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Gynecomastia Grade III Surgery | Evita Clinic

 

Grade 3 Gynecomastia Surgery

 

The first thing that the surgeon will do during your consultation is to determine your Gynecomastia Grade. This is important because the operation will depend on what Grade you have.  At Evita Clinic, we Grade patients using the chart below:

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Grade I  –  enlargement of the glands (small breast)

Grade II – enlargement of the glands and accumulation of fats around the chest (moderate breast)

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Grade III – enlargement of the glands, accumulation of fats around the chest, moderate skin sag (large breast)

Grade IV – severe enlargement of the glands, accumulation of fats around the chest, severe skin sagging (similar to female breast)

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Surgery for Gynecomastia Grade 3 is divided into three parts (1) Liposuction (2) Gland Removal and (3) Skin Resection (Areolar Type). Among the three, the part that is most crucial and concerning for the patients is the “skin resection”. This is because of the scar it will leave after the surgery.

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The necessity to receive the Areolar skin resection depends on the patient. It does have its advantages. The purpose of this procedure is to remove the excess saggy skin which has been stretched and enlarged due to the glands and fats. Choosing to include this procedure, would give patients a flatter and normal-looking chest.

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Anyone with this Grade can have this surgery. But for our younger patients, specifically 40 years old and below and single, we advise them to proceed with the liposuction and gland removal first. This is because they still have the chance to improve the condition of their skin sagging by exercising really hard after the surgery and improving their overall health.

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Grade 2 Gynecomastia cases: Both patients above are in their 20s. Looking at their “Fitness Score”, the one below, has a higher BMI. Their glands are almost of the same size. But you can clearly see the difference of their results 4 weeks after their surgery. The one with a good Fitness Score has a better-looking chest. If one neglects to exercise after their surgery, the result will be of that of a “crying chest”.

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Whether one decides to have the skin resection or not, working out after the surgery is very important.
It is hard, we know.
But the results will be worth it.

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여성형유방증의 원인

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유선의 생성

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  • 태생기에는 남자와 여자 모두가 동일한 유선조직을 가지고 있습니다.
    • 에스트로겐(Estrogen) 호르몬이 유선조직을 자극합니다.
    • 항안드로겐(Androgen antagonizes)도 마찬가지입니다.
  • 사춘기의 남성 아동의 경우에는
    • 일시적으로 유관과 유선 실질이 증식합니다.
    • 이어서, 유선샘들은 마침내 퇴화됩니다.

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여성형 유방증은 남성에게 가슴속의 젖샘(유선)이  자라는 상태이며, 간혹 불편감과 유두의 압통을 유발하기도 합니다.

이는 여러 원인이 있지만, 가장 큰 이유는 호르몬의 불균형이 가장 큰 원원이며, 특성상 출생직후, 사춘기, 그리고 장년에서 노년으로 접어가는 시기에 많이 나타납니다.

대부분의 경우에는 저절로 호전되지만,  간혹 치료가 필요할 정도로 증상이 심하거나, 영구적인 경우가 있습니다.

만약, 다른 질환이나 약물에 의해서 발생한 경우에는 그러한 원인 질환을 치료하거나, 원인이 되는 약물을 중단함으로서 대개 호전됩니다.

 

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대부분의 사람들은 안드로겐(androgens)을 남성 호르몬(male hormones), 그리고 에스트로겐(estrogens)을 여성 호르몬(female hormones)이라고 생각하고, 남녀는 두 개의 호르몬 중에서 한가지만 가지고 있다고 생각합니다. 하지만, 이 두 호르몬은 남녀 모두가 가지고 있으며, 그 비율에 차이가 있는 것입니다.

때문에, 간혹 에비타 흉부외과의 전철우 원장은 “사람을 남여, 흑백으로만 나누는 생각은 위험하다. 사람은 성이나 인종, 성격, 인종 등에 있어서, 마치 무지개와 같은 연속선상에 있다. 때문에 혈액형이나 사상체질 등으로 사람을 단정짓고, 구분하려 하는 것이 가장 어리석은 생각이다.” 라고 말하십니다.

남자의 경우에는 물론 안드로겐이 대부분의 성호르몬을 가지고 있지만, 비록 작은 양이지만, 에스트로겐을 가지고 있습니다.

여성형 유방증(Gynecomastia)은 이러한 발란스의 균형이 일시적이거나 영구적으로 한쪽으로 쏠릴 때 발생합니다. 에스트로겐이 늘거나 안드로겐이 줄거나 하는 상활에서 발생하는 것이며, 이러한 변화는 사춘기, 노화, 약물, 약초에 의해서 발생할 수 있으며, 심지어는 정신적, 생활환경의 스트레스에 의해서도 유발되기도 하는 것입니다.

[/fusion_text][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_separator style_type=”single solid” top_margin=”20″ bottom_margin=”55″ sep_color=”#cdcdcd” icon=”fa-chevron-down” /][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_flip_boxes columns=”3″ hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=””][fusion_flip_box title_front=”사춘기의 에스트로겐 증가” title_back=”25%” text_front=”사춘기형 여유증가 성인기까지 남아있는 경우” background_color_front=”” title_front_color=”” text_front_color=”” background_color_back=”” title_back_color=”” text_back_color=”” border_size=”1px” border_color=”” border_radius=”4px” icon=”fa-compress” icon_color=”” circle=”yes” circle_color=”” circle_border_color=”” icon_flip=”” icon_rotate=”” icon_spin=”no” image=”” image_width=”35″ image_height=”35″ animation_type=”” animation_direction=”down” animation_speed=”0.1″ animation_offset=””]

대개 터너3기(Tanner 3)라는 11,12세경에 나타납니다.

    • 사춘기의 에스트라디올의 초기 급증
    • 이어서, 테스토스테로의 급증
    • 2년이상 지속되는 경우는 약 25%

[/fusion_flip_box][fusion_flip_box title_front=”약물” title_back=”10 ~ 25%” text_front=”우선 약물중단! 이 중요합니다.” background_color_front=”” title_front_color=”” text_front_color=”” background_color_back=”” title_back_color=”” text_back_color=”” border_size=”1px” border_color=”” border_radius=”4px” icon=”fa-rocket” icon_color=”” circle=”yes” circle_color=”” circle_border_color=”” icon_flip=”” icon_rotate=”” icon_spin=”no” image=”” image_width=”35″ image_height=”35″ animation_type=”” animation_direction=”down” animation_speed=”0.1″ animation_offset=””]

이뇨제 (Spirolatone)

소화기 궤양치료제 (Anti-Ulcer Medication)

: Omeprazole, Cimetidine, Ranitidine

항안드로겐 약물 (Finasteride 등의 탈모 치료제)

그외 약물 :
ETOH, 마리화나, Tree oils and lotions, HAART

[/fusion_flip_box][fusion_flip_box title_front=”테스토스테론의 감소” title_back=”10 ~ 25%” text_front=”윈인미상 / 비만 / 정상적인 노화과정” background_color_front=”” title_front_color=”” text_front_color=”” background_color_back=”” title_back_color=”” text_back_color=”” border_size=”1px” border_color=”” border_radius=”4px” icon=”fa-trophy” icon_color=”” circle=”yes” circle_color=”” circle_border_color=”” icon_flip=”” icon_rotate=”” icon_spin=”no” image=”” image_width=”35″ image_height=”35″ animation_type=”” animation_direction=”down” animation_speed=”0.1″ animation_offset=””]

안드로겐(Androgen)에 대한 불용성

과도한 방향화효소(Aromatase – 테스토스테론을 방향성 에스트라디올로 전환시키는 효소)

  • 과도한 지방의 축적
  • 유전적인  방향화효소의 과도

[/fusion_flip_box][/fusion_flip_boxes][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ last=”no” spacing=”yes” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” border_size=”0px” border_color=”” border_style=”” padding=”” class=”” id=”” min_height=”” hover_type=”none” link=”” border_position=”all”][fusion_title margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” size=”2″ content_align=”left” style_type=”none” sep_color=””]

감별진단을 위한 알고리즘

[/fusion_title][fusion_separator style_type=”none” bottom_margin=”-10″ /][fusion_imageframe image_id=”20117″ style_type=”none” stylecolor=”” hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”none” lightbox=”no” gallery_id=”” lightbox_image=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]https://evitaclinic.co.kr/wp-content/uploads/2016/12/Gynecomastia_algorithm.gif[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ last=”yes” spacing=”yes” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” border_size=”0px” border_color=”” border_style=”” padding=”” class=”” id=”” min_height=”” hover_type=”none” link=”” border_position=”all”][fusion_text]

왼편의 도표는 기본적인 여성형 유방증의 원인을 감별하기 위한 알고리즘입니다.

정확한 원인을 확인하기 위해서는 가장 중요한 것이 언제부터 증상이 있었는지, 다른 동반된 증상이 있는지, 가족력이 있는지 등의 자세한 병력청취이며,

그 외에 시진, 촉진 등이 있어야 하며,

필요할 경우에는 혈액검사를 통한 호르몬 검사, 초음파나 유방촬영술을 통한 유선과 그 주변 조직의 상태를 확인하는 것이 중요합니다.

 

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일차적인 원인이 있는 경우에는 수개월내로 그 원인을 제거하는 것이 우선입니다.

 

수술적 치료는 가장 효과적인 치료법입니다.

수술의 적응증

  • 심한 정신적, 미용적인 문제
  • 계속 자라거나 통증, 분비물이 있는 있는 경우
  • 유방암이 의심되는 경우

항에스트로겐 약물

  • tamoxifen (20 mg/d) reduces  pain  and  breast   size   ( in two-thirds).

방향화효소 억제제(Aromatase inhibitors) – 초기 증식기

  • testolactone, anastrazole, letrozole, or fromestane

[/fusion_text][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_separator style_type=”single solid” top_margin=”5″ bottom_margin=”70″ sep_color=”#cdcdcd” icon=”fa-chevron-down” /][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_tagline_box backgroundcolor=”” shadow=”no” shadowopacity=”0.1″ border=”1″ bordercolor=”” highlightposition=”top” content_alignment=”left” link=”https://evitaclinic.co.kr/contact/consult/” button=”상담하기” linktarget=”_blank” modal=”” button_size=”large” button_type=”flat” button_shape=”square” buttoncolor=”default” title=”자신의 여성형 유방증에 대해서 더 궁금한 것이 있으세요?” description=”에비타흉부외과의 전문의가 직접 상담을 진행합니다.” margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”down” animation_speed=”0.1″ animation_offset=”” /][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]

Cause Of Gynecomastia

[fusion_builder_container hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” border_style=”solid” padding_top=”20px” padding_bottom=”20px”][fusion_builder_row][fusion_builder_column type=”2_3″ layout=”2_3″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_title hide_on_mobile=”small-visibility,medium-visibility,large-visibility” size=”1″ content_align=”left” style_type=”default”]

Formation Of Breast

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  • At Birth, Breast tissue is the same in men and women.
    • Estrogen stimulates breast tissue
    • Androgen antagonizes these effects
  • In Puberty, In boy
    • Temporarily, proliferation of ducts & stroma
    • Soon, Laticiferous tube are degraded finally

[/fusion_text][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_3″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_imageframe image_id=”4253″ style_type=”none” hover_type=”none” align=”none” lightbox=”no” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” animation_direction=”left” animation_speed=”0.3″]https://evitaclinic.com/wp-content/uploads/2016/12/Milk-Line.png[/fusion_imageframe][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”no” equal_height_columns=”no” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” background_position=”center center” background_repeat=”no-repeat” fade=”no” background_parallax=”none” enable_mobile=”no” parallax_speed=”0.3″ video_aspect_ratio=”16:9″ video_loop=”yes” video_mute=”yes” border_style=”solid” padding_top=”20px” padding_bottom=”20px”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_text]

Gynecomastia is a condition in which the glandular tissue in the breasts becomes enlarged in boys or men, sometimes causing discomfort or nipple tenderness.

It is usually the result of a hormonal imbalance and typically occurs during infancy, adolescence, or mid to late life.

The condition often goes away on its own, but treatments are available for severe or persistent cases.

When gynecomastia is the result of an underlying health problem, treatment of that problem usually improves the gynecomastia as well.

[/fusion_text][/fusion_builder_column][fusion_builder_column type=”1_3″ layout=”1_3″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_imageframe image_id=”4254″ style_type=”none” hover_type=”none” align=”none” lightbox=”no” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” animation_direction=”left” animation_speed=”0.3″]https://evitaclinic.com/wp-content/uploads/2016/12/Prevalance.png[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”2_3″ layout=”2_3″ spacing=”” center_content=”no” hover_type=”none” link=”” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” padding=”” dimension_margin=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” last=”no”][fusion_text]

Although people tend to think of androgens as “male hormones” and estrogens as “female hormones,” people of both sexes produce both types of hormones.
In males, androgens are by far the predominant hormone, but small amounts of estrogen are also present.
Gynecomastia can happen when the balance shifts, with an increase in estrogen or decrease in androgens.
This can occur because of expected hormonal changes during puberty or aging, or because of the use of certain drugs or herbal products.

[/fusion_text][fusion_testimonials design=”classic” backgroundcolor=”” textcolor=”” random=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=””][fusion_testimonial name=”Dr. Jeon” avatar=”male” image=”” image_border_radius=”” company=”Evita Clinic” link=”” target=”_self”]

Because of this, It is dangerous idea of dividing men and women like a black & white. People are in continuous line like a rainbow in sex, race, character, and  health. Therefore, it is the most foolish idea to conclude a person with blood type or oriental 4 constitutional idea

[/fusion_testimonial][/fusion_testimonials][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container][fusion_builder_container hundred_percent=”yes” overflow=”visible”][fusion_builder_row][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_separator style_type=”single solid” top_margin=”20″ bottom_margin=”55″ sep_color=”#cdcdcd” icon=”fa-chevron-down” /][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_flip_boxes columns=”3″ hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=””][fusion_flip_box title_front=”Estrogen During Puberty” title_back=”about 38%” text_front=”Persistent Pubertal Gynecomastia” background_color_front=”” title_front_color=”” text_front_color=”” background_color_back=”” title_back_color=”” text_back_color=”” border_size=”1px” border_color=”” border_radius=”4px” icon=”fa-compress” icon_color=”” circle=”yes” circle_color=”” circle_border_color=”” icon_flip=”” icon_rotate=”” icon_spin=”no” image=”” image_width=”35″ image_height=”35″ animation_type=”” animation_direction=”down” animation_speed=”0.1″ animation_offset=””]

Usually occurs age 10-16 (Tanner 3)

    • Initial estradiol surge at puberty
    • Followed by testosterone surge
    • usually regression within 6 months
    • Persists up to two years in 25%

[/fusion_flip_box][fusion_flip_box title_front=”Medication” title_back=”10 ~ 25%” text_front=”First Choice – Stop the Drugs !” border_size=”1px” border_radius=”4px” icon=”fa-rocket” circle=”yes” icon_spin=”no” image_width=”35″ image_height=”35″ animation_direction=”down” animation_speed=”0.1″]

Spirolatone

Anti-Ulcer Medication

(Omeprazole, Cimetidine, Ranitidine)

Anti-Androgen Medication : Finasteride

Drugs :
ETOH, Marijuana, Tree oils and lotions, HAART

[/fusion_flip_box][fusion_flip_box title_front=”Decreases testosterone” title_back=”10 ~ 25%” text_front=”Idiopathic / Obesity / Normal Aging” background_color_front=”” title_front_color=”” text_front_color=”” background_color_back=”” title_back_color=”” text_back_color=”” border_size=”1px” border_color=”” border_radius=”4px” icon=”fa-trophy” icon_color=”” circle=”yes” circle_color=”” circle_border_color=”” icon_flip=”” icon_rotate=”” icon_spin=”no” image=”” image_width=”35″ image_height=”35″ animation_type=”” animation_direction=”down” animation_speed=”0.1″ animation_offset=””]

Androgen Insensitivity

Aromatase excess

  • Due to excess adipose tissue
  • Hereditary aromatase excess

[/fusion_flip_box][/fusion_flip_boxes][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ last=”no” spacing=”yes” background_color=”” background_image=”” background_repeat=”no-repeat” background_position=”left top” border_size=”0px” border_color=”” border_style=”” padding=”” class=”” id=”” min_height=”” hover_type=”none” link=”” border_position=”all”][fusion_title margin_top=”” margin_bottom=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” size=”2″ content_align=”left” style_type=”none” sep_color=””]

Diagnosis Algorithm

[/fusion_title][fusion_separator style_type=”none” bottom_margin=”-10″ /][fusion_imageframe image_id=”5531″ style_type=”none” stylecolor=”” hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”none” lightbox=”no” gallery_id=”” lightbox_image=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]https://evitaclinic.com/wp-content/uploads/2016/12/Gynecomastia_algorithm.gif[/fusion_imageframe][fusion_text]

Most important thing is get a detailed history – onset, how long, other symptom..

Carful examination by  inspection, palpation.

And more,

Blood test for Hormone, Examination by Ultasonography, Mammography.

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Correction of Primary Cause, Improve within months.

 

Surgery  is the most effective therapy in long duration

Indications for surgery

  • severe psychologic or cosmetic problems
  • continued growth or tenderness
  • suspected malignancy.

antiestrogens

  • tamoxifen (20 mg/d) reduces  pain  and  breast   size   ( in two-thirds).

Aromatase inhibitors in early proliferative phase.

  • testolactone, anastrazole, letrozole, or fromestane

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Always, Evita Clinic get a confirm from the pathologist in any patient’s gynecomastia surgery.
(Male Breast Cancer accounts for only 0.2% )

[/fusion_text][fusion_imageframe image_id=”4257″ style_type=”none” hover_type=”none” align=”none” lightbox=”no” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” animation_direction=”left” animation_speed=”0.3″]https://evitaclinic.com/wp-content/uploads/2016/12/Gynecomastia_patho.jpg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_separator style_type=”single solid” top_margin=”5″ bottom_margin=”70″ sep_color=”#cdcdcd” icon=”fa-chevron-down” /][/fusion_builder_column][fusion_builder_column type=”1_1″ layout=”1_1″ background_position=”left top” background_color=”” border_size=”” border_color=”” border_style=”solid” spacing=”yes” background_image=”” background_repeat=”no-repeat” padding=”” margin_top=”0px” margin_bottom=”0px” class=”” id=”” animation_type=”” animation_speed=”0.3″ animation_direction=”left” hide_on_mobile=”no” center_content=”no” min_height=”none” last=”no” hover_type=”none” link=”” border_position=”all”][fusion_tagline_box shadow=”no” shadowopacity=”0.1″ border=”1″ highlightposition=”top” content_alignment=”left” link=”https://evitaclinic.com/contact/online-consult/” button=”Consult Now” linktarget=”_blank” button_size=”large” button_type=”flat” button_shape=”square” buttoncolor=”default” title=”Available, consulting now online!” description=”We have a medical team will be directly offer counseling.” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” animation_direction=”down” animation_speed=”0.1″ /][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]