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Pediatric breast enlargement is a fairly common, benign condition (not breast cancer) that mainly affects teenage boys. The disease not only affects children's psychology but also can cause local discomforts such as breast ulcers, difficulties in wearing clothes and daily activities, or neck pain, hunchback, circulatory failure. Brain,...
1. What is an enlarged mammary gland?
Breast hypertrophy in children is a pathological condition of excessive breast volume, caused by an overgrowth of mammary gland tissue, accompanied by increased infiltration of surrounding fat. This condition can occur as early as puberty in children. Symptoms and size of breast enlargement in children can vary: From an abnormally small mass behind the nipple to an enlarged mammary gland like a woman's. Enlarged breasts can affect one or both breasts, causing pain or increased sensitivity to this area to the touch.
2. Why is there breast enlargement in children?
There are many causes of breast enlargement in children such as:
Physiological enlargement:
Puberty in boys usually begins in adolescence, but some children notice many changes in their breasts. size since they were 10 years old. During the growing age, estrogen and testosterone determine the size of breast tissue. If the estrogen is higher than the testosterone level, it will cause the breasts to grow and become larger and more noticeable. However, at the end of puberty, when the testes are fully developed, the hormone testosterone will dominate, from there, the breast fat layer can shrink again. The case of hormone imbalance that prevents the mammary glands from shrinking is the cause of breast enlargement. Pathological Enlargement:
Pathological breast enlargement is more common in older men than in children due to drug abuse causes. Klinefelter syndrome is an inherited gene that causes a male baby to be born with an extra X chromosome, which prevents the production of specific sex hormones, causing breast size to be affected and causing mammary gland enlargement. In addition, being overweight or obese also increases the amount of fat cells in the body, which causes the production of more estrogen, which in turn leads to breast tissue growth. A balanced diet and exercise will help improve weight and reduce disease in children.
Nếu estrogen cao hơn mức testosterone thì sẽ khiến vú phát triển và trở nên to hơn, dễ nhận thấy hơn.
3. How to treat mammary gland edema?
Usually, treatment of breast enlargement in children is usually monitoring and medical treatment, rarely surgical treatment. The medical treatment drugs that may be considered for use include:
Tamoxifen: Has the effect of reducing the amount of estrogen in the body and reducing the size of the mammary glands in men. Danazol: Used to treat enlargement of the male mammary gland, which causes pain and increased breast sensitivity. The drug also reduces estrogen production and reduces the size and symptoms of mammary glands. Aromatase inhibitors are second-line endocrine drugs that are used very rarely. Surgical treatment will be indicated if the breast enlargement does not improve with lifestyle changes or ineffective drug treatment, reducing the patient's quality of life. Male breast enlargement surgery is not a simple operation, it depends on the size of the enlarged breast and the amount of excess skin. The goal is to restore a normal breast size and can be done multiple times. Liposuction is one of the most common procedures used alone or in conjunction with breast reduction surgery (breastoplasty). Breast enlargement can still return after surgery because these procedures leave certain breast tissue behind.
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Reference sources: bachmai.gov.vn, vtv.vn
