1 cases of male breast development of nursing intervention.docVIP

 PAGE \* MERGEFORMAT 6 1 cases of male breast development of nursing intervention A clinical data Male patient, 17-year-old patient due to four years ago, stumbled on some red dates within the bilateral breast the size of tumor, in order to ‘male gynecomastia’ revenue our department. Examination: bilateral breast symmetry, compared with men the same age increased, no abnormal breast skin, no redness, no orange peel-like changes, nipple discharge without extrusion, bilateral subareolar could reach an estimated 7 * 7cm size of the quality of Ren mass, no tenderness, surface smooth, clear boundaries, no adhesion with surrounding tissues, activities, good. Enlarged bilateral axillary lymph nodes are not touched. Surgical way to do the lower edge of mammary gland curved incision about 10cm, making breast removed, placed in the drainage of the skin incision and pathological results of return: ‘bilateral breast’ in line with male gynecomastia. 2 Discussion Gynecomastia as a breast duct hyperplasia and cystic dilatation and proliferation of fibrous adipose tissue, but the vast majority did not like the female breast lobular breast milk secretion, as there is [1]. Gynecomastia common in normal, particularly in adolescence (14 to 30 years old), sex hormone metabolism and the development of male breast disease closely related to the proportion of male and female hormone imbalance and partial breast tissue to enhance the sensitivity to the hormone can cause male breast growth , the hypothalamus - pituitary axis and under the control of endocrine function or organic changes in the pathogenesis of this disease play an important role. Although the male gynecomastia are rare, and little risk of malignant change, but because of the breast increases, to cause great physical, psychological and spiritual burden, treatment and care should be a positive response. 3 Care 3.1 wound care for patients with wounds should be assessed, detailed understanding of his illness and wound