SURGICAL TREATMENT OF GYNECOMASTIA

Abstract

Gynecomastia is the growth of the male mammary gland resulting from secondary branching of the ducts and proliferation of the fibroelastic stroma, usually resulting from an imbalance between the estrogenic stimulating action and the androgenic inhibitory effects. Differential diagnosis should be made with breast carcinoma, dermoid cyst, hematoma, lipoma, lymphangioma and neurofibroma. The treatment of choice is surgical since drugs such as clomiphene, tamoxifen, danazol and testolactone have low efficacy. Reducing adenomastectomy with an inferior periareolar incision is the technique of choice. Liposuction should be considered in cases of severe lipomastia.