Doctors at the Regional Children’s Clinical Hospital in the Rostov region recently helped a teenager from the DPR who faced a rare chromosomal condition that affected his sexual development. The incident was reported by the Rostov State Medical University’s press service, which highlighted how medical teams evaluated and treated a young patient dealing with complex genetic media and consequences for his growth and health.
Two years earlier, a 16-year-old student from the DPR began showing signs that surprised his family. He developed breast tissue growth that went beyond what might be expected for a typical adolescent. At first, his family was unsure about the cause, attributing the change to weight gain rather than a deeper medical issue. This initial uncertainty is not uncommon when puberty presents with unusual or unexpected physical changes, and it can complicate early detection of underlying conditions.
Medical evaluation revealed that the teenager was living with Klinefelter syndrome, a genetic condition in males characterized by the presence of an extra X chromosome. This chromosomal pattern can lead to a range of developmental and physical differences, including gynecomastia, reduced testosterone levels, and potential fertility challenges. The condition occurs in about one in a thousand people, and early diagnosis is important to manage symptoms and reduce potential health risks over time.
As part of the diagnostic discussions, Associate Professor Mikhail Chepurnoy, head of the Department of Pediatric Surgery and Orthopedics at Rostov State Medical University, explained that the emergence of bilateral gynecomastia in a teenager warrants careful attention. He noted that the growth of tissue in the breast area may involve cyst formation and the possibility that atypical cells could, in rare cases, progress toward more serious conditions. This emphasis on vigilant monitoring reflects a cautious approach to managing chromosomal conditions with localized tissue changes.
In response to the findings, the medical team proceeded with surgical intervention aimed at preventing the potential progression of complications and safeguarding the teenager’s health and future well-being. The operation was carried out with the goal of removing excess breast tissue while preserving overall physical function and ensuring the teenager could resume normal activities without discomfort or risk. The outcome of the surgery was positive, and the teen’s health status was stabilized, reducing immediate threats to his life and long-term health concerns associated with the condition.
Earlier medical literature has documented cases where similar procedures have been used to address anatomical features linked to genetic conditions, illustrating how timely surgical care can improve quality of life and daily functioning. In this instance, the multidisciplinary approach—combining endocrinology, genetics, and pediatric surgery—helped provide a clear treatment path for the patient. The collaborative effort underscored the value of comprehensive care for youths facing chromosomal variations and the practical impact of early intervention on long-term health outcomes.