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Kyuchukov N., Nedyalkov K., Iliev S., Inkov I., Dimitrova A., Tsvetanov S., Gocheva L., Miteva M., Dobrichkov L. Gynecomastia. X IMSC, Pleven 2012, Bulgaria

Kyuchukov N., Nedyalkov K., Iliev S., Inkov I., Dimitrova A., Tsvetanov S., Gocheva L., Miteva M., Dobrichkov L. Gynecomastia.

X MDSC, Pleven 2012, Bulgaria  

 

Gynecomastia (GM) is a common benign enlargement of the male breast due to an abnormal proliferation of glandular tissue. The disease may occur physiologically or be secondary to various disorders. The aim of our study is to analyze the outcome of the surgical management of patients with gynecomastia at the Thoracic Surgery Clinic of the Military Medical Academy in Sofia, Bulgaria. Using a prospective methodology we analyzed a total of 41 cases of patients operated from July 2010 to July 2012. In the majority of cases, 35, the disease was unilateral, whereas in the remaining, 6 it was bilateral. In 10 of the cases, GM was due to a physiological cause, whereas in the remaining 31 cases to a pathological cause. Prior to the surgical treatment, the majority of the patients underwent a preoperative conservative therapy which included non-steroidal anti-inflammatory drugs, testosterone, Bromocriptine, and analgesics. Candidates for surgical treatment are patients with persistent GM unresponsive to medicinal therapy particularly in cases of patients with cosmetic and/or psychological problems, as well as whenever malignant degeneration is suspected in older patients.

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