Gynecomastia often referred to as a condition where man develops boobs; very common in men and boys. The breasts swell and become abnormally large. Gynecomastia is more common in newborn males, boys during puberty, and older men. In the vast majority of cases, gynecomastia is not a serious problem. However, it may be psychologically difficult to cope with. Apart from affecting self-confidence and causing embarrassment, some men and boys may also experience pain in their breasts. It s important to note that gynecomastia is not caused by extra fat from being overweight. It is caused by extra breast tssue. So, doing exercise or losing weight will not get rid of it. There are other conditions, such as pseudogynecomastia, in which fat builds up in the breasts, and are sometimes associated with being overweight or obese
Signs and symptoms
Swelling of the breast gland tissue Tenderness of breast Increase in diameter of the areola
Causes
Testosterone and estrogen hormonal imbalance Alcohol abuse Liver disease Radiation treatment of the testicles Infections or lumps in the testicles A cyst Lipoma (benign tumor composed of body fat) Mastitis – inflammation of breast tissue Breast cancer Pseudogynecomastia Hematoma – a solid swelling of clotted blood Metastasis – cancer that originated elsewhere in the body and has spread to the breast Fat necrosis – a lump that forms as a result of damage to fatty breast tissue Hamartoma – a benign tumor-like growth
Diagnoses
The physician will examine the breast tissue, as well as the genitals and abdomen. If the doctor determines that it is caused by a hormone imbalance, as may be the case during puberty, and the gynecomastia appears typical for a teenage boy, the patient will be told not to worry and that it will all go away within about a year.
If the breast lump is abnormally large, tender, one-sided, or fixed and hard, further investigation will probably be required, including a biopsy. If the man has an unusual lump in one breast only, the doctor needs to know whether there is a family history of breast cancer.
The doctor may order some blood tests and a mammogram. Depending on the results, further tests may be ordered, including:
X-rays of the chest CT (computerized tomography) scan MRI (magnetic resonance imaging scan) Ultrasound scan of the testicles Tissue biopsy
Treatment options
Naturally, it is self correcting but if this does not happen, the following may be done: Hormone therapy to block the effects of estrogens, or breast reduction surgery. Medications : tamoxifen – a drug that blocks the action of the female hormone estrogen in the body. Testosterone replacement Liposuction Excision
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