摘要
目的探讨青春期前男性乳腺发育症(prepubertal gynecomastia, PPGM)的特点、发病机制及处理方式。方法对自2003—2018年经手术治疗的9例PPGM患儿的临床资料进行回顾性分析。其中,7例行乳房吸脂+乳晕下缘切口乳腺腺体切除术,1例行乳晕下缘切口乳腺腺体切除术,1例行单侧乳晕下缘切口乳腺腺体切除+乳房吸脂+对侧乳房脂肪填充术。将术中切除的组织均送病理检查。结果本组9例患儿,术后均未出现感染、血肿等并发症,病理学检查结果均符合男性乳腺发育症的诊断,随访1~16年,未见复发。结论 PPGM是一种少见的男性乳房发育类型,应在明确病因、药物控制的基础上合理选择手术方式。对于腺体发育明显、精神症状明显的PPGM患者,采用手术治疗可取得较好的治疗效果。
Objective To explore the characteristics, mechanism and surgical treatment of prepubertal gynecomastia(PPGM).Methods The clinical data of 9 PPGM patients underwent surgical treatment from 2003 to 2018 were collected and retrospectively analyzed. Seven patients underwent the liposuction and mammary gland excision through an incision along the lower edge of mammary areola, 1 patient underwent the mammary gland excision through an incision along the lower edge of areola and 1 patient underwent the unilateral mammary gland excision through an incision along the lower edge of areola, liposuction and fat grafting of contralateral breast. The excised tissues were sent to pathological examination. Results No complications such as infection and hematoma occurred. The pathological examination results were consistent with the diagnosis of PPGM. No recurrence was found during the follow up from 1 to 16 years.Conclusion PPGM is a rare type of gynecomastia. The surgical method should be reasonably selected based on the clear etiological diagnosis and drug control. For patients with obvious gland development and psychiatric symptoms, surgical treatment of PPGM can achieve satisfactory efficacy.
作者
王晨羽
曾昂
龙笑
朱琳
斯楼斌
俞楠泽
龙飞
王晓军
WANG Chen-yu;ZENG Ang;LONG Xiao;ZHU Lin;SI Lou-bin;YU Nan-ze;LONG Fei;WANG Xiao-jun(Department of Plas-tic Surgery,Peking Union Medical College Hospital of Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中国美容整形外科杂志》
CAS
2020年第10期618-620,共3页
Chinese Journal of Aesthetic and Plastic Surgery
