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一名跨性别女性的结节状乳房畸形:病例报告。

Tuberous breast deformity in a transgender woman: a case report.

作者信息

Ibrahim Yasmine, Rezwan Siam K, Tahir Aman, DeLong Michael R

机构信息

Division of Plastic and Reconstructive Surgery, University of California, Los Angeles, 200 Medical Plaza, Suite 460, Los Angeles, CA 90095, United States.

出版信息

J Surg Case Rep. 2025 Sep 8;2025(9):rjaf694. doi: 10.1093/jscr/rjaf694. eCollection 2025 Sep.

DOI:10.1093/jscr/rjaf694
PMID:40927508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12416806/
Abstract

Tuberous breast deformity was first documented by Rees and Aston in 1976. The deformity is well documented in cisgender women, with rare cases in cisgender men often associated with gynecomastia, and almost no reports in transgender women. Herein, we present a case of a 32-year-old transgender woman who developed bilateral tuberous breast deformity after 10 years of hormone replacement therapy. This report highlights the rarity of the condition in transgender women, discusses its clinical presentation, and its surgical management. Given the growing number of transgender individuals undergoing gender-affirming care, recognizing and addressing such anatomical variations is crucial for optimizing surgical outcomes.

摘要

1976年,里斯和阿斯顿首次记录了管状乳房畸形。这种畸形在顺性别女性中有详细记载,在顺性别男性中罕见,常与男性乳房发育症相关,而在跨性别女性中几乎没有报道。在此,我们报告一例32岁的跨性别女性病例,该患者在接受10年激素替代治疗后出现双侧管状乳房畸形。本报告强调了这种情况在跨性别女性中的罕见性,讨论了其临床表现和手术治疗方法。鉴于接受性别肯定治疗的跨性别者数量不断增加,认识并处理此类解剖变异对于优化手术效果至关重要。

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本文引用的文献

1
The Different Surgical Strategies for Treating Tuberous Breast Deformity: A Scoping Review.治疗乳房畸形的不同手术策略:一项范围综述
JPRAS Open. 2024 Jul 28;42:315-328. doi: 10.1016/j.jpra.2024.07.011. eCollection 2024 Dec.
2
Effects of Hormones on Breast Development and Breast Cancer Risk in Transgender Women.激素对跨性别女性乳房发育及乳腺癌风险的影响。
Cancers (Basel). 2022 Dec 30;15(1):245. doi: 10.3390/cancers15010245.
3
Review of Tuberous Breast Deformity: Developments over the Last 20 Years.乳房畸形回顾:过去20年的进展
Plast Reconstr Surg Glob Open. 2022 May 26;10(5):e4355. doi: 10.1097/GOX.0000000000004355. eCollection 2022 May.
4
Chest Feminization in Male-to-Female Transgender Patients: A Review of Options.男变女跨性别患者的胸部女性化:治疗方案综述
Transgend Health. 2021 Oct 4;6(5):244-255. doi: 10.1089/trgh.2020.0057. eCollection 2021 Oct.
5
The Breast Response to Estrogenic Stimulation in Transwomen Classification: Evaluation of Breast Response to Estrogenic Stimulation in Transwomen.跨性别女性的雌激素刺激乳房反应分类:评估跨性别女性的雌激素刺激乳房反应。
Ann Plast Surg. 2021 Oct 1;87(4):402-408. doi: 10.1097/SAP.0000000000002729.
6
Correction of the tuberous breast deformity in a prepubescent male patient: A surgical approach to an unusual problem.青春期前男性患者乳房肥大畸形的矫正:针对一个特殊问题的手术方法。
JPRAS Open. 2019 Jan 6;19:98-105. doi: 10.1016/j.jpra.2018.12.008. eCollection 2019 Mar.
7
Male Tuberous Breast: A Rare Variant of Gynecomastia. Clinical Considerations and Personal Experience: Tips and Tricks to Maximize Surgical Outcomes.男性乳房结节症:一种罕见的男性乳房发育症。临床考虑因素和个人经验:最大化手术效果的技巧和窍门。
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Differences in Chest Measurements between the Cis-female and Trans-female Chest Exposed to Estrogen and Its Implications for Breast Augmentation.接受雌激素治疗的顺性别女性和跨性别女性胸部的胸围差异及其对隆胸手术的影响。
Plast Reconstr Surg Glob Open. 2019 Mar 13;7(3):e2167. doi: 10.1097/GOX.0000000000002167. eCollection 2019 Mar.
9
The Prevalence of Tuberous/Constricted Breast Deformity in Population and in Breast Augmentation and Reduction Mammaplasty Patients.人群以及隆乳和缩乳整形手术患者中结节性/缩窄性乳房畸形的患病率。
Aesthetic Plast Surg. 2016 Aug;40(4):492-6. doi: 10.1007/s00266-016-0650-9. Epub 2016 Jun 6.
10
Tuberous Male Breast: Assessment and Esthetic Correction.男性乳腺增生:评估与美学矫正
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