Male gynecomastia workup
Posted by dkwinter

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