Czajka Izabella, Zgliczyński Wojciech
Department of Endocrinology, Medical Center for Postgraduate Education, Warsaw.
Endokrynol Pol. 2005 May-Jun;56(3):269-77.
The aim of this review is to present the up-to-date information concerning the prevalence, pathogenesis, diagnosis and treatment of gynecomastia. Gynecomastia is a benign, unilateral or bilateral enlargement of the male breast due to the imbalance between the androgens and estrogens at the breast tissue level. This clinical condition is particularly common in boys during puberty and in aging men. The breast enlargement, especially with accompanying pain can cause serious psychological problem. At the present time there are no generally accepted procedures for the evaluation and treatment of patients with gynecomastia. In the article such recommendations were proposed. There are many studies conducted to find the safe and efficient medical therapy that could ameliorate the quality of life of the patients with gynecomastia. The information on the available treatment options were also presented.
本综述的目的是呈现有关男性乳房肥大症的患病率、发病机制、诊断和治疗的最新信息。男性乳房肥大症是一种由于乳房组织水平上雄激素和雌激素失衡导致的男性乳房单侧或双侧良性增大。这种临床情况在青春期男孩和老年男性中尤为常见。乳房增大,尤其是伴有疼痛,会导致严重的心理问题。目前,对于男性乳房肥大症患者的评估和治疗尚无普遍接受的程序。本文提出了此类建议。为寻找能够改善男性乳房肥大症患者生活质量的安全有效的药物治疗方法,已经开展了许多研究。文中还介绍了现有的治疗选择信息。