Basu Asish Kumar, Guha Goutam, Gupta Sandipan, Bandyopadhyay Ramtanu
Medical College, Kolkata 700073.
J Indian Med Assoc. 2010 Aug;108(8):526-7.
The conditions like gynaecomastia and hypospadius are not uncommon. Approximately 40% of normal men have palpable breast tissue. Hypospadius affects in excess of 1 in 300 boys. But the two conditions together occur very rarely and that too in the siblings. Two brothers in the same family of 16 and 14 years of ages reported with the complaints of bilateral gynaecomastia and hypospadius. USG of breasts of both the brothers revealed well developed duct system. LH, FSH, testosterone, oestradiol levels were within normal limits. Hypospadius was corrected by staged procedure. Gynaecomastia was treated by subcutaneous mastectomy. During 3-year follow-up they reported that their social life was restored, which was disturbed earlier.
男性乳房发育症和尿道下裂等病症并不罕见。约40%的正常男性可触及乳腺组织。尿道下裂在每300多名男孩中影响超过1人。但这两种病症同时出现的情况非常罕见，而且这种情况也仅出现在兄弟姐妹中。同一家族中有两名分别为16岁和14岁的兄弟，他们出现了双侧男性乳房发育症和尿道下裂的症状。对两兄弟的乳房进行超声检查显示导管系统发育良好。促黄体生成素、促卵泡生成素、睾酮、雌二醇水平均在正常范围内。尿道下裂通过分期手术得到矫正。男性乳房发育症通过皮下乳房切除术进行治疗。在3年的随访期间，他们报告称自己此前受到干扰的社交生活已恢复正常。
