This is a k/c/o Gynaecomastia..15 yrs old male boy having c/o swelling of both breast a/w pain on pressure since 6 palpable lymph nodes,no discharge from breast.what to do, please advice..




Tnx Dr Ashok Leel sir

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Physiological Bilateral Gynecomastia of puberty No treatment is indicated at this age Just Reassurance of its benign nature and self resolution is required

It is a case gynecomastia bilateral. As the approaches puberty there is some hormonal imbalance which causes swelling of breast known as gynecomastia , may be unilateral or bilateral. Usually no treatment is required it resolves of it's own in due course of time. Sometimes it do not resolves. Even then no treatment is required as such. Tab Tamoxifen 10 mg daily for 3-6 months can be given and helps resolution. For cosmetic purpose excision may be done.

Physiological B/L Gynecomastia of puberty. No treatment required . Reassurance and councelling required because It's benign in nature and self control. Endocrinologist opinion.

Thanks Dr kute Ankush

Tamoxifen 10 Mg od 6 months.. Management.. Surgery.. Laser therapy..

Thanks doctor

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Chest; hypertrophy of; mammae; men, in, gynecomastia: chlorpr cortico(2) lepro(2) reser saroth thiop With Tamoxifen 10mg od

Gynecomastia of Puberty In the majority of cases of pubertal gynecomastia, observation and reassurance are the mainstays of therapy as the condition usually resolves naturally.

A lot of things can trigger the hormone imbalance that causes male breast growth, and many times the exact cause isn't known. In addition to body changes such as puberty and aging, some things that can cause gynecomastia are: Injury or diseases that affect the testicles, which make testosterone Thyroid problems, since hormones from that gland control growth and sexual development Some cancers, including tumors of the lungs, pituitary gland, or adrenal glands Obesity, which can result in more estrogen Illegal drugs, including anabolic steroids, marijuana, and heroin Kidney failure (when they can no longer clean and filter your blood) Liver disease Some infant boys may get gynecomastia briefly while hormones from their mother are still in their bodies. Some types of medicines can lead to gynecomastia, such as: Anti-androgens. These are drugs that treat an enlarged prostate or prostate cancer. Anabolic steroids and androgens. Athletes sometimes use these drugs illicitly in an effort to improve their athletic performance. The drugs also have legitimate uses for certain conditions. HIV drugs. Gynecomastia can sometimes be a side effect of an HIV treatment called "highly active antiretroviral therapy." As per current clinical picture Treat with Tamoxifen 10 OD

Pubertal Gynaecomastia is mostly bilateral & needs no medical intervention but reassurance.

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