Frontiers in Medicine (Jul 2024)

Unilateral severe gynecomastia in a 14 year-old adolescent with neurofibromatosis type 1 undergoing endoscopic mastectomy: a case report

  • Fangjian Shang,
  • Bo Xi,
  • Duojun Qiu,
  • Xin Chen,
  • Yifang Wang,
  • Meng He,
  • Bo Liu,
  • Zengren Zhao

DOI
https://doi.org/10.3389/fmed.2024.1364089
Journal volume & issue
Vol. 11

Abstract

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Gynecomastia can be caused by neurofibromas but has rarely been reported. The present case report describes the clinical appearance, diagnosis, and therapy of a rare combination of a 14 year-old adolescent male unilateral severe gynecomastia with NF-1 neurofibromatosis. In this particular case, we successfully performed minimally invasive surgery using endoscopic mastectomy, which not only resulted in a satisfactory appearance but also confirmed the presence of neurofibroma type 1 by detecting typical immunohistochemical indicators associated with the disease. Additionally, we analyzed the gene responsible for the disease, c.1431del: p. F477Lfs*21, based on the patient’s family history.

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