<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032020000400414</article-id>
<article-id pub-id-type="doi">10.35366/97270</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La ginecomastia tuberosa, una entidad poco reconocida en la práctica quirúrgica actual]]></article-title>
<article-title xml:lang="en"><![CDATA[Tuberous gynecomastia, an entity that is not very well recognized in current surgical practice]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Telich-Tarriba]]></surname>
<given-names><![CDATA[José E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garza-Arriaga]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leyva-Vázquez]]></surname>
<given-names><![CDATA[Ahilyn]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Telich-Vidal]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Pedregal Departamento de Cirugía Plástica y Reconstructiva ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad La Salle Facultad Mexicana de Medicina ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Fundación del Cáncer de Mama Departamento de Cirugía Plástica y Reconstructiva ]]></institution>
<addr-line><![CDATA[ Ciudad de México]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>4</numero>
<fpage>414</fpage>
<lpage>417</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032020000400414&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032020000400414&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032020000400414&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La ginecomastia es una proliferación benigna del tejido glandular mamario en hombres, resultando en aumento de volumen en la región pectoral. Tiene una amplia variedad de causas, las cuales se clasifican como fisiológicas o patológicas; en el fondo la fisiopatología es multifactorial, dependiendo de una mayor producción de estrógenos periféricos, o menor producción o sensibilidad a andrógenos. Existen distintas clasificaciones de ginecomastia en la literatura internacional, las más empleadas son las de Simon y Rohrich, las cuales toman en cuenta principalmente el volumen mamario y la presencia o ausencia de ptosis glandular. En varones, la ginecomastia tuberosa se caracteriza por la presencia de exceso cutáneo en el polo inferior, un anillo de constricción fibroso periareolar y crecimiento glandular vertical. Es un diagnóstico poco común en la práctica clínica, por lo que su epidemiología es desconocida. El objetivo del tratamiento quirúrgico es lograr una apariencia normal del tórax masculino con la cicatriz más pequeña posible. El tratamiento quirúrgico de la ginecomastia requiere un abordaje individualizado, en ocasiones combinando liposucción y mastectomía, mientras que en la mama tuberosa masculina requiere que se aborde la relativa redundancia de la piel, incluso cuando el exceso de tejido es menor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Gynecomastia is a benign proliferation of mammary glandular tissue in men, resulting in increased volume in the pectoral region. It has a wide variety of causes, which are classified as physiological or pathological; basically, the pathophysiology is multifactorial, depending on a higher production of peripheral estrogens, or less production and sensitivity to androgens. There are different classifications of gynecomastia in the international literature, the most widely used are those of Simon and Rohrich, which mainly take into account breast volume and the presence or absence of glandular ptosis. In men, tuberous gynecomastia is characterized by the presence of cutaneous excess in the lower pole, a periareolar fibrous constriction ring and vertical glandular growth. It is a rare diagnosis in clinical practice, so its epidemiology is unknown. The goal of surgical treatment is to achieve a normal appearance of the male chest with the smallest possible scar. The surgical treatment of gynecomastia requires an individualized approach, sometimes combining liposuction plus mastectomy, while in the male tuberous breast it requires that the relative redundancy of the skin be addressed even when there is relatively less tissue excess.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ginecomastia]]></kwd>
<kwd lng="es"><![CDATA[mama tuberosa]]></kwd>
<kwd lng="es"><![CDATA[masculino]]></kwd>
<kwd lng="es"><![CDATA[liposucción]]></kwd>
<kwd lng="en"><![CDATA[Gynecomastia]]></kwd>
<kwd lng="en"><![CDATA[tuberous breast]]></kwd>
<kwd lng="en"><![CDATA[male]]></kwd>
<kwd lng="en"><![CDATA[liposuction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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