Comparación de protocolos asociados al tratamiento de pacientes adultos con ginecomastia

Abstract

Introduction: Gynecomastia being a benign pathology most commonly seen in primary care medical services, its observation and appropriate management is often overlooked. It is a relatively common disorder in the male population that between 36 and 65% have palpable glandular tissue measuring at least 2 cm in diameter subareolar. Although, initially its treatment usually disappears on its own, according to data from the American Society of Clinical Oncology, 0.2% of cases are associated with male breast cancer. Methodology: A literature review was performed. All articles related to the management of patients with gynecomastia, meta-analysis, systematic review and from any language were included. Data were collected from original articles in indexed journals, using digital databases such as: Scopus, Pubmed, LILACS, Springer. With the help of search terms "Gynecomastia" AND "Treatment"; "gynecomastia" AND "protocols". Results: With the research approached, 12 articles were identified covering substantial differences of the current treatment versus traditional management in patients with gynecomastia. Conclusion: It was established that tamoxifen is more efficient than radiotherapy as pharmacological treatment of gynecomastia, and in the field of surgical treatment with fewer complications is surgery with posteroinferior pedicled flap of tissue for breast reconstruction followed by the double periareolar pedicle technique