sprightly young mother, Dani says she gets stuck when she bends down like an old woman. The stay-at-home mother also gave up going on holiday abroad when she was 16, because the attention she received was too much — with older men leering at her and spooking her family who were so worried for her, they would not leave her side.

Dani said: 'It wasn't just the men, there was a lot of negativity from women. People judge you thinking you must have had a boob job. They would look at me like I was a piece of dirt. It was really embarrassing. At school I'd get called jugs, titsmagee, juggernauts, tits, slag and fat. It was horrible. They've not cared about them and know it's a sore point with me. Yet Dani says some women still think she is lucky to have such a large bust. When breastfeeding her son, Dani claims her nipples would rest on her leg, so she could not see her stomach.

And she was always terrified of falling asleep and suffocating him when he was tiny if she took him into her bed. Dani said: 'I'd panic if Theo wouldn't sleep in his own bed and wanted to come in with me. If I rolled over I could easily suffocate him, so I'd just lie there in a panic and make sure I had my bra on.

They're not perky, they have stretch marks, the nipples are different sizes because they're so stretched and they sag. They are practically knee warmers. Dani says some women still think she is lucky to have such a large bust but she tells them the reality of it. I honestly think it would give me my life back. I'd be able to get back to work and go out feeling confident.

It will take me years. A spokesperson for Welsh Health Specialised Services Committee, which plans specialised services on behalf of local health boards in Wales, said that access to plastic surgery services for breast reduction will be considered where there is 'significant pain or discomfort which affects daily activities and is not amenable to routine treatment'.

The mother-of-one says it wasn't just the men, there was a lot of negativity from women and says people judge you thinking you must have had a boob job. The stay-at-home mother also gave up going on holiday abroad when she was 16, because the attention she received was too much. A spokesman for the local health board, Aneurin Bevan University Health Board said: 'We are unable to comment on individual cases. Share this article Share. Share or comment on this article: Woman with 36K breasts has been turned down twice by the NHS for reduction surgery e-mail Bing Site Web Enter search term: Search.

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Old women huge breast

Old women huge breast

Old women huge breast