The Crucial Role of Post-Operative Pathology in Gynecomastia Treatment
At Evita Clinic, we know that truly successful treatment for gynecomastia goes far beyond the surgical procedure itself. That’s why every patient undergoing gynecomastia surgery receives an in-depth, post-operative pathological examination of their breast tissue—a service designed to ensure an accurate diagnosis, rule out hidden abnormalities, and pave the way for personalized treatment strategies.
Beyond Surgery: The Importance of Post-Operative Pathology
While surgery plays a critical role in addressing the physical appearance and discomfort associated with gynecomastia, it is only one part of a comprehensive treatment plan. Our approach is built on the premise that understanding the precise cause of breast tissue enlargement is essential for safe and effective care. To achieve this, we perform a meticulous pathological analysis on all tissue samples, ensuring that even the most subtle abnormalities are detected.
This detailed examination allows us to:
- Pinpoint the Exact Cause: Our analysis can determine whether the enlargement is due to intrinsic cellular changes, fat accumulation, or, in rare instances, other conditions.
- Rule Out Serious Conditions: Although the risk of male breast cancer in gynecomastia patients is extremely low—around 0.005%—early detection is critical. By examining every tissue sample, we ensure that no potential malignancy is overlooked.
- Inform Tailored Treatment: The pathology report provides essential insights that help us customize post-operative care and long-term treatment strategies for each individual patient.

Understanding the Causes of Breast Enlargement
Our data indicates that:
- 90% of breast enlargement cases are due to intrinsic causes,
- 6–7% result from excess fat accumulation in the chest,
- 1–3% are caused by lipomas,
- And in rare cases, the enlargement may be linked to breast cancer.
Male breast cancer, although accounting for less than 1% of all breast cancer cases, is a condition that cannot be ignored. Typically affecting men aged 60 and older, it usually presents in only one breast and may come with symptoms such as nipple discharge (sometimes bloody) or swollen lymph nodes in the armpit. A study available on PubMed (https://pubmed.ncbi.nlm.nih.gov/21625076/) underscores the importance of early detection, particularly given the subtle presentation of this disease.

Our Commitment to Comprehensive Care
As part of our unwavering commitment to patient safety and quality care, Evita Clinic performs a post-operative pathological examination on every patient’s breast tissue sample. You will receive a detailed pathology report within one week of your surgery, providing clear, actionable information about the condition of your tissue. This report not only reassures you about your health status but also guides any further treatment decisions.
Sample Pathology Report
Below is an example of the type of pathology report our patients receive:
Specimen:
- Left breast tissue (measuring 7.5 x 7.4 x 3.0 cm)
Pathological Diagnosis:
- Mammary gland and duct
- Consistent with Gynecomastia
Conclusion:
- The findings are consistent with gynecomastia, and there is no indication of any malignant pathology.


Conclusion
At Evita Clinic, our holistic approach to gynecomastia treatment is designed to deliver not only a transformative surgical outcome but also the peace of mind that comes with a comprehensive post-operative evaluation. By meticulously analyzing every breast tissue sample and providing a detailed pathology report within one week of surgery, we ensure that all potential issues—no matter how rare—are addressed. This level of care allows us to craft personalized treatment plans that safeguard your long-term health and well-being.
Experience the difference of comprehensive, personalized care at Evita Clinic—where your health is our highest priority.