Abstract
Gynecomastia is the dominating problem of the male breast. Other diseases are rare but mimic the same conditions in women. Gynecomastia may occur at any age either as a primary event, when it is due to a minor hormonal unbalance, or secondary to other pathology (e.g., liver failure) or drugs. Treatment consists of assessment of cause and reassurance. In a minority of patients, treatment with drugs—such as danazol—or surgical resection is indicated.
Résumé
La gynécomastie est le problème le plus fréquemment rencontré en matière de sein chez l'homme. Les autres maladies du sein chez l'homme sont rares mais ne diffèrent pas beaucoup de celles de la femme. La gynécomastie peut se voir à n'importe quel âge. Elle est soit primitive, due à un déséquilibre hormonal, soit secondaire à une autre pathologie (par exemple l'insuffisance hépatique) ou à des médicaments. Après bilan étiologique et tranquillisation du patient, seule une minorité de patients doit être traitée médicalement, essentiellement par le danazol, ou par la chirurgie.
Resumen
La ginecomastia es el problema dominante de la mama masculina. Otras entidades son poco frecuentes pero son mímica de las mismas condiciones patológicas que ocurren en las mujeres. La ginecomastia puede presentarse en cualquier edad como evento primario cuando se debe a un desequilibrio hormonal menor, o secundario a otra patología (por ejemplo, la falla hepática), o a fármacos. El manejo consiste en la valoración de la causa y en tranquilizar al paciente. En una minoría de los casos puede estar indicado el tratamiento con drogas—como el danazol—o la resección quirúrgica.
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Webster, D.J.T. Benign disorders of the male breast. World J. Surg. 13, 726–730 (1989). https://doi.org/10.1007/BF01658422
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DOI: https://doi.org/10.1007/BF01658422