Gynecomastia Diagnostic Study of Choice: Difference between revisions
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{{Gynecomastia}} | {{Gynecomastia}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} {{HS}} | ||
==Overview== | ==Overview== | ||
There is no established criteria for the diagnosis of [[gynecomastia]]. It is diagnosed clinically after a thorough history and physical examination. A [[Mammogram|diagnostic mammogram]] has a 90 percent [[sensitivity]] and [[specificity]]. | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
* | *There are no established criteria for the diagnosis of [[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><ref name="pmid12379069">{{cite journal |vauthors=Giordano SH, Buzdar AU, Hortobagyi GN |title=Breast cancer in men |journal=Ann. Intern. Med. |volume=137 |issue=8 |pages=678–87 |year=2002 |pmid=12379069 |doi= |url=}}</ref><ref name="pmid11425067">{{cite journal |vauthors=Evans GF, Anthony T, Turnage RH, Schumpert TD, Levy KR, Amirkhan RH, Campbell TJ, Lopez J, Appelbaum AH |title=The diagnostic accuracy of mammography in the evaluation of male breast disease |journal=Am. J. Surg. |volume=181 |issue=2 |pages=96–100 |year=2001 |pmid=11425067 |doi= |url=}}</ref><ref name="pmid20571799">{{cite journal| author=Muñoz Carrasco R, Alvarez Benito M, Muñoz Gomariz E, Raya Povedano JL, Martínez Paredes M| title=Mammography and ultrasound in the evaluation of male breast disease. | journal=Eur Radiol | year= 2010 | volume= 20 | issue= 12 | pages= 2797-805 | pmid=20571799 | doi=10.1007/s00330-010-1867-7 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20571799 }} </ref> | ||
* | *The diagnosis of gynecomastia is primarily based on [[clinical examination]] which helps to differentiate it from pseudo gynecomastia and [[breast cancer]]. | ||
*Imaging, such as a [[mammography|mammogram]] or [[ultrasound]] can be helpful in the diagnosis of gynecomastia. A [[Mammogram|diagnostic mammogram]] has a 90 percent [[sensitivity]] and [[specificity]]. | |||
* | *[[Mammogram]] has 100 percent [[sensitivity]] and a high [[negative predictive value]] of detecting malignant breast lesions.<ref name="pmid12636326">{{cite journal |vauthors=Shetty MK, Shah YP, Sharman RS |title=Prospective evaluation of the value of combined mammographic and sonographic assessment in patients with palpable abnormalities of the breast |journal=J Ultrasound Med |volume=22 |issue=3 |pages=263–8; quiz 269–70 |year=2003 |pmid=12636326 |doi= |url=}}</ref> | ||
*[[Positive predictive value]] of mammogram studies is 55 percent. It is mainly done in gynecomastia, if history and physical examination of patient raise any malignancy suspicions.<ref name="pmid21209041">{{cite journal| author=Carlson HE| title=Approach to the patient with gynecomastia. | journal=J Clin Endocrinol Metab | year= 2011 | volume= 96 | issue= 1 | pages= 15-21 | pmid=21209041 | doi=10.1210/jc.2010-1720 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21209041 }}</ref><ref name="pmid21343518">{{cite journal| author=Robbins J, Jeffries D, Roubidoux M, Helvie M| title=Accuracy of diagnostic mammography and breast ultrasound during pregnancy and lactation. | journal=AJR Am J Roentgenol | year= 2011 | volume= 196 | issue= 3 | pages= 716-22 | pmid=21343518 | doi=10.2214/AJR.09.3662 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21343518 }}</ref> | |||
* | |||
==References== | ==References== | ||
Latest revision as of 23:52, 15 November 2017
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Gynecomastia Diagnostic Study of Choice On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]
Overview
There is no established criteria for the diagnosis of gynecomastia. It is diagnosed clinically after a thorough history and physical examination. A diagnostic mammogram has a 90 percent sensitivity and specificity.
Diagnostic Criteria
- There are no established criteria for the diagnosis of gynecomastia.[1][2][3][4]
- The diagnosis of gynecomastia is primarily based on clinical examination which helps to differentiate it from pseudo gynecomastia and breast cancer.
- Imaging, such as a mammogram or ultrasound can be helpful in the diagnosis of gynecomastia. A diagnostic mammogram has a 90 percent sensitivity and specificity.
- Mammogram has 100 percent sensitivity and a high negative predictive value of detecting malignant breast lesions.[5]
- Positive predictive value of mammogram studies is 55 percent. It is mainly done in gynecomastia, if history and physical examination of patient raise any malignancy suspicions.[6][7]
References
- ↑ Braunstein GD (2007). "Clinical practice. Gynecomastia". N Engl J Med. 357 (12): 1229–37. doi:10.1056/NEJMcp070677. PMID 17881754.
- ↑ Giordano SH, Buzdar AU, Hortobagyi GN (2002). "Breast cancer in men". Ann. Intern. Med. 137 (8): 678–87. PMID 12379069.
- ↑ Evans GF, Anthony T, Turnage RH, Schumpert TD, Levy KR, Amirkhan RH, Campbell TJ, Lopez J, Appelbaum AH (2001). "The diagnostic accuracy of mammography in the evaluation of male breast disease". Am. J. Surg. 181 (2): 96–100. PMID 11425067.
- ↑ Muñoz Carrasco R, Alvarez Benito M, Muñoz Gomariz E, Raya Povedano JL, Martínez Paredes M (2010). "Mammography and ultrasound in the evaluation of male breast disease". Eur Radiol. 20 (12): 2797–805. doi:10.1007/s00330-010-1867-7. PMID 20571799.
- ↑ Shetty MK, Shah YP, Sharman RS (2003). "Prospective evaluation of the value of combined mammographic and sonographic assessment in patients with palpable abnormalities of the breast". J Ultrasound Med. 22 (3): 263–8, quiz 269–70. PMID 12636326.
- ↑ Carlson HE (2011). "Approach to the patient with gynecomastia". J Clin Endocrinol Metab. 96 (1): 15–21. doi:10.1210/jc.2010-1720. PMID 21209041.
- ↑ Robbins J, Jeffries D, Roubidoux M, Helvie M (2011). "Accuracy of diagnostic mammography and breast ultrasound during pregnancy and lactation". AJR Am J Roentgenol. 196 (3): 716–22. doi:10.2214/AJR.09.3662. PMID 21343518.