Breast disease is not just a problem for female friends. Usually, due to many reasons, men may also experience some discomfort in their breasts, such as pain, enlarged nipples, etc. Enlarged nipples are mostly caused by breast development. In addition to being related to body hormones, it may also be caused by some diseases. It is usually best to pay attention to it and find out the cause in time. Mild gynecomastia is mostly temporary and normal. In addition, some cases that occur during adolescence are related to congenital testicular dysplasia. Patients sometimes have feminine signs, such as a high-pitched voice, no beard on the face, wide hips, etc., and sometimes have genital malformations, such as pseudohermaphroditism, hypospadias, or cryptorchidism. Gynecomastia in late adolescence or adulthood is often accompanied by endocrine diseases, especially benign and malignant adrenal tumors. It can also be seen in testicular tumors, especially choriocarcinoma, teratoma and other stromal cell tumors, or secondary to testicular atrophy, such as Kleingard syndrome. Male breast development is also seen in patients whose liver function is damaged due to cirrhosis, hunger, and malnutrition. This is because the liver loses the ability to regulate and balance estrogen and androgen, causing breast development. Patients with diseases such as hyperthyroidism and chronic nephritis, as well as long-term users of drugs such as spironolactone and isoniazid, also often suffer from breast hypertrophy. 1 A conservative approach should be taken in treatment, especially for mild breast hyperplasia that occurs in early adolescence, most of which will disappear after 1-2 years. 2 However, if the breasts are excessively enlarged or persist for 1-2 years, treatment should be given. Surgery can be performed. The simplest and most direct treatment method is to simply remove the breast tissue while preserving the nipple, areola and skin. For breast enlargement secondary to other diseases, the primary lesion should be treated first. Male friends with enlarged nipples should try to eat less foods rich in oranges, such as tofu, soy milk and other soy products. The plant isoflavones in them will cause an increase in estrogen in the body, and the nipples of childhood will develop again. If the nipples are obviously enlarged, it is best to go to the hospital for treatment in time. |
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