Approach to the Patient with Gynecomastia

[Mike Bikov]

The Journal of Clinical Endocrinology & Metabolism Vol. 96, No. 1 15-21
Copyright © 2011 by The Endocrine Society

APPROACH TO THE PATIENT

Approach to the Patient with Gynecomastia

Harold E. Carlson
Department of Medicine, Endocrinology Division, Stony Brook University, Stony Brook, New York 11794-8154

Address all correspondence and requests for reprints to: Harold E. Carlson, M.D., Department of Medicine, Endocrinology Division, HSC T15-060, Stony Brook University, Stony Brook, New York 11794-8154. E-mail: [email protected].

Gynecomastia is a common and sometimes distressing condition that may occur in males of all ages. Although most cases have benign causes and many are self-limited, male breast enlargement may also be a sign of underlying systemic disease or drug toxicity. Although rare, male breast cancer must also be considered in the differential diagnosis. A careful diagnostic evaluation should be pursued, tailored to the individual patient’s circumstances. Treatment may include reassurance, medication, or surgery.​

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