Pediatr. praxi. 2024;25(3):140-144 | DOI: 10.36290/ped.2024.029

Gynecomastia in puberty and adolescence

MUDr. Stanislava Koloušková, CSc.¹, MUDr. David Mikulík², MUDr. MgA. Pavla Tichá, Ph.D.², MUDr. Eva Dřevínková²

¹ Pediatrická klinika 2. LF UK a FN Motol, Praha

² Klinika plastické chirurgie 3. LF UK, Fakultní nemocnice Královské Vinohrady Praha

Gynecomastia is defined as benign proliferation of the breast tissu; it can occur in up to 40-65% of men during their lifetime. In most cases, pubertal gynecomastia is the result of hormonal imbalance, it usually occurs in Tanner stage 3-4, when the testicular volume reaches 8-10 ml, at an average age of 14 years. Later it disappears spontaneously, so it does not require therapeutic intervention. In the remaining cases, it is necessary to exclude a pathological cause. The method of first choice is conservative therapy, in case of unsatisfactory results, very rare an operative solution is indicated. The case report describes the case of an adolescent patient with gynecomastia unresponsive to conservative treatment. The possibility of a surgical solution before reaching eighteen years of age thus represents a significant shift in the strategy of gynecomastia treatment and thus enables a substantial improvement in the quality of life of adolescents.

Keywords: pubertal gynecomastia, diagnosis, conservative therapy, surgical therapy.

Accepted: June 12, 2024; Published: June 14, 2024  Show citation