未经批准:青春期女性乳房发育症(PG),报告的患病率不同的良性疾病,通常出现在13-14岁,主要是特发性和自限性。精神障碍在患有男性乳房发育症的青少年中很常见。手术干预适用于严重病例,并在青春期结束时提供。临床医生很少给予药物治疗,主要是由于发表的数据不足。我们进行了系统的文献综述,以评估疗效,安全,副作用,和药物治疗的并发症发表。
未经批准:MEDLINE,Embase,搜索了CochraneCENTRAL的术语“妇科乳房发育症”,“青春期”,和“青少年”结合选择性雌激素受体调节剂(SERM)的药物,芳香化酶抑制剂(AI),和雄激素组以不同的组合来优化搜索结果。排除标准包括:基于专家意见的研究,类似的循证医学水平研究,以及讨论成人男性乳房发育症的研究。选定的文章由两位作者评估。收集的数据包括:证据水平,人口规模,治疗方案,后续行动,结果,并发症,和副作用。
未经评估:在作者精心发现和检查的1,425项已发表的研究中,只有24份出版物符合所有研究目标.这些被分为16篇SERM治疗患者的出版物,其中四个有人工智能和四个雄激素。总的来说,关于PG药物治疗的数据是部分的,基于证据的研究不足。他莫昔芬和SERM药物长期以来被用作PG的治疗。他莫昔芬是大多数审查的研究中选择的治疗药物,发现是有效的,安全,副作用极小.
UNASSIGNED:药物治疗作为一种新的护理标准在缓解行为和心理困扰方面具有优势。虽然缺乏高质量的出版物,他莫昔芬的药物干预适用于部分患者。有必要对各种药物进行大规模高质量的研究。
UNASSIGNED: Pubertal
gynecomastia (PG), a benign condition with varied reported prevalence, typically appears at 13-14 years-old and is mostly idiopathic and self-limited. Psychologic impairments are common among adolescents with
gynecomastia. Surgical intervention is reserved to severe cases and is offered towards the end of puberty. Pharmacological treatment is seldom given by clinicians mainly due to insufficient published data. We conducted this systematic literature
review to assess the efficacy, safety, side effects, and complications of pharmacological treatments published.
UNASSIGNED: MEDLINE, Embase, and Cochrane CENTRAL were searched for the terms \"
gynecomastia\", \"pubertal\", and \"adolescent\" in conjunction with medications from the Selective Estrogen Receptor Modulator (SERM), aromatase inhibitors (AI), and androgens groups in different combinations to optimize the search results. Exclusion criteria included: studies based on expert opinion, similar evidence-based medicine levels studies, and studies which discuss
gynecomastia in adults. Selected articles were assessed by two authors. Data collected included: the level of evidence, population size, treatment regimen, follow-up, outcomes, complications, and side effects.
UNASSIGNED: Of 1,425 published studies found and examined meticulously by the authors, only 24 publications met all the study research goals. These were divided into 16 publications of patients treated with SERM, of whom four had AI and four androgens. In general, the data regarding pharmacologic therapy for PG is partial, with insufficient evidence-based research. Tamoxifen and SERM drugs have long been used as treatments for PG. Tamoxifen was the chosen drug of treatment in most of the reviewed studies and found to be effective, safe, and with minimal side effects.
UNASSIGNED: Pharmacological treatment as a new standard of care has an advantage in relieving behavioral and psychological distress. Although high quality publications are lacking, pharmacological intervention with tamoxifen is appropriate in select patients. Conduction large-scale high-quality studies are warranted with various drugs.