Gynecomastia treatment with Tamoxifen or Tamoxifen followed by Letrozole: Prototype Clinical Study

S. Zervoudis, George Iatrakis, Panagiotis Tsikouras, Panagiotis Peitsidis, Angeliki Sarella, Christos Ampatzis
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Abstract

Gynecomastia is very common cause of a patient’s visit to a mastology office. Gynecomastia is experienced in up to 70% of mid-puberty males and in up to 65% of middle-aged men. The treatment starts with the identification of the cause, but in most cases the patient is treated with tamoxifen, aromatase inhibitors, liposuction or surgery. Τreatment of gynecomastia is not well standarized. In our prospective study, we examined the use of tamoxifen followed by letrozole and a clinically important reduction was achieved, when compared with those who were treated only with tamoxifen. Further research needs to be conducted in order to confirm this promising protocol.
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用他莫昔芬或他莫昔芬后再用来曲唑治疗妇科炎症:原型临床研究
妇科乳腺增生是患者到乳腺科就诊的常见原因。多达 70% 的青春期中期男性和多达 65% 的中年男性会出现妇科乳腺增生。治疗首先要确定病因,但在大多数情况下,患者会接受他莫昔芬、芳香化酶抑制剂、抽脂或手术治疗。妇科乳腺增生的治疗还没有很好的标准。在我们的前瞻性研究中,我们研究了在使用他莫昔芬后再使用来曲唑的情况,与仅使用他莫昔芬治疗的患者相比,来曲唑的用量减少了,这在临床上具有重要意义。我们还需要开展进一步的研究,以确认这一前景广阔的方案。
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