Abstract:Background: Gynecomastia (GM) is a benign proliferation of the glandular tissue of the breast in men. It is a frequent condition with a reported prevalence of 32-65%, depending on the age and the criteria used for definition. GM of infancy and puberty are common, benign conditions resolving spontaneously in the majority of cases. GM of adulthood is more prevalent among the elderly and proper investigation may reveal an underlying pathology in 45-50% of cases. Objectives: The aim was to provide clinical practic… Show more
“…In 2019, Andrology has published EAA‐endorsed clinical guidelines on gynaecomastia, written by Kanakis GA, Nordkap L, Bang AK, Calogero AE, Bártfai G, Corona G, Forti G, Toppari J, Goulis DG and Jørgensen N …”
“…In 2019, Andrology has published EAA‐endorsed clinical guidelines on gynaecomastia, written by Kanakis GA, Nordkap L, Bang AK, Calogero AE, Bártfai G, Corona G, Forti G, Toppari J, Goulis DG and Jørgensen N …”
“…Class C drugs, including angiotensin-converting enzyme inhibitors, have minimal supporting evidence to establish a significant association with gynecomastia. 2,8 Non-steroidal anti-inflammatory drugs (NSAIDs) were not included in any category from this review.…”
Section: Introductionmentioning
confidence: 99%
“…Pseudogynecomastia, which is excess adipose rather than glandular breast tissue, can be ruled out by exam. 1 , 2 The most common causes of gynecomastia across all ages are physiologic (25%), idiopathic (25%), medication or substance abuse related (10-25%), hepatic cirrhosis (8%), primary hypogonadism (8%), hormone-secreting testicular or adrenal tumors (3%), and thyrotoxicosis (2%). 2 - 5 Male breast cancer is rare but should be considered in cases with unilateral gynecomastia.…”
Section: Introductionmentioning
confidence: 99%
“… 2 - 5 Male breast cancer is rare but should be considered in cases with unilateral gynecomastia. 2 A male with concerning signs such as a discrete, palpable breast mass, retraction of skin or bloody discharge warrants evaluation for carcinoma 6 , 7 …”
Section: Introductionmentioning
confidence: 99%
“… 1 , 2 , 4 Neonatal gynecomastia is likely due to transplacental maternal estrogens and spontaneously resolves within the first year of life. 2 , 4 Gynecomastia affects roughly 50% of young men during puberty, with 90% of cases resolving within 2 years of onset. 2 During early puberty, it is thought the testes may produce more estrogen relative to testosterone than during the late pubertal and post pubertal state when testosterone predominates.…”
Gynecomastia is benign enlargement of glandular tissue in the male breast. It occurs due to an imbalance of estrogen and testosterone. It may be unilateral or bilateral. Physiologic gynecomastia commonly occurs in infants and during puberty and is self-limited. Gynecomastia may affect up to 50% of adult men over age 50 years old and can be related to underlying medical illness or caused by certain medications. Known causative agents include anti-androgenic and estrogenic drugs. Probable agents include alcohol and anti-ulcer, psychoactive, and antiretroviral medications. Non-steroidal anti-inflammatory drugs (NSAIDs) are not commonly associated with the development of gynecomastia. This case presents an instance in which the NSAID, meloxicam, was the only identified variable in a patient who developed unilateral gynecomastia. His breast tenderness and abnormal exam resolved spontaneously within 4 weeks of cessation of meloxicam therapy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.