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The majority of women with noninflammatory, nondegenerative and non-neoplastic hypertrophy of the breast complain of no symptoms apart from slight inconvenience occasioned by the enlarged glands and require no treatment. Frequently, however, the hypertrophy assumes such proportions as to cause physical, occupational or psychic embarrassment, and so becomes a condition demanding relief.
Logical treatment for this type of hypertrophy would be directed to removal of the stimulus toward abnormal growth, but since it is yet unknown, such treatment is unavailable. It is hoped that added interest and more careful study may reveal the underlying defect and thus lead to more rational therapeutics. Attempts to correct the condition by organotherapy, iodides, roentgen therapy, bandaging and a host of other measures have brought negligible results. When other treatment has failed and the symptoms justify the hazard of operation, plastic surgery offers a well defined technic for alleviating the hypertrophy.
Since Lexer's article
FOMON S. SURGICAL TREATMENT OF IDIOPATHIC HYPERTROPHY OF THE BREAST. Arch Surg. 1936;33(2):253-266. doi:10.1001/archsurg.1936.01190020069007