Urologic causes of gynecomastia: approach to diagnosis and management.
A 27-year-old man presented with bilateral painful breast enlargement and recent onset right testicular swelling. After appropriate evaluation, a radical orchiectomy was performed, and a Leydig cell tumor was found. The various urologic etiologies for gynecomastia are presented, as are the potential interventions. A rational approach to the patient with new onset breast swelling is presented.
Lemack
G E
GE
James Buchanan Brady Foundation, Department of Urology, New York Hospital-Cornell Medical Center, New York.
Poppas
D P
DP
Vaughan
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ED
D000310:Adrenal Gland Neoplasms / Q000150:complications; D000312:Adrenal Hyperplasia, Congenital / Q000150:complications; D000328:Adult; D003663:Decision Trees; D012734:Disorders of Sex Development / Q000150:complications; D006177:Gynecomastia / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007006:Hypogonadism / Q000150:complications; D007984:Leydig Cell Tumor / Q000150:complications*; D008297:Male; D011379:Prognosis; D013736:Testicular Neoplasms / Q000150:complications*