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Living with Familial juvenile hypertrophy of the breast

A rare condition with excessive breast growth that can cause pain, back problems and skin sores.

Understanding Familial juvenile hypertrophy of the breast

Familial juvenile hypertrophy of the breast is a rare condition that causes excessive breast growth.

Symptoms may include breast pain (mastalgia), skin sores or infection, posture problems, and back pain. Nerve injury can lead to loss of feeling in the nipple. The exact cause isn't known.

Signs & symptoms

Symptoms vary from person to person. GARD's summary lists these:

  • Breast pain (mastalgia)
  • Skin sores or infection
  • Posture problems
  • Back pain
  • Loss of nipple sensation

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include maternal-fetal medicine specialists and women’s reproductive health specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Maternal-fetal medicine specialists (pregnancy-related); Women’s reproductive health specialists (obstetricians / gynecologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which specialist should I see about breast size and pain?
What options are there for relieving back and posture problems?
Could hormones or family history be involved in my case?

Quick facts

The exact cause is not known. GARD says hormonal and hereditary factors may be involved.

Urinary and Reproductive

Also known as: adolescent macromastia; diffuse hypertrophy of breast; familial juvenile gigantomastia; gigantomastia, juvenile; hypertrophy of the breast, juvenile; juvenile gigantomastia

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Familial juvenile hypertrophy of the breastGARD ID 9450 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

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