Male breast enlargement

Gynecomastia refers to the growth and hypertrophy of one or both breasts of men like women. It is a common endocrine disease, common in ordinary people, and the course is generally good. The occurrence of this disease is often related to congenital male testicular dysplasia or relative increase of estrogen in the body. Long-term use of some drugs, such as prostate hyperplasia, especially prostate cancer patients using estrogen treatment, can cause this disease. Many people believe that the anterior pituitary gland's breast development-promoting factors are the key cause of this disease.

What are the symptoms?

Gynecomastia is most common with unilateral breast disease, accounting for about 90%, and bilateral breast disease accounts for about 10%. The history of the disease varies from a few weeks to more than 10 years, with an average of about 3 months.

Typical clinical symptoms are a disc-shaped mass or focal enlargement around the nipple of one or both breasts, accompanied by dull pain or mild tenderness. The nipple may secrete a small amount of material.

How to make clinical diagnosis?

Gynecomastia can be divided into two types:

1. Diffuse type: The breast shows focal hyperplasia and hypertrophy, without obvious isolated masses, and is characterized by mild tenderness.

2. Cystadenoma type: presents as an isolated mass with good mobility and no adhesions, clear peripheral boundaries and no tenderness. This type is the most common.

3. Female type: The breasts are symmetrically thickened, with a prominent mass. When the nipples are squeezed and formed, milky white milky secretions can be seen. The shape is quite similar to the breasts of adolescent girls. It is relatively rare.

Surgery

In addition to treating the cause of the disease and taking medication, surgical treatment can be used to treat hypertrophic breasts.

(1) Patients with breast diameter exceeding 4 cm that cannot be resolved for a long time; patients with breast hypertrophy that significantly affects their appearance; patients with no significant effect after full-term medication; patients with worsening suspicion of tuberculosis and psychological anxiety.

(2) Surgical treatment methods include supplementary subcutaneous tissue mastectomy (preserving the nipple and papillae), which is suitable for young patients; and simple mastectomy (not preserving the nipple and papillae), which is mostly suitable for elderly patients. Specimens removed during surgical treatment are collected and sent for pathological puncture biopsy diagnosis.

Special reminder

1. Maintain a cheerful attitude, actively sign up for article and business activities, and cultivate your character and mind.

2. Persistent physical exercise has a good effect on repairing and maintaining the balance and regulation of the body's endocrine system, central nervous system and other extracellular fluids. You can choose appropriate sports according to your personal interests and abilities.

3. It is advisable to take foods that contain nutrients and aid digestion, avoid greasy, cold and irritating foods. In addition, during the illness, moderately control the combination of some protein foods to reduce the increase of gonadotropin, which is beneficial to reduce the current medical history.

4. If the condition is caused by drugs, the drug should be discontinued. When using androgen therapy, strict observation is required and excessive intake is not allowed.

5. Pay attention to rest and get enough sleep to avoid squeezing and forming breast lumps.