Gynecomastia, a benign enlargement of the male breast due toproliferation of the glandular component, is a common clinicalcondition. It may be an incidental finding on routine examinationor may present as an acute unilateral or bilateral painful tendermass beneath the areolar region or as a progressive painlessenlargement of the breast. This topic was last reviewed in theJournal in 1980,1 and much of the recent literature has focusedon the prevalence, pathogenesis, and treatment of the condition.
Prevalence
Palpable breast glandular tissue is so prevalent in populationstudies of men and boys1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 (Table 1)that . . . [Full Text of this Article]
Conditions Associated with Gynecomastia
Pathogenesis
Increase in Serum Estrogen Concentrations
Decrease in Serum Androgen Concentrations
Androgen-Receptor Problems
Hypersensitive Breast Tissue
Evaluation
Treatment
Source Information
From the Department of Medicine, Cedars-Sinai Medical Center, and the UCLA School of Medicine, both in Los Angeles.
Address reprint requests to Dr. Braunstein at Cedars-Sinai Medical Center, 8700 Beverly Blvd., Rm. B118, Los Angeles, CA 90048.
References
Related Letters:
Gynecomastia
Malozowski S., Williams G. M., Braunstein G. D.
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N Engl J Med 1993;
329:209, Jul 15, 1993.
Correspondence
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