Treatment for Gynaecomastia in Men. Experience with the Inferior Periareolar Incision in a Single Third Level Medical Facility
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 35
Abstract
Background: Gynaecomastia is defined as an enlargement of the mammary gland in men. Objective: To evaluate Aesthetic Results of Subdermal Mastectomy by means of Inferior Periareolar Incision. Materials and Methods: Descriptive, cross sectional and prospective study. We evaluate aesthetic results of Subdermal Mastectomy by means of Inferior Periareolar Incision using Analog visual Scale applied by an another Surgeon) and a Questionnaire (Auto Evaluation). Variables: Age, Clinical Symptoms, Evolution time, Complications and Aesthetic Results. Descriptive and Inferencial Statistic was used (Wilcoxon test). Results: Twelve patients, median age 27.5 (18-58) year-old. Nine (75%) patients presented pain, 4 (33.3%) bilateral gynaecomastia, 4 (33.3%) left and 4 (33.3%) right sided gynaecomastia. According to Simon Classification, 3 (25%) patients grade I; 2 (16.6%) IIa; 2 (16.6%) IIb and 5 (41.6%) III. No patient presented concomitant disease, 12 (100%) had normal secondary sexual characteristics. Six (50%) had hyperesthesia. The Aesthetic Evaluation made by a distinct Surgeon was as it follows, 10 (83.3%) had a ≤ 6 punctuation and 2 (16.6%) had ≥ seven (0 - 10, Analogue Visual Scale). Ranks for Aesthetic Aspect Evaluation made by the patients, before and after surgery were 2.54 (average after surgery) and 0.00 (average before surgery), Z -1.857, p=0.0063 (p<0.05, Wilcoxon). Conclusion: Subdermal Mastectomy should be in lower case by Inferior Periareolar Incision, it does not present severe complications however aesthetic results are undesirable.
Authors and Affiliations
Álvaro Montiel-Jarquín, Ángel Espitia-Ayala, Mario García-Carrasco, Claudia Mendoza-Pinto, Rodolfo G. Barragán-Hervella, Arturo Árcega-Domínguez, Eugenio García-Cano
Keywords
Related Articles
- EP ID EP348691
- DOI 10.9734/BJMMR/2014/11251
- Views 73
- Downloads 0
Dose-dependent Modulation of Lipid Parameters, Cytokines and RNA by -tocotrienol in Hypercholesterolemic Subjects Restricted to AHA Step-1 Diet
Aims: Evaluate the consumption of -tocotrienol (free from tocopherols) on serum lipid parameters, and several cytokines (TNF-, IL-4, IL-6, IL-8, IL-10), including gene expression and circulating microRNAs (miRNAs) in h...
Subtherapeutic INR in a Patient on Warfarin Therapy after Discontinuation of Lomustine
Aims: To report a case of a potential drug interaction between warfarin and lomustine that may have led to a subtherapeutic International Normalized Ratio (INR) and to inform health care providers of a need for more freq...
Gastrointestinal Pain Suspected a Stressor Leading to the Onset of Takotsubo Cardiomyopathy: A Case Report
Aims: To investigate a case of the mid-ventricular variant of Takotsubo cardiomyopathy (TTC), stress-induced cardiomyopathy, and evaluate if gastrointestinal pain may also contribute to this cardiomyopathy. Presentation...
Catatonia as a Syndrome Characterized by GABAergic Interneuronal Dysfunction Mediated by NMDA Receptors
Efforts to elucidate the pathophysiology of catatonia have hitherto been unsuccessful largely due to its variegated clinical presentation and seemingly disparate treatment modalities. Catatonia manifests with marked beha...
Real Time Cell Analysis of Model Target Cell Lines Exposed to Purified Lipoprotein (a)
Lipoprotein (a) [Lp(a)] is a novel independent cardiovascular risk factor and it includes, beyond apoB100, apolipoprotein (a), whose molecular weight is dependent on the number of genetically encoded kringle IV type 2 re...