Bromocriptine 13 produced a partial response in a few cases, even with normal prolactin levels, but failed to produce a similar effect in our case, which involved high prolactin levels. Therapeutic abortion was considered on the basis that regression is observed in the postpartum period. However, the poor result of therapeutic abortion combined with the unethical principle of sacrificing a life for an organ makes therapeutic abortion an unacceptable option. Infection, ulceration and hemorrhage are absolute indications. In the absence of complications, surgical indication depends on sound surgical judgment, taking into consideration the size of the breast, the degree of disability, the duration of pregnancy and the risk of miscarriage during surgery.
Controversy still exists about the best surgical treatment.
Reduction mammoplasty, subcutaneous mastectomy, and total mastectomy are the various surgical options. Reduction mammoplasty may be followed by long-term hormonal manipulation to prevent recurrence and will fail if subsequent pregnancies occur, because of the regrowth of the breast. 14 Subsequent mastectomy 5 will be insufficient for large breasts. Simple mastectomy 10 could possibly be the treatment of choice, particularly with immediate reimplantation of the areola-nipple complex. Our case exhibited a few unusual features.