Abstract

TELICH-TARRIBA, José E; GARZA-ARRIAGA, Daniel; LEYVA-VAZQUEZ, Ahilyn  and  TELICH-VIDAL, José. Tuberous gynecomastia, an entity that is not very well recognized in current surgical practice. Acta méd. Grupo Ángeles [online]. 2020, vol.18, n.4, pp.414-417.  Epub June 06, 2022. ISSN 1870-7203.  https://doi.org/10.35366/97270.

Gynecomastia is a benign proliferation of mammary glandular tissue in men, resulting in increased volume in the pectoral region. It has a wide variety of causes, which are classified as physiological or pathological; basically, the pathophysiology is multifactorial, depending on a higher production of peripheral estrogens, or less production and sensitivity to androgens. There are different classifications of gynecomastia in the international literature, the most widely used are those of Simon and Rohrich, which mainly take into account breast volume and the presence or absence of glandular ptosis. In men, tuberous gynecomastia is characterized by the presence of cutaneous excess in the lower pole, a periareolar fibrous constriction ring and vertical glandular growth. It is a rare diagnosis in clinical practice, so its epidemiology is unknown. The goal of surgical treatment is to achieve a normal appearance of the male chest with the smallest possible scar. The surgical treatment of gynecomastia requires an individualized approach, sometimes combining liposuction plus mastectomy, while in the male tuberous breast it requires that the relative redundancy of the skin be addressed even when there is relatively less tissue excess.

Keywords : Gynecomastia; tuberous breast; male; liposuction.