Abstract：
Gynecomastia presents as abnormal hypertrophy of mammary tissue in males that is typically asymptomatic and usually does not require intervention. Gynecomastia responds well to medical and surgical treatment, when necessary, with low recurrence rates. The authors report an atypical case of recurrent idiopathic unilateral gynecomastia first presenting in an adolescent male. Physical examination, hormonal, and oncologic evaluations were normal. After subcutaneous mastectomy with liposuction and treatment with Tamoxifen at 19 years old, his unilateral gynecomastia recurred over the course of 3 years, requiring a second surgery. Furthermore, we review the literature for recurrent gynecomastia after surgical management to examine prevalence and risk factors.
摘要：
男性乳房发育表现为男性乳腺组织异常肥大，通常无症状，通常不需要干预。男性乳房发育症对药物和手术治疗反应良好，必要时,复发率低。作者报告了一例复发性特发性单侧男性乳房发育症的非典型病例，该病例首次出现在青春期男性中。体格检查,荷尔蒙，和肿瘤评估是正常的。在19岁时进行皮下乳房切除术吸脂术和他莫昔芬治疗后，他的单侧男性乳房发育症在3年内复发，需要第二次手术.此外，我们回顾了手术治疗后复发性男性乳房发育症的文献，以检查患病率和危险因素。
