Gynaecomastia

What you need to know20-25% of gynaecomastia cases are attributable to prescription medications or drug use. Stopping the causative agent removes the need for further investigation14Breast cancer is an important differential. The mean age of diagnosis in men is 65, with an incidence of around 375 cases a year between 2016 and 2018414Gynaecomastia is a presenting symptom in 7-11% of testicular cancer cases16A two week wait referral to urology for a testicular ultrasound is recommended in men with raised oestradiol, B-hCG, or AFP5171920A 59 year old man attends his GP describing a three month history of bilateral breast enlargement. He noticed his nipples were painful when the dog jumped up at him, and reports having put on weight and having lost interest in sex. He has also developed difficulties in producing and sustaining an erection over the previous 18 months.Gynaecomastia is the benign development of male glandular breast tissue.123 It…
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