Gynaecomastia

@article{Thiruchelvam2016Gynaecomastia,
  title={Gynaecomastia},
  author={P. Thiruchelvam and Jonathan Neil Walker and Katy Rose and Jacqueline Lewis and Ragheed Al-Mufti},
  journal={British Medical Journal},
  year={2016},
  volume={354}
}
Gynaecomastia is the benign proliferation of glandular breast tissue in men. It is characterised by the presence of a palpable, firm, subareolar gland and ductal tissue (not fat) resulting in breast enlargement. 2 Gynaecomastia occurs in 35% of men and is most prevalent between the ages of 50 and 69. In pseudogynaecomastia there is a lack of glandular proliferation, with increase in breast size due purely to excess adiposity. It can be difficult to differentiate gynaecomastia from… 
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References

SHOWING 1-10 OF 98 REFERENCES
Gynaecomastia—pathophysiology, diagnosis and treatment
TLDR
Gynaecomastia (enlargement of the male breast tissue) is a common finding in the general population, and administration of androgens might be helpful, as might antiestrogen therapy in men with endogenous overproduction of estrogens.
Gynecomastia and hormones
TLDR
Treating the underlying disease or discontinuing medications might resolve gynecomastia, although the psychosocial burden of this condition might require different and careful consideration.
Testicular tumour presenting as gynaecomastia
TLDR
Two cases where gynaecomastia preceded the appearance of testicular swelling by several months are described.
Gynecomastia in adolescent males.
TLDR
In the majority of cases of pubertal gynecomastia, observation and reassurance are the mainstays of therapy as the condition usually resolves naturally.
Gynecomastia: pathophysiology, evaluation, and management.
TLDR
A stepwise approach that includes imaging and laboratory testing to exclude neoplasms and endocrinopathies may facilitate cost-effective diagnosis of gynecomastia.
Endocrinology of gynaecomastia
TLDR
The source and role of oestrogens in men, the androgen-oestrogen dynamics, the causes and clinical entities of gynaecomastia, and interpretation of laboratory tests are described.
Gynecomastia as a physical finding in normal men.
  • F. Nuttall
  • Medicine
    The Journal of clinical endocrinology and metabolism
  • 1979
TLDR
The data indicate that palpable gynecomastic is common in normal adult men and this high prevalence must be taken into consideration when attributingGynecomastia to a drug or disease state.
Gynecomasty: histological aspects in a surgical material.
  • J. Andersen, J. Gram
  • Biology, Medicine
    Acta pathologica, microbiologica, et immunologica Scandinavica. Section A, Pathology
  • 1982
TLDR
It was convincingly demonstrated that gynecomasty begins in an active proliferating phase and ends in a fibrous inactive phase and it justified that the formation of lobules, indistinguishable from what is seen in the reproduceable age in the female breast, is not necessarily related to the administration of exogenic hormones.
Bilateral gynaecomastia as the primary complaint in hyperthyroidism.
TLDR
The case of a patient who was referred initially to the breast clinic with bilateral gynaecomastia, who was subsequently confirmed and treated with hyperthyroidism, regressed with return to the euthyroid state is presented.
Testicular tumours presenting as gynaecomastia.
  • I. Daniels, G. Layer
  • Medicine
    European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
  • 2003
TLDR
The possibility of a testicular tumour must be considered in any male presenting with gynaecomastia and clinical testicular examination is essential and the determination of serum tumour markers useful in the overall assessment of those presenting with 'true gynaemastia'.
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