Gynecomastia Establishing Etiological, Clinical Aspects and Surgical Management

S. Karti; A. Jalal; A. Chfiri; A. El Harti; M. Diouri

doi:10.24018/ejmed.2022.4.2.1263

Case Study

S. Karti

UHC Ibn Rochd, Casablanca, Morocco

* Corresponding author

A. Jalal

UHC Ibn Rochd, Casablanca, Morocco

A. Chfiri

UHC Ibn Rochd, Casablanca, Morocco

A. El Harti

UHC Ibn Rochd, Casablanca, Morocco

M. Diouri

UHC Ibn Rochd, Casablanca, Morocco

10.24018/ejmed.2022.4.2.1263

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Submitted 2022-02-28
Published 2022-03-31

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Abstract

Gynecomastia is a benign unilateral or bilateral increase in glandular tissue in men with significant aesthetic and psychological repercussions. In some situations, it might be a symptom of an underlying condition. The management of gynecomastia is mainly based on an extensive etiological analysis made of an exhaustive endocrine assessment, and a radical or conservative adapted treatment allowing to obtain the best aesthetic result.

Through literature review some clinical cases, we establish different etiological, clinical aspects and management of gynecomastia.

Keywords: Adipose tissue, gynecomastia, glandular, liposuction, mastectomy, round block

References

Akgül S, Kanbur N, Derman O. Pubertal gynecomastia: what about the remaining 10%?. Journal of Pediatric Endocrinology and Metabolism. 2014; 27(9-10): 1027-1028.
DOI | Google Scholar

Kanakis GA, Nordkap L, Bang AK, Calogero AE, Bártfai G, Corona G, et al. EAA clinical practice guidelines—gynecomastia evaluation and management. Andrology. 2014.
Google Scholar

Baumann K. Gynecomastia - Conservative and Surgical Management. Breast Care. 2018; 13: 419-424.
DOI | Google Scholar

Bailey SH, Guenther D, Constantine F, Rohrich RJ. Gynecomastia management: an evolution and refinement in technique at UT Southwestern Medical Center. Plast Reconstr Surg Glob Open. 2016; 4: e734.
Google Scholar

Pacenza NA, Aszpis SM, Suárez SM, Pragier UM, Usher JGS, Vásquez Cayoja M, Iturrieta S, et al. Clinical and Etiological Aspects of Gynecomastia in Adult Males: A Multicenter Study. BioMed Research International. 2018: 8364824–8364827.
DOI | Google Scholar

Harold E. Carlson, Approach to the Patient with Gynecomastia. The Journal of Clinical Endocrinology & Metabolism. 2011; 96(1): 15-21.
DOI | Google Scholar

Oh YH, Lee SH. Liposuction Using Wall Suction and Portable Suction in the Treatment of Gynecomastia. Indian Journal of Surgery. 2021: 1-7.
DOI | Google Scholar

Whitehead IJ, Fernandes L, Haris O, Chagla L. Gynaecomastia: a cosmetic concern or a concerning clinical sign?. The Annals of The Royal College of Surgeons of England 2010; 101(8): e184-e186.
DOI | Google Scholar

Bailey SH, Guenther D, Constantine F, Rohrich RJ. Gynecomastia Management. Plastic and Reconstructive Surgery - Global Open. 2016; 4(6): e734.
DOI | Google Scholar

Reinehr T, Kulle A, Barth A, Ackermann J, Lass N, Holterhus PM. Sex Hormone Profile in Pubertal Boys With Gynecomastia and Pseudogynecomastia. J Clin Endocrinol Metab. 2020; 105(4).
DOI | Google Scholar

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Gynecomastia Establishing Etiological, Clinical Aspects and Surgical Management. (2022). European Journal of Medical and Health Sciences, 4(2), 7-9. https://doi.org/10.24018/ejmed.2022.4.2.1263

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Vol. 4 No. 2 (2022)

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[1] Akgül S, Kanbur N, Derman O. Pubertal gynecomastia: what about the remaining 10%?. Journal of Pediatric Endocrinology and Metabolism. 2014; 27(9-10): 1027-1028.
DOI | Google Scholar

[2] Kanakis GA, Nordkap L, Bang AK, Calogero AE, Bártfai G, Corona G, et al. EAA clinical practice guidelines—gynecomastia evaluation and management. Andrology. 2014.
Google Scholar

[3] Baumann K. Gynecomastia - Conservative and Surgical Management. Breast Care. 2018; 13: 419-424.
DOI | Google Scholar

[4] Bailey SH, Guenther D, Constantine F, Rohrich RJ. Gynecomastia management: an evolution and refinement in technique at UT Southwestern Medical Center. Plast Reconstr Surg Glob Open. 2016; 4: e734.
Google Scholar

[5] Pacenza NA, Aszpis SM, Suárez SM, Pragier UM, Usher JGS, Vásquez Cayoja M, Iturrieta S, et al. Clinical and Etiological Aspects of Gynecomastia in Adult Males: A Multicenter Study. BioMed Research International. 2018: 8364824–8364827.
DOI | Google Scholar

[6] Harold E. Carlson, Approach to the Patient with Gynecomastia. The Journal of Clinical Endocrinology & Metabolism. 2011; 96(1): 15-21.
DOI | Google Scholar

[7] Oh YH, Lee SH. Liposuction Using Wall Suction and Portable Suction in the Treatment of Gynecomastia. Indian Journal of Surgery. 2021: 1-7.
DOI | Google Scholar

[8] Whitehead IJ, Fernandes L, Haris O, Chagla L. Gynaecomastia: a cosmetic concern or a concerning clinical sign?. The Annals of The Royal College of Surgeons of England 2010; 101(8): e184-e186.
DOI | Google Scholar

[9] Bailey SH, Guenther D, Constantine F, Rohrich RJ. Gynecomastia Management. Plastic and Reconstructive Surgery - Global Open. 2016; 4(6): e734.
DOI | Google Scholar

[10] Reinehr T, Kulle A, Barth A, Ackermann J, Lass N, Holterhus PM. Sex Hormone Profile in Pubertal Boys With Gynecomastia and Pseudogynecomastia. J Clin Endocrinol Metab. 2020; 105(4).
DOI | Google Scholar

Gynecomastia Establishing Etiological, Clinical Aspects and Surgical Management

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