<p>Gynecomastia can be the expression of physiological processes and be temporary in nature (pubertal gynecomastia) but can also occur at any other age. It is therefore a&#xa0;common illness and, depending on the severity of the symptoms, can mean a&#xa0;great deal of psychological stress for the patient. Enlargement of the male breast is usually a&#xa0;benign finding; causes can be endocrine disorders, previously undetected systemic diseases or drug side effects. Male breast cancer in particular is a&#xa0;rare but important differential diagnosis. The diagnostic evaluation therefore aims at an endocrine clarification and the exclusion of neoplasms. Treatment can be conservative or surgical.</p>

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Gynäkomastie beim Mann

  • Jens Rosellen,
  • Frank-Michael Köhn,
  • Hans-Christian Schuppe

摘要

Gynecomastia can be the expression of physiological processes and be temporary in nature (pubertal gynecomastia) but can also occur at any other age. It is therefore a common illness and, depending on the severity of the symptoms, can mean a great deal of psychological stress for the patient. Enlargement of the male breast is usually a benign finding; causes can be endocrine disorders, previously undetected systemic diseases or drug side effects. Male breast cancer in particular is a rare but important differential diagnosis. The diagnostic evaluation therefore aims at an endocrine clarification and the exclusion of neoplasms. Treatment can be conservative or surgical.