Breast lumps causes: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Breast lumps}} | {{Breast lumps}} | ||
{{CMG}}; {{AE}} {{JC}}, {{JS}} | {{CMG}}; {{AE}} {{JC}}, {{JS}}, {{S.M}} | ||
==Overview== | ==Overview== | ||
Breast lumps causes can be classified to various groups according to gender and age. Causes of female breast mass could be [[cancer]], [[inflammatory]], [[infectious]], [[hormonal]] imbalance, [[trauma]]. Male breast enlargement identified as [[gynecomastia]]. Causes of [[gynecomastia]] may be multifactorial, [[hormonal]] imbalance, [[genetic]] factors, [[endocrine]] factors.Breast lumps may develop among children and adolescents, however, there are probably benign ones and related to peripubertal and [[pubertal]] phases. | |||
[[ | |||
==Causes | ==Causes In Female== | ||
===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
There are no life-threatening causes. | There are no life-threatening causes.<ref name=":0">Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/</ref> | ||
===Common Causes=== | ===Common Causes In Female=== | ||
The most common causes of breast lumps in females are:<ref name=":0" /><ref name="pmid18725513">{{cite journal| author=Rohan TE, Negassa A, Chlebowski RT, Lasser NL, McTiernan A, Schenken RS et al.| title=Estrogen plus progestin and risk of benign proliferative breast disease. | journal=Cancer Epidemiol Biomarkers Prev | year= 2008 | volume= 17 | issue= 9 | pages= 2337-43 | pmid=18725513 | doi=10.1158/1055-9965.EPI-08-0380 | pmc=2584343 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18725513 }}</ref><ref name="pmidDOI: https://doi.org/10.1016/S0736-4679(01)00437-1">{{cite journal| author=Schmoldt A, Benthe HF, Haberland G| title=Digitoxin metabolism by rat liver microsomes. | journal=Biochem Pharmacol | year= 1975 | volume= 24 | issue= 17 | pages= 1639-41 | pmid=DOI: https://doi.org/10.1016/S0736-4679(01)00437-1 | doi= | pmc=5922622 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10 }}</ref><ref name="pmid26694922">{{cite journal| author=Ferzoco RM, Ruddy KJ| title=The Epidemiology of Male Breast Cancer. | journal=Curr Oncol Rep | year= 2016 | volume= 18 | issue= 1 | pages= 1 | pmid=26694922 | doi=10.1007/s11912-015-0487-4 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26694922 }}</ref><ref name=":2">Informed Health Online [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Breast cancer: Overview. 2013 Nov 6 [Updated 2017 Jul 27]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279422/</ref> | |||
* [[Mastitis|Benign inflammatory periductal mastitis]] | * [[Mastitis|Benign inflammatory periductal mastitis]] | ||
* [[Breast abscess]] | * [[Breast abscess]] | ||
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* [[Breast cyst|Simple cyst]] | * [[Breast cyst|Simple cyst]] | ||
===Causes | ===Causes In Female by Organ System=== | ||
{|style="width:80%; height:100px" border="1" | {| style="width:80%; height:100px" border="1" | ||
| | | style="width:25%" bgcolor="LightSteelBlue" ; border="1" |'''Cardiovascular''' | ||
| | | style="width:75%" bgcolor="Beige" ; border="1" | [[hemangiosarcoma|Angiosarcoma of the breast]], [[Mondor's disease]] | ||
|- | |- | ||
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning''' | | bgcolor="LightSteelBlue" | '''Chemical/Poisoning''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Dental''' | | '''Dental''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"|[[Breast abscess]],[[Glands of Montgomery|Cysts of Montgomery]], [[epithelioma|epithelioma of the nipple]], [[hives]], [[intraductal papilloma]], [[pseudolymphoma|lymphocytoma cutis]], [[Paget's disease of the breast]], [[breast cyst|retroareolar cyst]], [[sclerosis|sclerosing adenosis]], [[sebaceous cyst]], [[skin|skin lumps]], [[Zuska's disease]] | | bgcolor="Beige" |[[Breast abscess]],[[Glands of Montgomery|Cysts of Montgomery]], [[epithelioma|epithelioma of the nipple]], [[hives]], [[intraductal papilloma]], [[pseudolymphoma|lymphocytoma cutis]], [[Paget's disease of the breast]], [[breast cyst|retroareolar cyst]], [[sclerosis|sclerosing adenosis]], [[sebaceous cyst]], [[skin|skin lumps]], [[Zuska's disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| [[ | | bgcolor="Beige" | [[Aldactone]], [[aldomet]] (alphamethyldopa),[[alefacept]], [[beta blockers]], [[bicalutamide]], [[casodex]], [[chlorpromazine]], [[cyclosporine]], [[dalmane]] , [[digitalis]], [[estazolam]], [[etonogestrel]], [[hormone replacement therapy]], [[efalizumab]], [[estradiol]], [[estrogen]], [[birth control|estrogen and progestin]], [[etanercept]], [[birth control|etonogestrel and ethinyl estradiol]], [[flurazepam]], [[flutamide]], [[itraconazole]], [[implanon]], [[medroxyprogesterone]], [[metoclopramide]], [[birth control|norelgestromin and ethinyl estradiol]], [[nilandron]], [[nizoral]], [[oral contraceptive pills]],[[progestin]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Ear Nose Throat''' | | '''Ear Nose Throat''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"| [[Breast|Aberration of normal development and involution (ANDI)]], [[fibroadenoma|breast fibroadenoma]], [[chronic cystic mastitis]], [[fibroadenoma|fibro-adenosis of the newborn]], [[fibroadenoma]], [[galactocele]], [[fibroadenoma|giant fibroadenoma]], [[pregnancy|glandular thickening due to hormonal changes of pregnancy]], [[hormone replacement therapy]],[[fibroadenoma|hyalinized fibroadenoma]], [[lactation]], [[premenstrual syndrome]], [[puberty]], [[breast cyst|simple cyst]] | | bgcolor="Beige" | [[Breast|Aberration of normal development and involution (ANDI)]], [[fibroadenoma|breast fibroadenoma]], [[chronic cystic mastitis]], [[fibroadenoma|fibro-adenosis of the newborn]], [[fibroadenoma]], [[galactocele]], [[fibroadenoma|giant fibroadenoma]], [[pregnancy|glandular thickening due to hormonal changes of pregnancy]], [[hormone replacement therapy]],[[fibroadenoma|hyalinized fibroadenoma]], [[lactation]], [[premenstrual syndrome]], [[puberty]], [[breast cyst|simple cyst]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Environmental''' | | '''Environmental''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic<ref name=":2" />''' | ||
|bgcolor="Beige"| [[Breast|Aberration of normal development and involution (ANDI)]], [[adenoid cystic carcinoma]], [[metaplasia|apocrine metaplasia]], [[metaplasia|apocrine or squamous metaplasia]], [[papillary carcinoma of the breast|apocrine papillary carcinoma]], [[telangiectasia|ataxia-telangiectasia heterozygosity]], [[breast cancer]], [[cancer]], [[breast cancer|colloidal breast cancer]], [[Cowden syndrome]], [[cyclosporine]], [[breast cancer|cyst wall cancer]], [[ductal carcinoma]], [[extramedullary myeloid tumor]], [[hamartoma|giant mammary hamartoma]], [[hamartoma]], [[stomach cancer|hereditary diffuse gastric cancer]], [[Hodgkin's disease]], [[inflammatory breast cancer]], [[breast cancer|juvenile secretory carcinoma]], [[Li-Fraumeni syndrome]], [[lymphoma]], [[carcinoma|malignant carcinoma]], [[medullary carcinoma]], [[breast cancer|metastatic breast cancer]], [[metastatic cancer]], [[breast cancer|mucinous carcinoma]], [[Peutz-Jeghers syndrome]], [[breast cancer|primary breast cancer]], [[multiple hamartoma syndrome|PTEN hamartoma tumor syndrome]] | | bgcolor="Beige" | [[Breast|Aberration of normal development and involution (ANDI)]], [[adenoid cystic carcinoma]], [[metaplasia|apocrine metaplasia]], [[metaplasia|apocrine or squamous metaplasia]], [[papillary carcinoma of the breast|apocrine papillary carcinoma]], [[telangiectasia|ataxia-telangiectasia heterozygosity]], [[breast cancer]], [[cancer]], [[breast cancer|colloidal breast cancer]], [[Cowden syndrome]], [[cyclosporine]], [[breast cancer|cyst wall cancer]], [[ductal carcinoma]], [[extramedullary myeloid tumor]], [[hamartoma|giant mammary hamartoma]], [[hamartoma]], [[stomach cancer|hereditary diffuse gastric cancer]], [[Hodgkin's disease]], [[inflammatory breast cancer]], [[breast cancer|juvenile secretory carcinoma]], [[Li-Fraumeni syndrome]], [[lymphoma]], [[carcinoma|malignant carcinoma]], [[medullary carcinoma]], [[breast cancer|metastatic breast cancer]], [[metastatic cancer]], [[breast cancer|mucinous carcinoma]], [[Peutz-Jeghers syndrome]], [[breast cancer|primary breast cancer]], [[multiple hamartoma syndrome|PTEN hamartoma tumor syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| [[Extramedullary myeloid tumor]], [[Hodgkin's disease]], [[lymphoma]], [[medullary carcinoma]], [[rhabdomyosarcoma]], [[sarcoma]], [[venous thrombosis]] | | bgcolor="Beige" | [[Extramedullary myeloid tumor]], [[Hodgkin's disease]], [[lymphoma]], [[medullary carcinoma]], [[rhabdomyosarcoma]], [[sarcoma]], [[venous thrombosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| [[Abscess]], [[alefacept]], [[breast abscess]], [[fat necrosis|breast fat necrosis]], [[breast implant]], [[breast cyst|complicated cyst]], [[cyclosporine]], [[efalizumab]], [[estradiol]], [[estrogen]], [[birth control|estrogen and progestin]], [[etanercept]], [[birth control|etonogestrel and ethinyl estradiol]], [[hematoma]], [[medroxyprogesterone]], [[birth control|norelgestromin and ethinyl estradiol]], [[iatrogenesis|postoperative scar/hematoma]], [[progestin]], [[sclerosis|radial scar]], [[hemangiosarcoma|radiation induced angiosarcoma of the breast]] | | bgcolor="Beige" | [[Abscess]], [[alefacept]], [[breast abscess]], [[fat necrosis|breast fat necrosis]], [[breast implant]], [[breast cyst|complicated cyst]], [[cyclosporine]], [[efalizumab]], [[estradiol]], [[estrogen]], [[birth control|estrogen and progestin]], [[etanercept]], [[birth control|etonogestrel and ethinyl estradiol]], [[hematoma]], [[medroxyprogesterone]], [[birth control|norelgestromin and ethinyl estradiol]], [[iatrogenesis|postoperative scar/hematoma]], [[progestin]], [[sclerosis|radial scar]], [[hemangiosarcoma|radiation induced angiosarcoma of the breast]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease'''<ref name="pmid20610247">{{cite journal| author=Gollapalli V, Liao J, Dudakovic A, Sugg SL, Scott-Conner CE, Weigel RJ| title=Risk factors for development and recurrence of primary breast abscesses. | journal=J Am Coll Surg | year= 2010 | volume= 211 | issue= 1 | pages= 41-8 | pmid=20610247 | doi=10.1016/j.jamcollsurg.2010.04.007 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20610247 }}</ref> | ||
|bgcolor="Beige"| [[Abscess]], [[mastitis|acute mastitis]], [[mastitis|benign inflammatory periductal mastitis]], [[breast abscess]], [[breast cyst]], [[breast infection]], [[tuberculosis|tuberculosis of the breast]] | | bgcolor="Beige" | [[Abscess]], [[mastitis|acute mastitis]], [[mastitis|benign inflammatory periductal mastitis]], [[breast abscess]], [[breast cyst]], [[breast infection]], [[tuberculosis|tuberculosis of the breast]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Neurologic''' | | '''Neurologic''' | ||
|bgcolor="Beige"| [[Telangiectasia|Ataxia-telangiectasia heterozygosity]] | | bgcolor="Beige" | [[Telangiectasia|Ataxia-telangiectasia heterozygosity]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Nutritional/Metabolic''' | | '''Nutritional/Metabolic''' | ||
|bgcolor="Beige"| [[ginseng]] | | bgcolor="Beige" | [[ginseng]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic'''<ref name="pmid24327995">{{cite journal| author=Yu JH, Kim MJ, Cho H, Liu HJ, Han SJ, Ahn TG| title=Breast diseases during pregnancy and lactation. | journal=Obstet Gynecol Sci | year= 2013 | volume= 56 | issue= 3 | pages= 143-59 | pmid=24327995 | doi=10.5468/ogs.2013.56.3.143 | pmc=3784111 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24327995 }}</ref> | ||
|bgcolor="Beige"| [[Breast|Aberration of normal development and involution (ANDI)]], [[adenoid cystic carcinoma]], [[metaplasia|apocrine metaplasia]], [[metaplasia|apocrine or squamous metaplasia]], [[papillary carcinoma of the breast|apocrine papillary carcinoma]], [[mastitis|benign inflammatory periductal mastitis]], [[breast abscess]], [[breast cancer]], [[papilloma|breast duct papilloma]], [[fat necrosis|breast fat necrosis]], [[fibroadenoma|breast fibroadenoma]], [[breast implant]], [[physical trauma|breast injury]],[[physical trauma|breast trauma]], [[chronic cystic mastitis]], [[breast cancer|colloidal breast cancer]], [[breast cyst|complicated cyst]], [[cowden syndrome]], [[breast cancer|cyst wall cancer]], [[cystosarcoma phyllodes]], [[glands of Montgomery|cysts of Montgomery]], [[duct ectasia of breast]], [[ductal carcinoma]], [[epithelioma|epithelioma of the nipple]], [[fat necrosis]], [[hamartoma|fibro-adeno-lipoma]], [[fibroadenoma|fibro-adenosis of the newborn]], [[fibroadenoma]], [[galactocele]], [[fibroadenoma|giant fibroadenoma]], [[hamartoma|giant mammary hamartoma]], [[pregnancy|glandular thickening due to hormonal changes of pregnancy]], [[gynecomastia]], [[fibroadenoma|hyalinized fibroadenoma]], [[intraductal papilloma]], [[lactation]], [[Li-Fraumeni syndrome]], [[breast cancer|lobular neoplasia]], [[mastitis|lymphocytic mastitis]], [[mammary duct ectasia]], [[mastitis]], [[breast cancer|metastatic breast cancer]], [[breast cancer|mucinous carcinoma]], [[mastalgia|nipple conditions]]., [[paget's disease of the breast]], [[mastitis|periductal mastitis]], [[phyllodes tumor]], [[mastitis|plasma cell mastitis]], [[breast cancer|primary breast cancer]], [[hyperplasia|pseudoangiomatous stromal hyperplasia]], [[breast cyst|retroareolar cyst]], [[breast cyst|ruptured cyst or duct]], [[sclerosis|sclerosing adenosis]], [[tuberculosis|tuberculosis of the breast]], [[Zuska's disease]] | | bgcolor="Beige" | [[Breast|Aberration of normal development and involution (ANDI)]], [[adenoid cystic carcinoma]], [[metaplasia|apocrine metaplasia]], [[metaplasia|apocrine or squamous metaplasia]], [[papillary carcinoma of the breast|apocrine papillary carcinoma]], [[mastitis|benign inflammatory periductal mastitis]], [[breast abscess]], [[breast cancer]], [[papilloma|breast duct papilloma]], [[fat necrosis|breast fat necrosis]], [[fibroadenoma|breast fibroadenoma]], [[breast implant]], [[physical trauma|breast injury]],[[physical trauma|breast trauma]], [[chronic cystic mastitis]], [[breast cancer|colloidal breast cancer]], [[breast cyst|complicated cyst]], [[cowden syndrome]], [[breast cancer|cyst wall cancer]], [[cystosarcoma phyllodes]], [[glands of Montgomery|cysts of Montgomery]], [[duct ectasia of breast]], [[ductal carcinoma]], [[epithelioma|epithelioma of the nipple]], [[fat necrosis]], [[hamartoma|fibro-adeno-lipoma]], [[fibroadenoma|fibro-adenosis of the newborn]], [[fibroadenoma]], [[galactocele]], [[fibroadenoma|giant fibroadenoma]], [[hamartoma|giant mammary hamartoma]], [[pregnancy|glandular thickening due to hormonal changes of pregnancy]], [[gynecomastia]], [[fibroadenoma|hyalinized fibroadenoma]], [[intraductal papilloma]], [[lactation]], [[Li-Fraumeni syndrome]], [[breast cancer|lobular neoplasia]], [[mastitis|lymphocytic mastitis]], [[mammary duct ectasia]], [[mastitis]], [[breast cancer|metastatic breast cancer]], [[breast cancer|mucinous carcinoma]], [[mastalgia|nipple conditions]]., [[paget's disease of the breast]], [[mastitis|periductal mastitis]], [[phyllodes tumor]], [[mastitis|plasma cell mastitis]], [[breast cancer|primary breast cancer]], [[hyperplasia|pseudoangiomatous stromal hyperplasia]], [[breast cyst|retroareolar cyst]], [[breast cyst|ruptured cyst or duct]], [[sclerosis|sclerosing adenosis]], [[tuberculosis|tuberculosis of the breast]], [[Zuska's disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic'''<ref name="pmid22247839">{{cite journal| author=Sharma GN, Dave R, Sanadya J, Sharma P, Sharma KK| title=Various types and management of breast cancer: an overview. | journal=J Adv Pharm Technol Res | year= 2010 | volume= 1 | issue= 2 | pages= 109-26 | pmid=22247839 | doi= | pmc=3255438 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22247839 }}</ref> | ||
|bgcolor="Beige"| [[Adenoid cystic carcinoma]], [[hemangiosarcoma|angiosarcoma of the breast]], [[papillary carcinoma of the breast|apocrine papillary carcinoma]], [[telangiectasia|ataxia-telangiectasia heterozygosity]], [[breast cancer|benign breast disease]], [[breast cancer]], [[cancer]], [[breast cancer|colloidal breast cancer]], [[breast cancer|cyst wall cancer]], [[cystosarcoma phyllodes]], [[desmoplastic small round cell tumor]], [[ductal carcinoma]], [[epithelioma|epithelioma of the nipple]], [[extramedullary myeloid tumor]], [[stomach cancer|hereditary diffuse gastric cancer]], [[Hodgkin's disease]], [[inflammatory breast cancer]], [[breast cancer|juvenile secretory carcinoma]], [[Li-Fraumeni syndrome]], [[lymphoma]], [[carcinoma|malignant carcinoma]], [[medullary carcinoma]], [[breast cancer|metastatic breast cancer]], [[metastatic cancer]], [[metastatic cancer]], [[breast cancer|mucinous carcinoma]], [[paget's disease of the breast]], [[Peutz-Jeghers syndrome]], [[phyllodes tumor]], [[breast cancer|primary breast cancer]], [[multiple hamartoma syndrome|PTEN hamartoma tumor syndrome]], [[hemangiosarcoma|radiation induced angiosarcoma of the breast]], [[rhabdomyosarcoma]], [[sarcoma]], [[breast cancer|secretory breast carcinoma]] | | bgcolor="Beige" | [[Adenoid cystic carcinoma]], [[hemangiosarcoma|angiosarcoma of the breast]], [[papillary carcinoma of the breast|apocrine papillary carcinoma]], [[telangiectasia|ataxia-telangiectasia heterozygosity]], [[breast cancer|benign breast disease]], [[breast cancer]], [[cancer]], [[breast cancer|colloidal breast cancer]], [[breast cancer|cyst wall cancer]], [[cystosarcoma phyllodes]], [[desmoplastic small round cell tumor]], [[ductal carcinoma]], [[epithelioma|epithelioma of the nipple]], [[extramedullary myeloid tumor]], [[stomach cancer|hereditary diffuse gastric cancer]], [[Hodgkin's disease]], [[inflammatory breast cancer]], [[breast cancer|juvenile secretory carcinoma]], [[Li-Fraumeni syndrome]], [[lymphoma]], [[carcinoma|malignant carcinoma]], [[medullary carcinoma]], [[breast cancer|metastatic breast cancer]], [[metastatic cancer]], [[metastatic cancer]], [[breast cancer|mucinous carcinoma]], [[paget's disease of the breast]], [[Peutz-Jeghers syndrome]], [[phyllodes tumor]], [[breast cancer|primary breast cancer]], [[multiple hamartoma syndrome|PTEN hamartoma tumor syndrome]], [[hemangiosarcoma|radiation induced angiosarcoma of the breast]], [[rhabdomyosarcoma]], [[sarcoma]], [[breast cancer|secretory breast carcinoma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Ophthalmologic''' | | '''Ophthalmologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Overdose/Toxicity''' | | '''Overdose/Toxicity''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Psychiatric''' | | '''Psychiatric''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| [[Mastitis|Benign inflammatory periductal mastitis]], [[glands of Montgomery|cysts of Montgomery]], [[desmoplastic small round cell tumor]], [[hives]], [[inflammatory breast cancer]], [[lymph node|intramammary lymph node]], [[lymphatic obstruction]], [[pseudolymphoma|lymphocytoma cutis]], [[mastitis|lymphocytic mastitis]], [[mastitis]], [[Mondor's disease]], [[mastitis|periductal mastitis]], [[mastitis|plasma cell mastitis]], [[Zuska's disease]] | | bgcolor="Beige" | [[Mastitis|Benign inflammatory periductal mastitis]], [[glands of Montgomery|cysts of Montgomery]], [[desmoplastic small round cell tumor]], [[hives]], [[inflammatory breast cancer]], [[lymph node|intramammary lymph node]], [[lymphatic obstruction]], [[pseudolymphoma|lymphocytoma cutis]], [[mastitis|lymphocytic mastitis]], [[mastitis]], [[Mondor's disease]], [[mastitis|periductal mastitis]], [[mastitis|plasma cell mastitis]], [[Zuska's disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Sexual''' | | '''Sexual''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| [[Fat necrosis|Breast fat necrosis]], [[physical trauma|breast injury]], [[physical trauma|breast trauma]], [[physical trauma|blow on the breast]], [[fat necrosis]], [[hematoma]], [[breast cyst|ruptured cyst or duct]], [[fat necrosis|traumatic fat necrosis]], | | bgcolor="Beige" | [[Fat necrosis|Breast fat necrosis]], [[physical trauma|breast injury]], [[physical trauma|breast trauma]], [[physical trauma|blow on the breast]], [[fat necrosis]], [[hematoma]], [[breast cyst|ruptured cyst or duct]], [[fat necrosis|traumatic fat necrosis]], | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Urologic''' | | '''Urologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"|[[Hamartoma|Fibro-adeno-lipoma]], [[hypertrophy]], [[lipoma]], [[lymphatic obstruction]], [[breast cyst|oil cyst]], [[iatrogenesis|postoperative scar/hematoma]], [[sclerosis|radial scar]], [[breast cyst|ruptured cyst or duct]], [[venous thrombosis]], | | bgcolor="Beige" |[[Hamartoma|Fibro-adeno-lipoma]], [[hypertrophy]], [[lipoma]], [[lymphatic obstruction]], [[breast cyst|oil cyst]], [[iatrogenesis|postoperative scar/hematoma]], [[sclerosis|radial scar]], [[breast cyst|ruptured cyst or duct]], [[venous thrombosis]], | ||
|- | |- | ||
|} | |} | ||
===Causes | ===Causes In Female In Alphabetical Order=== | ||
{{columns-list | {{columns-list| | ||
*[[breast|Aberration of normal development and involution (ANDI)]] | *[[breast|Aberration of normal development and involution (ANDI)]] | ||
*[[Abscess]] | *[[Abscess]] | ||
Line 291: | Line 287: | ||
*[[Zuska's disease]] | *[[Zuska's disease]] | ||
}} | }} | ||
==Causes In Males== | |||
===Life-Threatening Causes=== | ===Life-Threatening Causes=== | ||
There are no life-threatening causes. | |||
===Common Causes=== | ===Common Causes In Male=== | ||
Breast enlargement in male adolescents is defined as [[gynecomastia]]. Common causes of breast lumps in male include:<ref name="pmid9360527">{{cite journal| author=Ormandy CJ, Hall RE, Manning DL, Robertson JF, Blamey RW, Kelly PA et al.| title=Coexpression and cross-regulation of the prolactin receptor and sex steroid hormone receptors in breast cancer. | journal=J Clin Endocrinol Metab | year= 1997 | volume= 82 | issue= 11 | pages= 3692-9 | pmid=9360527 | doi=10.1210/jcem.82.11.4361 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9360527 }}</ref><ref name="pmid20008419">{{cite journal| author=Durmaz E, Ozmert EN, Erkekoglu P, Giray B, Derman O, Hincal F et al.| title=Plasma phthalate levels in pubertal gynecomastia. | journal=Pediatrics | year= 2010 | volume= 125 | issue= 1 | pages= e122-9 | pmid=20008419 | doi=10.1542/peds.2009-0724 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20008419 }}</ref><ref name="pmid178817542">{{cite journal| author=Braunstein GD| title=Clinical practice. Gynecomastia. | journal=N Engl J Med | year= 2007 | volume= 357 | issue= 12 | pages= 1229-37 | pmid=17881754 | doi=10.1056/NEJMcp070677 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17881754 }}</ref><ref name=":1">Swerdloff RS, Ng JCM. Gynecomastia: Etiology, Diagnosis, and Treatment. [Updated 2015 Aug 3]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279105/</ref><ref name="pmid19880691">{{cite journal| author=Johnson RE, Murad MH| title=Gynecomastia: pathophysiology, evaluation, and management. | journal=Mayo Clin Proc | year= 2009 | volume= 84 | issue= 11 | pages= 1010-5 | pmid=19880691 | doi=10.1016/S0025-6196(11)60671-X | pmc=2770912 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19880691 }}</ref><ref name="pmid7271286">{{cite journal| author=McKiernan JF, Hull D| title=Breast development in the newborn. | journal=Arch Dis Child | year= 1981 | volume= 56 | issue= 7 | pages= 525-9 | pmid=7271286 | doi= | pmc=1627340 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=7271286 }}</ref> | |||
*[[Adipose tissue]] | |||
*[[Aging]]- more common in older men as male hormones reduce. | |||
*[[Breast abscess]] | |||
*[[Breast cancer]] | |||
*[[Hepatoma]] | |||
*[[Hyperthyroidism]] | |||
*[[Hypogonadism]] | |||
*[[Metastatic cancer]] | |||
*[[Neurofibroma]] | |||
*XXY males | |||
===Causes by Organ System=== | ===Causes in Male by Organ System=== | ||
{|style="width:80%; height:100px" border="1" | {| style="width:80%; height:100px" border="1" | ||
| | | style="width:25%" bgcolor="LightSteelBlue" ; border="1" |'''Cardiovascular'''<ref name="pmid26318471">{{cite journal| author=Al Qassabi SS, Al-Harthi SM, Al-Osali ME| title=Mixed gynecomastia. | journal=Saudi Med J | year= 2015 | volume= 36 | issue= 9 | pages= 1115-7 | pmid=26318471 | doi=10.15537/smj.2015.9.11778 | pmc=4613638 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26318471 }}</ref> | ||
| | | style="width:75%" bgcolor="Beige" ; border="1" | Cantalamessa-baldini-ambrosi syndrome | ||
|- | |- | ||
|bgcolor="LightSteelBlue"| '''Chemical/Poisoning''' | | bgcolor="LightSteelBlue" | '''Chemical/Poisoning''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Dental''' | | '''Dental''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | Cantalamessa-baldini-ambrosi syndrome, gingival fibromatosis hypertrichosis, H syndrome, [[Pachydermoperiostosis ]] , | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Aldactone]], [[bicalutamide]], [[chloropromazine]], [[cimetidine]], [[flutamide]], [[itraconazole]], [[metoclopramide]], [[nizoral]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Ear Nose Throat''' | | '''Ear Nose Throat''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | Gingival fibromatosis hypertrichosis, H syndrome, Retinitis pigmentosa, deafness, mental retardation, hypogonadism- syndrome | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine'''<ref name="pmid11732643">{{cite journal| author=Ismail AA, Barth JH| title=Endocrinology of gynaecomastia. | journal=Ann Clin Biochem | year= 2001 | volume= 38 | issue= Pt 6 | pages= 596-607 | pmid=11732643 | doi=10.1258/0004563011900993 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11732643 }}</ref> | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[17-beta-hydroxysteroid dehydrogenase deficiency ]] , [[Androgen insensitivity syndrome ]] , Brugschs syndrome, Camera-marugo-cohen syndrome, Cantalamessa-baldini-ambrosi syndrome, [[Congenital adrenal hyperplasia]] 17-alpha-hydroxylase deficiency, [[Congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency|3-beta-hydroxysteroid dehydrogenase deficiency]], [[Empty sella syndrome ]] , [[Feminization]], [[Forbes-Albright syndrome]] , [[Gonadotropin-releasing hormone deficiency|luteinizing hormone releasing hormone deficiency]], [[Gynecomastia]], H syndrome, [[Hanhart syndrome]], Heller-nelson syndrome, [[Hormone replacement therapy]], [[Hyperprolactinemia]], [[Klinefelter syndrome]], [[Lactotroph adenoma]], Newborn infant breast swelling, Obal syndrome, [[Partial androgen insensitivity]], [[Primrose syndrome]], [[Pseudohermaphroditism|pseudohermaphroditism male]],[[Puberty]], Salvioli syndrome, [[Sohval-Soffer syndrome]], [[Summitt syndrome]], [[Tang Hsi Ryu syndrome]], [[Vasquez Hurst Sotos syndrome]], [[Wilson-Turner X-linked mental retardation syndrome|Wilson turner syndrome]], [[XX male syndrome]], [[XX male syndrome|de la chapelle syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Environmental''' | | '''Environmental''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Cirrhosis of the liver]], [[Hepatocellular carcinoma]] (fibrolamellar variant), [[Peutz-Jeghers syndrome]], [[Tang Hsi Ryu syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic<ref name=":1" />''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[17-beta-hydroxysteroid dehydrogenase deficiency]], 46,XX testicular disorder of sex development, [[Androgen insensitivity syndrome ]] , Brugschs syndrome, [[Congenital adrenal hyperplasia]] 17-alpha-hydroxylase deficiency, [[Congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency|3-beta-hydroxysteroid dehydrogenase deficiency]], [[Fragile X syndrome]], [[Klinefelter syndrome]], [[Lesch-Nyhan's syndrome]], Obal syndrome, [[Summitt syndrome]], [[Tang Hsi Ryu syndrome]], [[Vasquez Hurst Sotos syndrome]], [[XX male syndrome]], [[XX male syndrome|de la chapelle syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" |[[Lymphatic filariasis]], | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | Brugschs syndrome, Camera-marugo-cohen syndrome, [[Lesch-Nyhan's syndrome]], Salvioli syndrome, [[Sohval-Soffer syndrome]],[[Summitt syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Neurologic''' | | '''Neurologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | Camera-marugo-cohen syndrome, [[Fragile X syndrome]],[[Kennedy disease|progressive spinobulbar muscular atrophy]], Retinitis pigmentosa, deafness, mental retardation, hypogonadism, [[Sohval-Soffer syndrome]], [[Spinal muscular atrophy]], [[Summitt syndrome]], [[Tang Hsi Ryu syndrome]], [[Vasquez Hurst Sotos syndrome]], [[Wilson-turner X-linked mental retardation syndrome|wilson turner syndrome]], | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Nutritional/Metabolic''' | | '''Nutritional/Metabolic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Breast cancer]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Ophthalmologic''' | | '''Ophthalmologic''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | Cantalamessa-baldini-ambrosi syndrome, Obal syndrome, Retinitis pigmentosa, deafness, mental retardation, hypogonadism. | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Overdose/Toxicity''' | | '''Overdose/Toxicity''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Psychiatric''' | | '''Psychiatric''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Libido|sexual arousal]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Sexual''' | | '''Sexual''' | ||
|bgcolor="Beige"| | | bgcolor="Beige" | [[Libido|sexual arousal]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Urologic''' | | '''Urologic''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |- bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| No underlying causes | | bgcolor="Beige" | No underlying causes | ||
|- | |- | ||
|} | |} | ||
==Causes in Male in Alphabetical order== | ==Causes in Male in Alphabetical order== | ||
{{columns-list| | |||
{{columns-list|3| | *[[Congenital adrenal hyperplasia due to 3 beta-hydroxysteroid dehydrogenase deficiency|3-beta-hydroxysteroid dehydrogenase deficiency]] | ||
*[[17-beta-hydroxysteroid dehydrogenase deficiency]] | *[[17-beta-hydroxysteroid dehydrogenase deficiency]] | ||
*46,XX testicular disorder of sex development | *46,XX testicular disorder of sex development | ||
*[[Aldactone]], | |||
*[[Androgen insensitivity syndrome]] | *[[Androgen insensitivity syndrome]] | ||
*[[Bicalutamide]], | |||
*[[Breast cancer]] | *[[Breast cancer]] | ||
*Brugschs syndrome | *Brugschs syndrome | ||
*Camera-marugo-cohen syndrome | *Camera-marugo-cohen syndrome | ||
*Cantalamessa-Baldini-Ambrosi syndrome | |||
*[[Chlorpromazine]], | |||
*[[Cimetidine]], | |||
*[[Cirrhosis of the liver]] | *[[Cirrhosis of the liver]] | ||
*[[Congenital adrenal hyperplasia]] 17-alpha-hydroxylase deficiency | *[[Congenital adrenal hyperplasia]] 17-alpha-hydroxylase deficiency | ||
Line 425: | Line 439: | ||
*[[Empty sella syndrome]] | *[[Empty sella syndrome]] | ||
*[[Feminization ]] | *[[Feminization ]] | ||
*[[Flutamide]], | |||
*[[Forbes-Albright syndrome]] | |||
*[[Fragile X syndrome]] | |||
*Gingival fibromatosis hypertrichosis | *Gingival fibromatosis hypertrichosis | ||
*[[Gynecomastia]] | *[[Gynecomastia]] | ||
*[[H syndrome]] | |||
*[[Hanhart syndrome]] | *[[Hanhart syndrome]] | ||
*Heller-Nelson syndrome | *Heller-Nelson syndrome | ||
*[[Hepatocellular carcinoma]] (fibrolamellar variant) | *[[Hepatocellular carcinoma]] (fibrolamellar variant) | ||
*[[Hormone replacement therapy]] | *[[Hormone replacement therapy]] | ||
*[[Hyperprolactinemia]] | *[[Hyperprolactinemia]] | ||
*[[ | *[[Itraconazole]], | ||
*[[Klinefelter syndrome]] | *[[Klinefelter syndrome]] | ||
*[[Lactotroph adenoma]] | *[[Lactotroph adenoma]] | ||
*[[Lesch-Nyhan's syndrome]] | |||
*[[Gonadotropin-releasing hormone deficiency|Luteinizing hormone releasing hormone deficiency]] | *[[Gonadotropin-releasing hormone deficiency|Luteinizing hormone releasing hormone deficiency]] | ||
*[[Lymphatic filariasis]] | *[[Lymphatic filariasis]] | ||
*[[ | *[[Metoclopramide]], | ||
*Newborn infant breast swelling | *Newborn infant breast swelling | ||
*[[Nizoral]] | |||
*[[Obal syndrome]] | *[[Obal syndrome]] | ||
*[[Pachydermoperiostosis]] | *[[Pachydermoperiostosis]] | ||
*[[Partial androgen insensitivity]] | *[[Partial androgen insensitivity]] | ||
*[[Peutz-Jeghers syndrome]] | *[[Peutz-Jeghers syndrome]] | ||
*[[Primrose syndrome]] | |||
*[[Primrose syndrome]] | |||
*[[Primrose syndrome]] | *[[Primrose syndrome]] | ||
*[[Kennedy disease|Progressive spinobulbar muscular atrophy]] | *[[Kennedy disease|Progressive spinobulbar muscular atrophy]] | ||
Line 464: | Line 481: | ||
*[[XX male syndrome]] | *[[XX male syndrome]] | ||
}} | }} | ||
==Causes in Children== | |||
*Neonates and infants <ref name="pmid16713771">{{cite journal| author=Greydanus DE, Matytsina L, Gains M| title=Breast disorders in children and adolescents. | journal=Prim Care | year= 2006 | volume= 33 | issue= 2 | pages= 455-502 | pmid=16713771 | doi=10.1016/j.pop.2006.02.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16713771 }} </ref> | |||
** Breast [[hypertrophy]] due to maternal [[hormones]] | |||
*Prepubertal and [[pubertal]] children<ref name="pmid26668298">{{cite journal| author=Kaplowitz P, Bloch C, Section on Endocrinology, American Academy of Pediatrics| title=Evaluation and Referral of Children With Signs of Early Puberty. | journal=Pediatrics | year= 2016 | volume= 137 | issue= 1 | pages= | pmid=26668298 | doi=10.1542/peds.2015-3732 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26668298 }} </ref><ref name="pmid17174833">{{cite journal| author=De Silva NK, Brandt ML| title=Disorders of the breast in children and adolescents, Part 2: breast masses. | journal=J Pediatr Adolesc Gynecol | year= 2006 | volume= 19 | issue= 6 | pages= 415-8 | pmid=17174833 | doi=10.1016/j.jpag.2006.09.002 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17174833 }} </ref> | |||
**Breast infection | |||
**[[Hemangiomas]] and [[lymphangiomas]] | |||
**Lipomastia | |||
**[[Premature]] [[Thelarche]] and [[Thelarche]] | |||
**[[Trauma]] | |||
==Causes in Male Adolescents== | |||
*Breast enlargement in male adolescents is defined as [[gynecomastia]]:<ref name="pmid17881754">{{cite journal| author=Braunstein GD| title=Clinical practice. Gynecomastia. | journal=N Engl J Med | year= 2007 | volume= 357 | issue= 12 | pages= 1229-37 | pmid=17881754 | doi=10.1056/NEJMcp070677 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17881754 }} </ref> | |||
**Persistent [[pubertal]] [[gynecomastia]] | |||
**Drugs<ref name="pmid22862307">{{cite journal| author=Deepinder F, Braunstein GD| title=Drug-induced gynecomastia: an evidence-based review. | journal=Expert Opin Drug Saf | year= 2012 | volume= 11 | issue= 5 | pages= 779-95 | pmid=22862307 | doi=10.1517/14740338.2012.712109 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22862307 }} </ref> | |||
***[[spironolactone]] | |||
***[[Cimetidine]] | |||
***[[Ketoconazole]] | |||
***[[Recombinant]] [[human growth hormone]], | |||
***[[Estrogens]] | |||
***[[Antiandrogens]] | |||
***[[Gonadotropin-releasing hormone agonist|Gonadotropin-releasing hormone]] (GnRH) [[agonists]] | |||
***[[5-alpha-reductase]] inhibitors | |||
***[[Human chorionic gonadotropin]] (hCG) | |||
**[[Idiopathic]] | |||
**[[Cirrhosis]] | |||
**[[Malnutrition]] | |||
**[[Hyperthyroidism]] | |||
**[[Hypogonadism]] | |||
**[[Testicular]] [[tumors]] | |||
**[[Chronic renal insufficiency]] | |||
==Causes in Female Adolescents== | |||
*[[Fibrocystic breast|Fibrocystic]] change<ref name="pmid10693180">{{cite journal| author=Templeman C, Hertweck SP| title=Breast disorders in the pediatric and adolescent patient. | journal=Obstet Gynecol Clin North Am | year= 2000 | volume= 27 | issue= 1 | pages= 19-34 | pmid=10693180 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10693180 }} </ref> | |||
*Juvenille [[fibroadenoma]]<ref name="pmid29080125">{{cite journal| author=Sanders LM, Sharma P, El Madany M, King AB, Goodman KS, Sanders AE| title=Clinical breast concerns in low-risk pediatric patients: practice review with proposed recommendations. | journal=Pediatr Radiol | year= 2018 | volume= 48 | issue= 2 | pages= 186-195 | pmid=29080125 | doi=10.1007/s00247-017-4007-6 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29080125 }} </ref> | |||
*Giant [[fibroadenoma]]<ref name="pmid16713771" /> | |||
*[[Phyllodes tumor]]<ref name="pmid11423590">{{cite journal| author=Parker SJ, Harries SA| title=Phyllodes tumours. | journal=Postgrad Med J | year= 2001 | volume= 77 | issue= 909 | pages= 428-35 | pmid=11423590 | doi= | pmc=1760996 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11423590 }} </ref><ref name="pmid19539191">{{cite journal| author=Pistolese CA, Tanga I, Cossu E, Perretta T, Yamgoue M, Bonanno E et al.| title=A phyllodes tumor in a child. | journal=J Pediatr Adolesc Gynecol | year= 2009 | volume= 22 | issue= 3 | pages= e21-4 | pmid=19539191 | doi=10.1016/j.jpag.2007.11.006 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19539191 }} </ref> | |||
*[[Mammary]] [[duct]] [[ectasia]]<ref name="pmid6286199">{{cite journal| author=Schwartz GF| title=Benign neoplasms and "inflammations" of the breast. | journal=Clin Obstet Gynecol | year= 1982 | volume= 25 | issue= 2 | pages= 373-85 | pmid=6286199 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=6286199 }} </ref> | |||
*[[Cysts]] of [[Montgomery's glands|montgomery]]<ref name="pmid17174833" /> | |||
==References== | ==References== | ||
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{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
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[[Category:Medicine]] | |||
[[Category:Gynecology]] | |||
[[Category:Surgery]] |
Latest revision as of 20:22, 10 January 2020
Breast lumps Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Breast lumps causes On the Web |
American Roentgen Ray Society Images of Breast lumps causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jyostna Chouturi, M.B.B.S [2], João André Alves Silva, M.D. [3], Shadan Mehraban, M.D.[4]
Overview
Breast lumps causes can be classified to various groups according to gender and age. Causes of female breast mass could be cancer, inflammatory, infectious, hormonal imbalance, trauma. Male breast enlargement identified as gynecomastia. Causes of gynecomastia may be multifactorial, hormonal imbalance, genetic factors, endocrine factors.Breast lumps may develop among children and adolescents, however, there are probably benign ones and related to peripubertal and pubertal phases.
Causes In Female
Life Threatening Causes
There are no life-threatening causes.[1]
Common Causes In Female
The most common causes of breast lumps in females are:[1][2][3][4][5]
- Benign inflammatory periductal mastitis
- Breast abscess
- Breast cancer
- Breast adenoma
- Breast trauma
- Cysts of Montgomery
- Duct ectasia of breast
- Estrogen and progestin
- Etonogestrel and ethinyl estradiol
- Fibro-adeno-lipoma
- Galactocele
- Glandular thickening due to hormonal changes of pregnancy
- Gynecomastia
- Hematoma
- Hypertrophy
- Intramammary lymph node
- Lipoma
- Premenstrual syndrome
- Progestin
- Retroareolar cyst
- Simple cyst
Causes In Female by Organ System
Causes In Female In Alphabetical Order
- Aberration of normal development and involution (ANDI)
- Abscess
- Acute mastitis
- Adenoid cystic carcinoma
- Aldactone
- Aldomet (alphamethyldopa)
- Alefacept
- Angiosarcoma of the breast
- Apocrine metaplasia
- Apocrine or squamous metaplasia
- Apocrine papillary carcinoma
- Ataxia-Telangiectasia heterozygosity
- Benign breast disease
- Benign inflammatory periductal mastitis
- Beta blockers
- Bicalutamide
- Blow on the breast
- Breast carcinoma
- Breast cyst
- Breast duct papilloma
- Breast fat necrosis
- Breast fibroadenoma
- Breast fibroma
- Breast implant
- Breast infection
- Breast injury
- Breast trauma
- Cancer
- Casodex
- Chlorpromazine
- Chronic cystic mastitis
- Colloidal breast cancer
- Complicated cyst
- Contraceptive pills
- Cowden syndrome
- Cyclosporine
- Cyst wall cancer
- Cystosarcoma phyllodes
- Cysts of Montgomery
- Dalmane
- Desmoplastic small round cell tumor
- Digitalis
- Dimetriose
- Duct ectasia of breast
- Ductal carcinoma
- Efalizumab
- Epithelioma of the nipple
- Estazolam
- Estradiol
- Estrogen
- Estrogen and progestin
- Etanercept
- Etonogestrel
- Etonogestrel and ethinylestradiol
- Eulexin
- Extramedullary myeloid tumor
- Fat necrosis
- Fibro-adenolipoma
- Fibro-adenosis of the newborn
- Fibrocystic breast disease
- Flurazepam
- Flutamide
- Galactocoele
- Gestrinone
- Giant fibroadenoma
- Giant mammary hamartoma
- Ginseng
- Glandular thickening due to hormonal changes of pregnancy
- Hematoma
- Hereditary diffuse gastric cancer
- Hives
- Hodgkin's disease
- Hormone replacement therapy
- Hyalinized fibroadenoma
- Hypertrophy
- Implanon
- Inflammatory breast cancer
- Intraductal papilloma
- Intramammary lymphnode
- Itraconazole
- Juvenile secretory carcinoma
- Lactation
- Li-Fraumeni syndrome
- Lipoma
- Lobular neoplasia
- Lymphatic obstruction
- Lymphocytic mastitis
- Lymphocytoma cutis
- Lymphoma
- Malignant carcinoma
- Mammary duct ectasia
- Mastitis
- Medroxyprogesterone
- Medullary carcinoma
- Metastatic breast cancer
- Metoclopramide
- Mondor's disease
- Mucinous carcinoma
- Nilandron
- Nipple conditions
- Nizoral
- Norelgestromin and ethinylestradiol
- Oil cyst
- Paget's disease of the nipple
- Papilloma
- Periductal mastitis
- Peutz-Jeghers syndrome
- Phyllodes tumor
- Plasma cell mastitis
- Postoperative scar/hematoma
- Pregnancy
- Premenstrual syndrome
- Primary breast cancer
- Progestin
- Prosom
- Pseudoangiomatous stromal hyperplasia
- PTEN hamartoma tumor syndrome
- Puberty
- Radial scar
- Radiation induced angiosarcoma of the breast
- Retroareolar cyst
- Rhabdomyosarcoma
- Ruptured cyst or duct
- Sarcoma
- Sclerosing adenosis
- Sebaceous cyst
- Secretory breast carcinoma
- Simple cyst
- Skin lumps
- Traumatic fat necrosis
- Tuberculosis of the breast
- Venous thrombosis
- Zuska's disease
Causes In Males
Life-Threatening Causes
There are no life-threatening causes.
Common Causes In Male
Breast enlargement in male adolescents is defined as gynecomastia. Common causes of breast lumps in male include:[9][10][11][12][13][14]
- Adipose tissue
- Aging- more common in older men as male hormones reduce.
- Breast abscess
- Breast cancer
- Hepatoma
- Hyperthyroidism
- Hypogonadism
- Metastatic cancer
- Neurofibroma
- XXY males
Causes in Male by Organ System
Cardiovascular[15] | Cantalamessa-baldini-ambrosi syndrome |
Chemical/Poisoning | No underlying causes |
Dental | No underlying causes |
Dermatologic | Cantalamessa-baldini-ambrosi syndrome, gingival fibromatosis hypertrichosis, H syndrome, Pachydermoperiostosis , |
Drug Side Effect | Aldactone, bicalutamide, chloropromazine, cimetidine, flutamide, itraconazole, metoclopramide, nizoral |
Ear Nose Throat | Gingival fibromatosis hypertrichosis, H syndrome, Retinitis pigmentosa, deafness, mental retardation, hypogonadism- syndrome |
Endocrine[16] | 17-beta-hydroxysteroid dehydrogenase deficiency , Androgen insensitivity syndrome , Brugschs syndrome, Camera-marugo-cohen syndrome, Cantalamessa-baldini-ambrosi syndrome, Congenital adrenal hyperplasia 17-alpha-hydroxylase deficiency, 3-beta-hydroxysteroid dehydrogenase deficiency, Empty sella syndrome , Feminization, Forbes-Albright syndrome , luteinizing hormone releasing hormone deficiency, Gynecomastia, H syndrome, Hanhart syndrome, Heller-nelson syndrome, Hormone replacement therapy, Hyperprolactinemia, Klinefelter syndrome, Lactotroph adenoma, Newborn infant breast swelling, Obal syndrome, Partial androgen insensitivity, Primrose syndrome, pseudohermaphroditism male,Puberty, Salvioli syndrome, Sohval-Soffer syndrome, Summitt syndrome, Tang Hsi Ryu syndrome, Vasquez Hurst Sotos syndrome, Wilson turner syndrome, XX male syndrome, de la chapelle syndrome |
Environmental | No underlying causes |
Gastroenterologic | Cirrhosis of the liver, Hepatocellular carcinoma (fibrolamellar variant), Peutz-Jeghers syndrome, Tang Hsi Ryu syndrome |
Genetic[12] | 17-beta-hydroxysteroid dehydrogenase deficiency, 46,XX testicular disorder of sex development, Androgen insensitivity syndrome , Brugschs syndrome, Congenital adrenal hyperplasia 17-alpha-hydroxylase deficiency, 3-beta-hydroxysteroid dehydrogenase deficiency, Fragile X syndrome, Klinefelter syndrome, Lesch-Nyhan's syndrome, Obal syndrome, Summitt syndrome, Tang Hsi Ryu syndrome, Vasquez Hurst Sotos syndrome, XX male syndrome, de la chapelle syndrome |
Hematologic | No underlying causes |
Iatrogenic | No underlying causes |
Infectious Disease | Lymphatic filariasis, |
Musculoskeletal/Orthopedic | Brugschs syndrome, Camera-marugo-cohen syndrome, Lesch-Nyhan's syndrome, Salvioli syndrome, Sohval-Soffer syndrome,Summitt syndrome |
Neurologic | Camera-marugo-cohen syndrome, Fragile X syndrome,progressive spinobulbar muscular atrophy, Retinitis pigmentosa, deafness, mental retardation, hypogonadism, Sohval-Soffer syndrome, Spinal muscular atrophy, Summitt syndrome, Tang Hsi Ryu syndrome, Vasquez Hurst Sotos syndrome, wilson turner syndrome, |
Nutritional/Metabolic | No underlying causes |
Obstetric/Gynecologic | No underlying causes |
Oncologic | Breast cancer |
Ophthalmologic | Cantalamessa-baldini-ambrosi syndrome, Obal syndrome, Retinitis pigmentosa, deafness, mental retardation, hypogonadism. |
Overdose/Toxicity | No underlying causes |
Psychiatric | sexual arousal |
Pulmonary | No underlying causes |
Renal/Electrolyte | No underlying causes |
Rheumatology/Immunology/Allergy | No underlying causes |
Sexual | sexual arousal |
Trauma | No underlying causes |
Urologic | No underlying causes |
Miscellaneous | No underlying causes |
Causes in Male in Alphabetical order
- 3-beta-hydroxysteroid dehydrogenase deficiency
- 17-beta-hydroxysteroid dehydrogenase deficiency
- 46,XX testicular disorder of sex development
- Aldactone,
- Androgen insensitivity syndrome
- Bicalutamide,
- Breast cancer
- Brugschs syndrome
- Camera-marugo-cohen syndrome
- Cantalamessa-Baldini-Ambrosi syndrome
- Chlorpromazine,
- Cimetidine,
- Cirrhosis of the liver
- Congenital adrenal hyperplasia 17-alpha-hydroxylase deficiency
- De la chapelle syndrome
- Empty sella syndrome
- Feminization
- Flutamide,
- Forbes-Albright syndrome
- Fragile X syndrome
- Gingival fibromatosis hypertrichosis
- Gynecomastia
- H syndrome
- Hanhart syndrome
- Heller-Nelson syndrome
- Hepatocellular carcinoma (fibrolamellar variant)
- Hormone replacement therapy
- Hyperprolactinemia
- Itraconazole,
- Klinefelter syndrome
- Lactotroph adenoma
- Lesch-Nyhan's syndrome
- Luteinizing hormone releasing hormone deficiency
- Lymphatic filariasis
- Metoclopramide,
- Newborn infant breast swelling
- Nizoral
- Obal syndrome
- Pachydermoperiostosis
- Partial androgen insensitivity
- Peutz-Jeghers syndrome
- Primrose syndrome
- Primrose syndrome
- Primrose syndrome
- Progressive spinobulbar muscular atrophy
- Pseudohermaphroditism male
- Puberty
- Retinitis pigmentosa, deafness, mental retardation, hypogonadism
- Salvioli syndrome
- Secretory breast carcinoma
- Sexual arousal
- Sohval-Soffer syndrome
- Spinal muscular atrophy
- Summitt syndrome
- Tang Hsi Ryu syndrome
- Vasquez Hurst Sotos syndrome
- Wilson turner syndrome
- XX male syndrome
Causes in Children
- Neonates and infants [17]
- Breast hypertrophy due to maternal hormones
- Prepubertal and pubertal children[18][19]
- Breast infection
- Hemangiomas and lymphangiomas
- Lipomastia
- Premature Thelarche and Thelarche
- Trauma
Causes in Male Adolescents
- Breast enlargement in male adolescents is defined as gynecomastia:[20]
Causes in Female Adolescents
- Fibrocystic change[22]
- Juvenille fibroadenoma[23]
- Giant fibroadenoma[17]
- Phyllodes tumor[24][25]
- Mammary duct ectasia[26]
- Cysts of montgomery[19]
References
- ↑ 1.0 1.1 Santen RJ. Benign Breast Disease in Women. [Updated 2018 May 25]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK278994/
- ↑ Rohan TE, Negassa A, Chlebowski RT, Lasser NL, McTiernan A, Schenken RS; et al. (2008). "Estrogen plus progestin and risk of benign proliferative breast disease". Cancer Epidemiol Biomarkers Prev. 17 (9): 2337–43. doi:10.1158/1055-9965.EPI-08-0380. PMC 2584343. PMID 18725513.
- ↑ Schmoldt A, Benthe HF, Haberland G (1975). "Digitoxin metabolism by rat liver microsomes". Biochem Pharmacol. 24 (17): 1639–41. PMC 5922622. PMID https://doi.org/10.1016/S0736-4679(01)00437-1 DOI: https://doi.org/10.1016/S0736-4679(01)00437-1 Check
|pmid=
value (help). - ↑ Ferzoco RM, Ruddy KJ (2016). "The Epidemiology of Male Breast Cancer". Curr Oncol Rep. 18 (1): 1. doi:10.1007/s11912-015-0487-4. PMID 26694922.
- ↑ 5.0 5.1 Informed Health Online [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Breast cancer: Overview. 2013 Nov 6 [Updated 2017 Jul 27]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279422/
- ↑ Gollapalli V, Liao J, Dudakovic A, Sugg SL, Scott-Conner CE, Weigel RJ (2010). "Risk factors for development and recurrence of primary breast abscesses". J Am Coll Surg. 211 (1): 41–8. doi:10.1016/j.jamcollsurg.2010.04.007. PMID 20610247.
- ↑ Yu JH, Kim MJ, Cho H, Liu HJ, Han SJ, Ahn TG (2013). "Breast diseases during pregnancy and lactation". Obstet Gynecol Sci. 56 (3): 143–59. doi:10.5468/ogs.2013.56.3.143. PMC 3784111. PMID 24327995.
- ↑ Sharma GN, Dave R, Sanadya J, Sharma P, Sharma KK (2010). "Various types and management of breast cancer: an overview". J Adv Pharm Technol Res. 1 (2): 109–26. PMC 3255438. PMID 22247839.
- ↑ Ormandy CJ, Hall RE, Manning DL, Robertson JF, Blamey RW, Kelly PA; et al. (1997). "Coexpression and cross-regulation of the prolactin receptor and sex steroid hormone receptors in breast cancer". J Clin Endocrinol Metab. 82 (11): 3692–9. doi:10.1210/jcem.82.11.4361. PMID 9360527.
- ↑ Durmaz E, Ozmert EN, Erkekoglu P, Giray B, Derman O, Hincal F; et al. (2010). "Plasma phthalate levels in pubertal gynecomastia". Pediatrics. 125 (1): e122–9. doi:10.1542/peds.2009-0724. PMID 20008419.
- ↑ Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.
- ↑ 12.0 12.1 Swerdloff RS, Ng JCM. Gynecomastia: Etiology, Diagnosis, and Treatment. [Updated 2015 Aug 3]. In: De Groot LJ, Chrousos G, Dungan K, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279105/
- ↑ Johnson RE, Murad MH (2009). "Gynecomastia: pathophysiology, evaluation, and management". Mayo Clin Proc. 84 (11): 1010–5. doi:10.1016/S0025-6196(11)60671-X. PMC 2770912. PMID 19880691.
- ↑ McKiernan JF, Hull D (1981). "Breast development in the newborn". Arch Dis Child. 56 (7): 525–9. PMC 1627340. PMID 7271286.
- ↑ Al Qassabi SS, Al-Harthi SM, Al-Osali ME (2015). "Mixed gynecomastia". Saudi Med J. 36 (9): 1115–7. doi:10.15537/smj.2015.9.11778. PMC 4613638. PMID 26318471.
- ↑ Ismail AA, Barth JH (2001). "Endocrinology of gynaecomastia". Ann Clin Biochem. 38 (Pt 6): 596–607. doi:10.1258/0004563011900993. PMID 11732643.
- ↑ 17.0 17.1 Greydanus DE, Matytsina L, Gains M (2006). "Breast disorders in children and adolescents". Prim Care. 33 (2): 455–502. doi:10.1016/j.pop.2006.02.002. PMID 16713771.
- ↑ Kaplowitz P, Bloch C, Section on Endocrinology, American Academy of Pediatrics (2016). "Evaluation and Referral of Children With Signs of Early Puberty". Pediatrics. 137 (1). doi:10.1542/peds.2015-3732. PMID 26668298.
- ↑ 19.0 19.1 De Silva NK, Brandt ML (2006). "Disorders of the breast in children and adolescents, Part 2: breast masses". J Pediatr Adolesc Gynecol. 19 (6): 415–8. doi:10.1016/j.jpag.2006.09.002. PMID 17174833.
- ↑ Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.
- ↑ Deepinder F, Braunstein GD (2012). "Drug-induced gynecomastia: an evidence-based review". Expert Opin Drug Saf. 11 (5): 779–95. doi:10.1517/14740338.2012.712109. PMID 22862307.
- ↑ Templeman C, Hertweck SP (2000). "Breast disorders in the pediatric and adolescent patient". Obstet Gynecol Clin North Am. 27 (1): 19–34. PMID 10693180.
- ↑ Sanders LM, Sharma P, El Madany M, King AB, Goodman KS, Sanders AE (2018). "Clinical breast concerns in low-risk pediatric patients: practice review with proposed recommendations". Pediatr Radiol. 48 (2): 186–195. doi:10.1007/s00247-017-4007-6. PMID 29080125.
- ↑ Parker SJ, Harries SA (2001). "Phyllodes tumours". Postgrad Med J. 77 (909): 428–35. PMC 1760996. PMID 11423590.
- ↑ Pistolese CA, Tanga I, Cossu E, Perretta T, Yamgoue M, Bonanno E; et al. (2009). "A phyllodes tumor in a child". J Pediatr Adolesc Gynecol. 22 (3): e21–4. doi:10.1016/j.jpag.2007.11.006. PMID 19539191.
- ↑ Schwartz GF (1982). "Benign neoplasms and "inflammations" of the breast". Clin Obstet Gynecol. 25 (2): 373–85. PMID 6286199.