A 12-year-old boy is brought into the clinic by his mother. The teen boy is embarrassed because he has developed breast tissue and would like to know if there is any treatment
The physical examination reveals early stages of puberty, otherwise it is normal. This presentation is:
A. Associated with a high rate of malignancy
B. Most often due to altered hormonal levels in puberty
C. Commonly indicative of pituitary tumor triggered by puberty
D. Too dense for a mammogram and requires biopsy
ANS: B
Gynecomastia most often occurs during infancy, puberty, and senescence. It is caused by an altered balance between estradiol and testosterone levels. Although it can be an indication of primary hypogonadism, hyperthyroidism, cirrhosis, or renal disease, the majority of the cases are specific to hormonal changes of puberty, are drug induced, or are idiopathic. With the presentation of breast enlargement in a male, malignancy must always be considered.
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What will be an ideal response?