History
- Street drugs
- Cannabis
- Anabolic steroids
- Family history of breast or ovarian cancer
- Family history of male gynecomastia
Imaging
- Ultrasound
Labs
- Total testosterone
- LH
- Estradiol
- beta-hCG
- PRL
Ddx
- Benign breast tissue hypertrophy (very common esp. in young males)
- May be surgically excised if desired, but often will recur. Re-excision is not uncommon.
- Malignancy
- Prolactinoma
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The Compendium platform was created by David Kwinter, MD, CCFP(EM).