Pseudo-gynaecoamstia with Small Gland Component [BB grade 2b] {Patient 2021-7001} Before & After

Описание: Patient History
Male patient, 25 years old.
Longstanding history of gynaecomastia (benign enlargement of male breast tissue), first noted during adolescence.

Clinical examination identified:
Fibroglandular tissue beneath the nipple-areolar complex (NAC).
A larger component of pseudo-gynaecomastia (adipose tissue hypertrophy of the chest wall).

Classification
Condition classified using Dr Beldholm’s internal grading system: Grade BB 2b.
Recommended management: ultrasound-assisted suction lipectomy (VASER liposuction).
Due to the presence of a small amount of fibroglandular breast tissue beneath the areola, sub-areolar excision (direct glandular excision) was also performed.

Operation Performed
Bilateral ultrasound-assisted suction lipectomy (VASER liposuction) performed on the anterior chest and lateral chest wall.
Peri-areolar incisions were made bilaterally to allow removal of glandular breast tissue.
A 10 French Belovac drain was placed on each side, removed the following day.

Histopathology Report

Macroscopic findings
Right breast specimen: Fibroadipose breast tissue, 9g, 77×25×15mm. Cut surface: uniform fibrofatty tissue. No discrete macroscopic lesions.
Left breast specimen: Fibroadipose breast tissue, 10g, 64×35×12mm. Cut surface: uniform fibrofatty tissue. No discrete macroscopic lesions.

Microscopic findings
Right breast specimen: Fibrofatty breast tissue with occasional ducts showing columnar cell change without cytological atypia. Apocrine metaplasia present. No in situ or invasive malignancy. No microcalcifications.
Left breast specimen: Fibrofatty breast tissue with unremarkable ducts and densely fibrous stroma. Features may represent late-stage gynaecomastia. No in situ or invasive malignancy. No microcalcifications.

Final Diagnosis
Findings consistent with gynaecomastia (benign enlargement of male breast tissue).

Images:
3 months after the operation

Patient: #2021-7001

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Dr Bernard Beldholm (MED0001186274) M.B.B.S B.Sc (Med) FRACS, is a Registered medical practitioner, Specialist surgeon (specialist registration in Surgery – general surgery) in Australia

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Lorn, NSW 2320
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ADULT content. Dr Bernard Beldholm M.B.B.S B.Sc(Med) FRACS is a Specialist General Surgeon (AHPRA Medical Registration nr: MED0001186274). Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from a qualified health practitioner. Results, recovery & potential complications will vary for each individual patient. Photos & videos featured are not a guarantee that your results will be the same & do not guarantee a particular surgical outcome. Content on our Instagram page & other social media pages is published with the consent of our patients. The content featured is general in nature and does not constitute medical advice. Immediate post-op results may differ from the final result.