Tamoxifen treatment for pubertal gynecomastia
By Derman O, Kanbur NO, Kutluk T.
Section of Adolescent Medicine, Department of Pediatrics,
Hacettepe University Faculty of Medicine, 06100 Ankara-Turkey.
We evaluated the efficacy of the tamoxifen treatment in 37 patients with pubertal gynecomastia. All had distinct, easily palpable breast swellings with a diameter of over three cm. Pain, tenderness, and swelling associated with gynecomastia were reported by six patients. Eight of the patients were obese. One patient also suffered from varicocele. Pain and size reduction was seen in all patients with tamoxifen treatment. No long-term side effects of tamoxifen were observed. The dose of tamoxifen was increased in three patients due to poor response. Two of the treatment group had recurrence problem at follow-up. We did not need to refer any patient to surgery. Tamoxifen treatment is relatively non-toxic, may be beneficial and we think it should be considered for pubertal gynecomastia.
Boomerang Gynecomastia Correction
Submitted by gyneadmin on Thu, 2015-03-05 12:38
Picture by Dennis J. Hurwitz, M.D.
The results of a study of 24 patients with one year follow-up were recently released. The patients were men who had severe gynecomastia and massive weight loss. The procedure they had was correction of their gynecomastia along with an upper body lift.
To achieve the most effective and aesthetically pleasing result, the surgeon used opposing excisions in the shape of a boomerang, thus the name "boomerang-pattern correction of gynecomastia."
All 24 cases showed satisfactory improvement except one patient was unhappy with nipple distortion after revision surgery.
The abstract by Dennis J. Hurwitz, M.D. of the University of Pittsburg, PA, is posted in the "Journal of the American Society of Plastic Surgeons" February 2015 issue.
Click here to view a video showing the markings, surgery and three days post op.
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