Start Submission Become a Reviewer

Reading: A clinical approach to gynecomastia

Download

A- A+
dyslexia friendly

Clinical Updates

A clinical approach to gynecomastia

Authors:

L. D. Ranasinghe ,

Colombo South Teaching Hospital
About L. D.
Department of Diabetes and Endocrinology
X close

C. J. Subasinghe,

Colombo South Teaching Hospital, LK
About C. J.
Department of Diabetes and Endocrinology
X close

D. U. S. Bulugahpitiya,

Colombo South Teaching Hospital, LK
About D. U. S.
Department of Diabetes and Endocrinology
X close

D. T. Muthukuda

Provincial General Hospital, Ratnapura, LK
About D. T.
Diabetes and Endocrine Unit
X close

Abstract

Gynecomastia is the commonest breast condition in male, which can cause significant psychological distress and anxiety to the patient. It refers to the benign enlargement of the male breast caused by proliferation of glandular breast tissue due to an imbalance between the inhibitory effect of androgen and stimulatory effect of estrogen. Gynecomastia can be physiological during neonatal period, puberty or old age. Various drugs, systemic disorders, benign or malignant tumours and hypogonadism can also lead to gynecomastia, while about 25% of cases are idiopathic. Gynecomastia should be differentiated from pseudogynecomastia (adipomastia), which is characterized by excessive accumulation of adipose tissue without glandular proliferation. A detailed history and examination helps to exclude differential diagnosis, identify the underlying etiology and to assess the severity of the disease and the concerns of the patient. The management of gynecomastia depends on the underlying etiology and the concerns of the patient. This may include interventions for relief of pain or discomfort, restoration of normal appearance and reassurance regarding cancer. Treatment options include watchful waiting, pharmacotherapy and surgery.

Sri Lanka Journal of Diabetes, Endocrinology and Metabolism 2015; 5: 23-27

How to Cite: Ranasinghe, L.D. et al., (2015). A clinical approach to gynecomastia. Sri Lanka Journal of Diabetes Endocrinology and Metabolism. 5(1), pp.23–27. DOI: http://doi.org/10.4038/sjdem.v5i1.7269
Published on 10 Jul 2015.
Peer Reviewed

Downloads

  • PDF (EN)

    comments powered by Disqus