Rohn R D
J Adolesc Health Care. 1984 Jul;5(3):210-2. doi: 10.1016/s0197-0070(84)80045-5.
Three adolescent males presented with nipple discharge. In two boys, the expressed secretion was clinically consistent with galactorrhea. Galactorrhea/breast discharge is a rare complaint in males of any age. Although galactorrhea is commonly associated with a neuroendocrine disorder or drug ingestion, the work-up in each, including basal prolactin level, was normal. Reluctantly, each by admitted to breast self-manipulation to reduce gynecomastia. When the behavior was discontinued, the galactorrhea/breast secretion ceased. Clinicians should be aware of this heretofore undescribed and apparently benign phenomenon. If basal hyperprolactinemia is absent in a male with a breast discharge and a history of breast manipulation, then an extensive work-up is not usually indicated.
三名青春期男性出现乳头溢液。在两名男孩中，排出的分泌物在临床上与溢乳相符。溢乳/乳腺溢液在任何年龄段的男性中都是一种罕见的症状。虽然溢乳通常与神经内分泌紊乱或药物摄入有关，但对每例患者的检查，包括基础催乳素水平，均正常。无奈之下，每名患者都承认有乳房自我按摩行为以减轻男性乳房发育。当这种行为停止后，溢乳/乳腺分泌物也停止了。临床医生应了解这种此前未被描述且显然为良性的现象。如果有乳房溢液且有乳房按摩史的男性不存在基础高催乳素血症，那么通常不需要进行广泛的检查。
