Xiao He is 24 years old and has just graduated to work in a bank. He is one meter eight tall, bright smile, and usually love basketball, is the sunshine boy in the eyes of many people. Recently summer came, but he is always happy not up. What’s bothering him? It starts with the basketball game half a month ago. It was just early summer but already very hot, Xiao He and his friends were all sweating like rain on the basketball court, and as usual, they all took off their shirts to reveal their masculine pectoral muscles running around the court. He suddenly found himself and other friends a little different, others are solid pectoral muscles, while his own chest is a soft snap of two lumps of meat. At first he did not care, but several friends also found this difference, we are usually used to joking, on his pectoral muscle scratching pinch, but also jokingly said to him: buddy, we have a few on your most masculine! In full view of everyone, Xiao He was so embarrassed that he wanted to find a crack in the ground. After the game, he did not want to shower with his friends. After this game, the two lumps of flesh on the chest in the small He psychological lumps. When he went to work, he paid attention to wear very loose, but also afraid to lift his head and chest, always afraid that people around him, colleagues to introduce him to girls he did not dare to meet, friends called him to go to play basketball also did not go, the whole big guy has changed a person. Xiao He felt really embarrassed to tell this thing and family p friends p colleagues, a hundred worries he searched the Internet. “The company’s main business is to provide a wide range of products and services to the public. The company’s main business is to provide a wide range of products and services to the public. The doctor who saw him also gave him a detailed answer. It turns out that Xiao He’s condition is very common, and the scientific name is Gynecomastia. It is a medical term from the Greek to describe “female-like breasts” among men. Although this strange condition is rarely mentioned, it is very common in practice. Surveys have been done and found that the prevalence is 36% in healthy young men, 57% in healthy elderly men, and up to 70% in hospitalized elderly men. Gynecomastia is an enlargement of the breast tissue, and although the disease is not life-threatening, it can cause great psychological stress and affect normal life, so timely, accurate and effective diagnosis and treatment of the disease should not be taken lightly. He also learned more about the causes of this disease from the doctor. This disease is mainly due to an absolute or relative increase in the level of estrogen in the body, or due to the increased sensitivity of the breast tissue to it. In fact, both men and women secrete both androgens and estrogens in their bodies, but it is only the difference in the ratio that reflects the difference in gender, so any factor that causes an increase in estrogen levels or a decrease in androgen secretion can cause this disease. For example: 1. Diseases of the adrenal cortex, the main secretion site of estrogen, can cause abnormal increase in estrogen level; 2. When the liver, the site of estrogen metabolism, is diseased and has decreased liver function, estrogen will accumulate in the body and cause the disease; 3. This disease can occur. 4, some other diseases, such as hypothalamic – pituitary disease, thyroid disease, diabetes, abnormal sexual development, chronic colitis, etc. can also lead to the occurrence of this disease, some drugs such as progesterone, isoniazid, tricyclic antidepressants, digitalis, etc. can affect the metabolism of estrogen and induce breast enlargement. After the above understanding, the plastic surgeon first recommended Xiao He to the endocrinology department of Peking Union Medical College Hospital, which is also the leading department in China. After detailed examination by the endocrinologist, Xiao He excluded some pathological factors that cause gynecomastia, such as improper medication, liver disease, endocrine disorders, rare tumors, etc. This also reassured Xiao He. This also reassured Xiao He. The endocrinologist told Xiao He that there is no special medication at this time and that he could follow up regularly. If he felt uneasy about his image, he could go to the plastic surgery department for breast reduction surgery to solve the problem. After thinking about it, Xiao He visited the plastic surgery department of Peking Union Medical College Hospital again and asked for surgery to correct the problem. The plastic surgeon first conducted a detailed physical and psychological evaluation of Xiao He. He was told that for people who are obese and overweight and do not want to correct it through physical exercise and weight loss, the effect of surgery is affected. In addition, people who drink too much alcohol and use drugs are better off without surgery. He was then given an appointment for a breast ultrasound to quantify the amount of glands and fat in the breast and to exclude some rare breast tumors. He’s detailed pre-op preparation also included routine blood tests, stopping smoking and eating vitamin-rich foods. The latter two are actually very beneficial for postoperative wound healing. She was quickly admitted to the hospital and underwent a mastectomy under general anesthesia. The plastic surgeon first used liposuction to remove excess fat. Then the glandular tissue on the deep side of the nipple was removed. Xiao He started to walk out of bed on the day of surgery and felt some discomfort for 2-3 days after surgery, but could take pain medication to control it. He returned to the hospital to have his stitches removed about 1-2 weeks after the surgery. Three months after the operation, Xiao He found that the two lumps of meat in front of the original chest were not completely gone, but replaced by a flat, solid chest. He was most worried that the incision scar was so small and inconspicuous that he was confident in his unit and on the basketball court again, restoring the style of a sunny boy!