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gyno surgery question

Tamoxifen treatment for pubertal gynecomastia.

Derman O, Kanbur NO, Kutluk T.

Section of Adolescent Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, 06100 Ankara-Turkey. [email protected]

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.

PMID: 14719418 [PubMed - indexed for MEDLINE]
 
tiger88 and bigmk, Im glad I could help you guys, and more importantly Im glad to hear your treatment of the gynecomastia was successful!

I have also had 2 surgeries bigtom. Twice on the left breast. It came back again a third time and I went the tamoxifen route and have had no recurrence of gynecomastia since (and it has been over a year since the last time).
 
ceo said:
Tamoxifen treatment for pubertal gynecomastia.

Derman O, Kanbur NO, Kutluk T.

Section of Adolescent Medicine, Department of Pediatrics, Hacettepe University Faculty of Medicine, 06100 Ankara-Turkey. [email protected]

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.

PMID: 14719418 [PubMed - indexed for MEDLINE]



is there anywhere I can find that full study? i can only find the abstract and
not the full text.


I get the feeling the study was done on patients while they were still going through puberty and gyno was still developing. I'm talking about gyno that never went away and puberty is over.
 
Last edited:
calveless wonder said:
Has anyone here had severe gyno and had the surgery? if so how did it come out?

Mine is pretty bad from puberty and my cycles havent helped

It seems mostly glandular.... however it seems like a pretty big gland. it peaks at the nipple(the hardest most solid part) and extends and spreads kind of like fingers around my pec (towards my armpit) and to about an inch and a half above my nipple. The areas not directly around the nipple are not as solid or thick as the nipple itself but they still don't feel like normal muscle or fat tissue.

Has anyone had similar gyno and were they able to remove all the gland?
i'm having the procedure done soon but i'd like to know realistically what to expect.

Gynecomastia surgery can help when gland and fat will not go away with conservative treatment. Even a small amount of gland can really disturb the cut look in a bodybulider. Bigger collections of fat and gland can distort the chest more..

The gland mainly collects under the nipple but can spread finger like through the fat. No surgery removes all gland. Even radical mastectomy used in male breast cancer surgery leaves some gland behind. Remaining gland can regrow. Remaining fat cells can put on more fat. Surgery does not stop breast regrowth.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia
 
DrBermant said:
Gynecomastia surgery can help when gland and fat will not go away with conservative treatment. Even a small amount of gland can really disturb the cut look in a bodybulider. Bigger collections of fat and gland can distort the chest more..

The gland mainly collects under the nipple but can spread finger like through the fat. No surgery removes all gland. Even radical mastectomy used in male breast cancer surgery leaves some gland behind. Remaining gland can regrow. Remaining fat cells can put on more fat. Surgery does not stop breast regrowth.

Hope this helps,

Michael Bermant, MD
Learn More About Gynecomastia


didn't know you posted here Dr bermant :)

I've seen your site before.

I do realize that some gland is left (as to not indent the nipple) but can all the gland that is causing the distortion be removed?
 
ChewYxRage said:
is there anywhere I can find that full study? i can only find the abstract and
not the full text.


I get the feeling the study was done on patients while they were still going through puberty and gyno was still developing. I'm talking about gyno that never went away and puberty is over.
 
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