| Title | [Gynecomastia. Management of diagnosis and therapy. Apropos of 52 cases] | | Author(s) | Vasseur C, Martinot V, Hodin E, Patenotre P, Pellerin P | | Institution | Service de Chirurgie Plastique et Reconstructrice, Hôpital Salengro, Lille. | | Source | Ann Chir 1998; 52(2):146-57. | | MeSH | Adolescent
Adult
Combined Modality Therapy
English Abstract
Gynecomastia
Humans
Lipectomy
Male
Mastectomy, Simple
Mastectomy, Subcutaneous
Middle Aged
Postoperative Complications
Treatment Outcome
| | Abstract | Gynecomastia is the commonest breast lesion in males. Fifty-two patients (mean age 24 years) operated in our department were reviewed with a mean follow-up of two years and a half. Gynecomastia occurred most frequently during puberty (63%), was bilateral (75%) and idiopathic (65%). The size of the enlargement was evaluated according to Simon's-classification based on breast-volume and skin-redundancy. 18 stage 1, 22 stage 2A, 9 stage 2B, 3 stage 3. Clinical examination and mammography determined the consistency of gynecomastia: adipose or firm. 4 different surgical managements were used: 32 subcutaneous mastectomies, 12 liposuctions, 6 liposuctions assocaited with subcutaneous mastectomy, 1 total mastectomy. One patient had liposuction on one side and subcutaneous mastectomy on the other one. All techniques gave good morphologic results. Nonetheless, the authors recommend the combination "liposuction and subcutaneous mastectomy", as this technique presents many advantages: small intraoperative blood loss, good skin redraping, short hospital stay, complete histologic examination of the material removed. | | Language | fre | | Pub Type(s) | Journal Article
| | PubMed ID | 9752431 |
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