A Boy of 14 years age having Unilateral enlargement of breast Rt.side since 2years,non-tender,fixed,non discharging.Now fixed in size.


Dear Dr.Pramod, Greetings! This seems to be a case of Pubertal gynaecomastia or Puberty mastitisor Mastitis Adolescentium of the mildest degree, which usually occurs because of rapid changes in hormones secretion and it's actions during the Puberty. It is a common finding in boys aged 10-16 years around 38% instances and rising to 65% at 14 yrs. The breast swelling is generally temporary, resolving in 73% of boys within 2 years Around 25% or more of pubertal gynaecomastia are unilateral, and when seen bilateral, may be of different sizes, suggestive of a variation in local factors, related to hormone receptors or local hormone conversion. Some common types of pubertal gynaecomastia are Benign adolescent hypertrophy - it maybe firm, somewhat tender breast tissue immediately beneath the areola; this is the most common form of pubertal gynaecomastia. Gynaecomastia resembling normal female breast development - this may require surgical intervention if there is enduring physical distress and not resolving even after adolescent age. Gynaecomastia associated with other pathologies e.g. endocrine disorders such as Hyperthyroidism, Klinefelter's syndrome or drug induced. Where gynaecomastia is clearly neonatal or pubertal, no investigations are required. Most of the times we Reassure the boy and his parents, If any pain ,only paracetamol to be given. With the exception of Klinefelters syndrome, pubertal gynaecomastia is not associated with an increased risk of male breast cancer
Any drugs to be given? if it is persisting till adulthood..as a non operative mgmt in pts not willing for surgery

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Pubertal Gynecomastia,can be unilateral Afcourse,no doubt,can be bilateral,wait and watch
Pubertal gynecomastia. Wait and watch. Reassure as most resolve ovr time. If it increases,surgical mastectomy.
most probably gynaecomastia do usg first followed by fnac
Gynecomastia, wait & watch initially
Pubertal Gynecomastia
Pubertal gynacemastia
Can be pubertal
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