Gynaecomastia Surgery Patient 2021-7001

*Results vary

This patient has experienced significant gynaecomastia since his teenage years, which has caused him lifelong social challenges. During the examination, hard breast gland tissue was observed beneath the nipple-areolar complex (NAC). However, the majority of the gynaecomastia was classified as pseudo-gynaecomastia.

According to Dr. Beldholm’s gynecomastia grading system, this patient’s condition is classified as Grade BB 2b. My current recommendation for treating this grade is to perform VASER liposuction only. However, since there was a small component of breast gland tissue under the areola, it was treated with gland excision.

Age:

25 years old

Operation:

VASER liposuction was performed on both sides of the chest, including the lateral chest wall. A small incision was made under the areola on both the right and left sides, allowing for the removal of excess breast tissue. A 10F Belovac drain was placed on each side and was removed the following day.

HISTOPATHOLOGY REPORT

MACROSCOPIC:

Right breast tissue
The specimen consists of a piece of fibroadipose breast tissue weighing 9g and measuring 77x25x15mm. Cut surface shows uniform and fibrofatty tissue. No discrete lesions are identified macroscopically.

Left breast tissue
The specimen consists of a piece of fibroadipose breast tissue weighing 10g and measuring 64x35x12mm. Cut surface shows uniform and fibrofatty tissue. No discrete lesions are identified macroscopically.

MICROSCOPIC:

Right breast tissue
Representative sections show fibrofatty breast tissue in which occasional ducts show columnar cell change without cytological atypia. Apocrine metaplasia is also noted. There is no evidence of in situ or invasive malignancy. No microcalcifications are noted.

Left breast tissue
Representative sections show fibrofatty breast tissue in which ducts present are unremarkable. Surrounding stroma is densely fibrous. These changes may be in keeping with late gynaecomastia. There is no evidence of in situ or invasive malignancy. No microcalcifications are noted.

DIAGNOSIS:

Consistent with gynaecomastia

Images:

3 months after operation