Brenner P, Berger A, Schneider W, Axmann H D
Clinic of Plastic, Hand and Reconstructive Surgery, Hannover University, Germany.
Aesthetic Plast Surg. 1992 Fall;16(4):325-30. doi: 10.1007/BF01570695.
This article is a report on long-term followup of a total of 44 serious gynecomastia cases in the stages I-III (according to Deutinger). The treatment consisted of either a semicircular incision and subcutaneous mastectomy or a superiorly or an inferiorly based nipple transposition while performing male reduction mammoplasty. Aesthetically pleasing results could be obtained by a periareolar approach and mastectomy. This inconspicuous procedure is feasible even in massive gynecomastia cases (stage III) or in cases of male breast asymmetry. On the other hand, all cases with breast reduction plasty and nipple transposition resulted in wing-shaped, mainly broad scars, and subjectively unfavorable results. Consequently, we favor the semicircular approach in male reduction mammoplasty in treating serious gynecomastias. With regard to possible male breast cancer etiology, the histological specimen of the mammary gland in gynecomastia is excised prior to any additional liposuction for supplementary body contouring.
本文是一份关于44例I - III期（根据多伊廷格分期）严重男性乳房肥大病例的长期随访报告。治疗方法包括半圆形切口皮下乳房切除术，或在进行男性乳房缩小成形术时采用乳头向上或向下移位。乳晕周围入路和乳房切除术可获得美观的效果。即使在重度男性乳房肥大病例（III期）或男性乳房不对称病例中，这种不显眼的手术也是可行的。另一方面，所有乳房缩小成形术和乳头移位的病例都导致了翼状、主要是宽阔的瘢痕，以及主观上不理想的结果。因此，在治疗严重男性乳房肥大时，我们更倾向于在男性乳房缩小成形术中采用半圆形入路。关于男性乳腺癌可能的病因，在进行任何额外的抽脂以辅助身体塑形之前，先切除男性乳房肥大患者的乳腺组织学标本。
