Gynaecomastia Swelling and pain last 2 year. Respected sir and mam suggest treatment.

5 Likes

LikeAnswersShare

It is Gynaecomastia One has to investigate look for cause of gynaecomastia 1) Puberty - physiological gynaecomastia usually resolve in 1 - 2 yrs 2) Old age - because of increased adiposity, it leads to more conversion of testosterone to oestrogen in peripheral fats 3) Drugs causing Gynaecomastia Spironolactone Digoxin Tricyclic antidepressants Isoniazid Amiodarone 4) Cirrhosis of liver 5) Chronic kidney disease and dialysis 6) Hyperthyroidism - Graves disease is commonly associated with Gynaecomastia 7) Prolactin secreting pituitary tumor 8) Testicular atrophy 9) Sonography to be done to rule out tumor in breast tissue Treatment depends on etiology

Age of patient If it is gynaecomastia - Webster's procedure Rule out other possibilities of male ca breast or soft tissue sarcoma, a core biopsy should clinch to DX.

? MAN BOOBS.. ? GYNECOMASTIA .. DECREASED MALE HORMONE.. TESTESTERONE LEVELS.. & .. FEMALE HORMONAL.. LEVELS.. INCREASED.. NEED'S.. HORMONAL STUDY.. ENDOCRINOLOGIST OPINION..

Tnx Dr Vipin Bihari Jain
0

View 1 other reply

Tamoxifen 10 to 20 mg bd 3months to be given Before sending to surgery , as most of the cases get relieved by this. Next comes surgery liposuction or mastectomy

Gynecomastia Tell the age of the patient Rule out history of drug intake like Spironolactone Calcium Channel blockers Tricyclic antidepressants Hormonal therapy for Ca prostate and other drugs If drug - history is there - stop the offending drug Also rule rule chronic liver disease. If no cause is found - reassurance is required. Surgical treatment is only indicated for cosmetic purposes

Agree to dr yograj
0

View 1 other reply

Huge do usg confirm Gyanaecomastia Surgical removal Or tamoxifen10 mg hs follow up monthly

Gynaecomastia unilateral or bilteral is physiological phenomenon due hormonal imbalance as the boy approaches puberty. ( Age is not mentioned) examine feel of the breast and go for USG to see the nature and contour if breast No active treatment is required and get resolution in due course of time but in this case no resolution even after 2 years and it may cause embarrassment to him So for cosmetic purpose I will prefer to go for excision

Ask for CBC ESR USG of breast FNAC

Fibronodular Swelling Breast Fibroadenoma Get USG Breast

Likely fibronodular swelling breast R/o adenoma Fibroadenoma Usually benign Suggest usg breast Adv excision

Thanx dr Dinesh Gupta
0

View 1 other reply

Load more answers