Gynecomastia other imaging findings: Difference between revisions

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{{Gynecomastia}}
{{Gynecomastia}}
{{CMG}}; {{AE}}  
{{CMG}}; {{AE}} {{HS}}


==Overview==
==Overview==
Mammogram can be done in gynecomastia when physical findings of a patient raise suspicion of breast cancer.
Gynecomastia is diagnosed clinically after a thorough history and physical examination. [[Mammogram]] can be done in gynecomastia when physical findings of a patient raise suspicion of breast cancer.


==Other Imaging Findings==
==Other Imaging Findings==
===Mammogram===
===Mammogram===
*There are no mammogram findings associated with gynecomastia. However, mammogram may be helpful in the diagnosis of malignant breast lesions.<ref name="pmid16958958">{{cite journal| author=Patterson SK, Helvie MA, Aziz K, Nees AV| title=Outcome of men presenting with clinical breast problems: the role of mammography and ultrasound. | journal=Breast J | year= 2006 | volume= 12 | issue= 5 | pages= 418-23 | pmid=16958958 | doi=10.1111/j.1075-122X.2006.00298.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16958958  }} </ref>
*There are no [[mammogram]] findings associated with gynecomastia. However, a [[mammogram]] may be helpful for ruling out other causes of breast enlargement including [[malignant]] breast lesions.<ref name="pmid16958958">{{cite journal| author=Patterson SK, Helvie MA, Aziz K, Nees AV| title=Outcome of men presenting with clinical breast problems: the role of mammography and ultrasound. | journal=Breast J | year= 2006 | volume= 12 | issue= 5 | pages= 418-23 | pmid=16958958 | doi=10.1111/j.1075-122X.2006.00298.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16958958  }} </ref>
*Mammogram has 100 percent sensitivity and negative predictive value of detecting malignant breast lesions.<ref name="pmid12636326">{{cite journal |vauthors=Shetty MK, Shah YP, Sharman RS |title=Prospective evaluation of the value of combined mammographic and sonographic assessment in patients with palpable abnormalities of the breast |journal=J Ultrasound Med |volume=22 |issue=3 |pages=263–8; quiz 269–70 |year=2003 |pmid=12636326 |doi= |url=}}</ref>  
*[[Mammogram]] has 100 percent [[sensitivity]] and a high [[negative predictive value]] of detecting malignant breast lesions.<ref name="pmid12636326">{{cite journal |vauthors=Shetty MK, Shah YP, Sharman RS |title=Prospective evaluation of the value of combined mammographic and sonographic assessment in patients with palpable abnormalities of the breast |journal=J Ultrasound Med |volume=22 |issue=3 |pages=263–8; quiz 269–70 |year=2003 |pmid=12636326 |doi= |url=}}</ref>  
*Positive predictive value of mammogram studies is 55 percent, so it is mainly done in gynecomastia if history and physical examination of patient raise any malignancy suspicions.<ref name="pmid21209041">{{cite journal| author=Carlson HE| title=Approach to the patient with gynecomastia. | journal=J Clin Endocrinol Metab | year= 2011 | volume= 96 | issue= 1 | pages= 15-21 | pmid=21209041 | doi=10.1210/jc.2010-1720 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21209041  }} </ref><ref name="pmid21343518">{{cite journal| author=Robbins J, Jeffries D, Roubidoux M, Helvie M| title=Accuracy of diagnostic mammography and breast ultrasound during pregnancy and lactation. | journal=AJR Am J Roentgenol | year= 2011 | volume= 196 | issue= 3 | pages= 716-22 | pmid=21343518 | doi=10.2214/AJR.09.3662 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21343518  }} </ref>
*[[Positive predictive value]] of mammogram studies is 55 percent. It is mainly done in gynecomastia, if history and physical examination of patient raise any malignancy suspicions.<ref name="pmid21209041">{{cite journal| author=Carlson HE| title=Approach to the patient with gynecomastia. | journal=J Clin Endocrinol Metab | year= 2011 | volume= 96 | issue= 1 | pages= 15-21 | pmid=21209041 | doi=10.1210/jc.2010-1720 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21209041  }} </ref><ref name="pmid21343518">{{cite journal| author=Robbins J, Jeffries D, Roubidoux M, Helvie M| title=Accuracy of diagnostic mammography and breast ultrasound during pregnancy and lactation. | journal=AJR Am J Roentgenol | year= 2011 | volume= 196 | issue= 3 | pages= 716-22 | pmid=21343518 | doi=10.2214/AJR.09.3662 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21343518  }} </ref>


==References==
==References==

Latest revision as of 23:52, 15 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Husnain Shaukat, M.D [2]

Overview

Gynecomastia is diagnosed clinically after a thorough history and physical examination. Mammogram can be done in gynecomastia when physical findings of a patient raise suspicion of breast cancer.

Other Imaging Findings

Mammogram

References

  1. Patterson SK, Helvie MA, Aziz K, Nees AV (2006). "Outcome of men presenting with clinical breast problems: the role of mammography and ultrasound". Breast J. 12 (5): 418–23. doi:10.1111/j.1075-122X.2006.00298.x. PMID 16958958.
  2. Shetty MK, Shah YP, Sharman RS (2003). "Prospective evaluation of the value of combined mammographic and sonographic assessment in patients with palpable abnormalities of the breast". J Ultrasound Med. 22 (3): 263–8, quiz 269–70. PMID 12636326.
  3. Carlson HE (2011). "Approach to the patient with gynecomastia". J Clin Endocrinol Metab. 96 (1): 15–21. doi:10.1210/jc.2010-1720. PMID 21209041.
  4. Robbins J, Jeffries D, Roubidoux M, Helvie M (2011). "Accuracy of diagnostic mammography and breast ultrasound during pregnancy and lactation". AJR Am J Roentgenol. 196 (3): 716–22. doi:10.2214/AJR.09.3662. PMID 21343518.

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