Gynecomastia differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
*Gynecomastia must be differentiated from pseudo gynecomastia and breast cancer. | *[[Gynecomastia]] must be differentiated from pseudo gynecomastia and [[Breast cancer|breast cancer.]] | ||
==Differentiating Gynecomastia from other Diseases== | ==Differentiating Gynecomastia from other Diseases== | ||
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! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}} | ! style="background: #4479BA; width: 300px;" | {{fontcolor|#FFF|Differentiating Features}} | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Gynecomastia | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Gynecomastia]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Round discrete mass felt under areola and usually bilateral. | * Round discrete mass felt under [[areola]] and usually bilateral. | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Pseudogynecomastia | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Pseudogynecomastia | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Increased adipose rather than glandular tissue on examination. | * Increased [[adipose]] rather than glandular tissue on examination. | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Lipoma | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Lipoma]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Asymmetric breast enlargement. | * Asymmetric breast enlargement. | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Breast cancer | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Breast cancer]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Nipple discharge, Axillary lymphadenopathy, usually nonpainful mass. | * Nipple discharge, [[Axillary|Axillary lymphadenopathy]], usually nonpainful mass. | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Sebaceous cyst | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Sebaceous cyst]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
* Asymmetric enlargement and swelling feels closer | * Asymmetric enlargement and swelling feels closer tothe skinn. | ||
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |Mastitis | | style="padding: 5px 5px; background: #DCDCDC; font-weight: bold; text-align:center;" |[[Mastitis]] | ||
| style="padding: 5px 5px; background: #F5F5F5;" | | | style="padding: 5px 5px; background: #F5F5F5;" | | ||
*Systemic s/s of infection. | *Systemic s/s of infection. | ||
Revision as of 21:49, 10 August 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
- Gynecomastia must be differentiated from pseudo gynecomastia and breast cancer.
Differentiating Gynecomastia from other Diseases
- Gynecomastia can be differentiated from other pathologies by detailed history taking and physical examination.[1][2][3]
| Differential Diagnosis | Differentiating Features |
|---|---|
| Gynecomastia |
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| Pseudogynecomastia |
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| Lipoma |
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| Breast cancer |
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| Sebaceous cyst |
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| Mastitis |
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References
- ↑ Dickson G (2012). "Gynecomastia". Am Fam Physician. 85 (7): 716–22. PMID 22534349.
- ↑ Croes K, Baeyens W, Bruckers L, Den Hond E, Koppen G, Nelen V; et al. (2009). "Hormone levels and sexual development in Flemish adolescents residing in areas differing in pollution pressure". Int J Hyg Environ Health. 212 (6): 612–25. doi:10.1016/j.ijheh.2009.05.002. PMID 19546029.
- ↑ Laituri CA, Garey CL, Ostlie DJ, St Peter SD, Gittes GK, Snyder CL (2010). "Treatment of adolescent gynecomastia". J Pediatr Surg. 45 (3): 650–4. doi:10.1016/j.jpedsurg.2009.11.016. PMID 20223338.