Fatty degeneration of mammary glands in female-to-male transsexuals

被引：1

作者：

Makino T. ^{[1
,2
,3
]}

Fujita T. ^{[1
,2
]}

Nakano T. ^{[1
,2
]}

机构：

[1] Seibikai Athena Clinic, BROOM Fukuoka Building 3F, 2-1-18, Daimyo, Chuo-ku, Fukuoka

[2] Yume Beauty Clinic, Yume Town, 1-3-30, Shingougawa, Kurume, Fukuoka

[3] Makino Dermatology, Plastic and Reconstructive Surgery Clinic, 2-32-27, Akeno-Higashi, Oita

来源：

European Journal of Plastic Surgery | 2017年 / 40卷 / 4期

关键词：

Chest wall contouring; Female-to-male surgery; Female-to-male transsexual; Gender identity disorder; Hormonal therapy; Mastectomy;

D O I：

10.1007/s00238-016-1269-4

中图分类号：

学科分类号：

摘要：

Background: Subcutaneous mastectomy is an accepted procedure for surgical reassignment in female-to-male (FtM) transsexuals. However, fatty degeneration of the mammary gland (FDMG) is sometimes observed in FtM transsexuals, with implications for mastectomy outcomes. In this study, we describe the characteristics and risk factors of FDMG. Methods: A total of 48 FtM transsexual patients underwent bilateral subcutaneous mastectomies (96 subcutaneous mastectomies) at our clinics from January 2015 to February 2016. The patients were divided into FDMG and non-FDMG groups after evaluation of the cut surface of the resected mammary gland. The groups were compared in terms of age, smoking, hormonal therapy (testosterone), body mass index (BMI), breast size (top–under perimeter), distance between sternal notch and nipple–areolar complex (NAC), breast ptosis grade, weight of resected breast tissue, and complication rate. FDMG tissue specimens were examined histologically. Results: Comparing the FDMG and non-FDMG groups, hormonal therapy was more common (91.3 vs. 72.0%, p = 0.049), BMI was higher (24.3 vs. 21.1%, p < 0.001), and distance between the sternal notch and NAC was longer (20.5 vs. 18.8%, p = 0.03). Conclusions: Hormonal therapy, high BMI, and long distance from the sternal notch to the NAC are risk factors for FDMG and should be considered prior to mastectomy in FtM transsexuals. © 2017, Springer-Verlag Berlin Heidelberg.

引用

页码：309 / 314

页数：5

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