Lipomastia

Classification according to ICD-10
E65	Localized obesity - fat pads
ICD-10 online (WHO version 2019)

Lipomastia (from the Greek λίπος (lípos): fat and μαστός (mastós): breast, nipple) is a form of pseudogynecomastia that occurs in obese men. This is an enlargement of the breast due to increased fat tissue , but without enlargement of the breast gland .

It is differentiated from gynecomastia by palpation (palpation of the glandular tissue) and ultrasonographically ( sonography of the mammary gland). No palpable glandular tissue is detectable in lipomasty.

In obese adolescents, differentiating between lipomastia and gynecomastia can be difficult; a mixed type, the so-called lipogynecomastia, can also occur .

Pseudogynecomastia is not only caused by fat accumulation, but can also be due to submamillary (under the nipple ) hematomas , lymphangiomas ( angiomas of the vascular system) or lipomas (regional adipose tissue tumors).

Individual evidence

↑ ^a ^b Wolf-Bernhard Schill, Reinhard G. Bretzel, Wolfgang Weidner (ed.): Men's medicine in general medical and internal practice. Urban & Fischer at Elsevier, Munich 2005, ISBN 3-437-23260-6 , p. 381.
↑ Jürgen Schölmerich (Ed.): Medical Therapy. 2005, 2006. 2nd edition Springer Verlag, Berlin 2005, ISBN 3-540-21226-4 , p. 623.
↑ ^a ^b Dietrich Michalk, Eckhard Schönau, Ingrid Fritz (eds.): Differentialdiagnose Pädiatrie. 2nd Edition. Urban & Fischer bei Elsevier, Munich 2005, ISBN 3-437-22530-8 , p. 532.

[schill-1] Wolf-Bernhard Schill, Reinhard G. Bretzel, Wolfgang Weidner (ed.): Men's medicine in general medical and internal practice. Urban & Fischer at Elsevier, Munich 2005, ISBN 3-437-23260-6 , p. 381.

[2] Jürgen Schölmerich (Ed.): Medical Therapy. 2005, 2006. 2nd edition Springer Verlag, Berlin 2005, ISBN 3-540-21226-4 , p. 623.

[michalk-3] Dietrich Michalk, Eckhard Schönau, Ingrid Fritz (eds.): Differentialdiagnose Pädiatrie. 2nd Edition. Urban & Fischer bei Elsevier, Munich 2005, ISBN 3-437-22530-8 , p. 532.