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Previous Volume 357:1229-1237 September 20, 2007 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

During an evaluation for low back pain, a 67-year-old man is found to have gynecomastia on the right side that is nontender on palpation. Other than a body-mass index (the weight in kilograms divided by the square of the height in meters) of 32, the physical examination is normal. His medical history is notable only for hyperlipidemia; his only medication is a . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

Evaluation

Treatment

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Department of Medicine, Cedars–Sinai Medical Center, Los Angeles.

Address reprint requests to Dr. Braunstein at the Department of Medicine, Rm. 2119 Plaza Level, Cedars–Sinai Medical Center, 8700 Beverly Blvd., Los Angeles, CA 90048, or at braunstein@cshs.org.

Related Letters:

Gynecomastia
Romao I., Klass E., Westenend P. J., Storm R., Oostenbroek R. J., Braunstein G. D.
Extract | Full Text | PDF  
N Engl J Med 2007; 357:2636-2637, Dec 20, 2007. Correspondence

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• Johnson, R. E., Murad, M. H. (2009). Gynecomastia: Pathophysiology, Evaluation, and Management. Mayo Clin Proc. 84: 1010-1015 [Abstract] [Full Text]  
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• Romao, I., Klass, E., Westenend, P. J., Storm, R., Oostenbroek, R. J., Braunstein, G. D. (2007). Gynecomastia. NEJM 357: 2636-2637 [Full Text]