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KMID : 0358819750020010031
Journal of Korean Society of Plastic and Reconstructive Surgeons
1975 Volume.2 No. 1 p.31 ~ p.40
Surgical Treatment of Gynecomastia
ÀÓdz/Lim, Poong
Á¶¹®Á¦/ÇԱ⼱/ºóÁÖ¿ø/Cho, Moon Je/Ham, Ki Sun/Bin, Joo Won
Abstract
Gynecomastia which is not uncommon in clinic implies a circumscribed, potentially reversible enlargement of the male breast which results from a combination of changes in the breast, including a nonencapsulated increase of connective tissue, proliferation of the ducts of the mammary gland, increased vascularity, and infiltration by chronic inflammatory cells. There is, however, no evidence that persistence of mammary tissue in the male can truly be considered a premalignant condition.
Methods of treatment of gynecomastia that have been advocated are X-ray therapy, endocrine treatment and operation. Most observers believe that X-ray therapy offers no improvement of the condition and may be dangerous, and hormone treatment has been disappointing. Surgical removal of the enlarged breast tissue offers the, most effective methods for the correction of the gynecomastia.
In Department of Plastic Surgery in St. Mary¢¥s Hospital, Catholic Medical College, five cases of gynecomastia have been satisfactorily treated by simple surgery with preservation of the nipple and areolar tissues through the classical incision of periareolar line described originally by Webster.
Authors report the five cases of gynecomastia in this paper and brief review of gynecomastia followed.
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