Diagnosing Gynecomastia: A Step-by-Step Guide
Diagnosing Gynecomastia: A Step-by-Step Guide
Why Diagnosis Matters
Identifying gynecomastia correctly is essential to distinguish it from other conditions. Here’s how it’s done.
Contents
- Physical Examination
- Imaging Techniques
- Understanding the Differential Diagnosis
Physical Examination
Diagnosis begins with a physical exam, feeling for a rubbery mass under the nipple. This mass is typically bilateral and tender, marking the presence of gynecomastia. The examination helps differentiate it from other conditions like pseudogynecomastia.
Imaging Techniques
Imaging is recommended if there is suspicion of breast cancer. Mammography and ultrasound are the primary tools used, with mammography being more sensitive for detecting malignancies.
Understanding the Differential Diagnosis
It’s crucial to differentiate gynecomastia from other breast masses. Breast cancer, for example, is usually unilateral and firm, unlike the bilateral and tender mass of gynecomastia.
FAQs
How is gynecomastia diagnosed?
Through a physical exam and imaging if needed.
What imaging is used for gynecomastia?
Mammography and ultrasound are commonly used.
How is gynecomastia different from breast cancer?
Gynecomastia is usually bilateral and tender, while breast cancer is not.
Wrapping Up
Accurate diagnosis of gynecomastia is vital for effective treatment.
Additional References
- Appelbaum AH, Evans GF, Levy KR, et al. Mammographic appearances of male breast disease. Radiographics 1999; 19:559.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic.