Gynecomastia ultrasound: Difference between revisions
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{{CMG}}; {{AE}} {{HS}} | {{CMG}}; {{AE}} {{HS}} | ||
==Overview== | ==Overview== | ||
Gynecomastia is diagnosed clinically after a thorough history and physical examination. [[Ultrasound]] | Gynecomastia is diagnosed clinically after a thorough history and physical examination. [[Ultrasound]] can be done in gynecomastia when physical findings of a patient raise suspicion of a [[lump]], [[abscess]] or [[breast cancer]]. | ||
==Ultrasound== | ==Ultrasound== | ||
*There are no [[ultrasound]] findings associated with gynecomastia. However, ultrasound 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 [[ultrasound]] findings associated with gynecomastia. However, ultrasound 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> | ||
*[[Ultrasound]] 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> | *[[Ultrasound]] 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> | ||
*[[Positive predictive value]] of [[ultrasound]] studies is only 17 percent | *[[Positive predictive value]] of [[ultrasound]] studies is only 17 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> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 16:47, 28 August 2017
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Risk calculators and risk factors for Gynecomastia ultrasound |
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. Ultrasound can be done in gynecomastia when physical findings of a patient raise suspicion of a lump, abscess or breast cancer.
Ultrasound
- There are no ultrasound findings associated with gynecomastia. However, ultrasound may be helpful in the diagnosis of malignant breast lesions.[1]
- Ultrasound has 100 percent sensitivity and negative predictive value of detecting malignant breast lesions.[2]
- Positive predictive value of ultrasound studies is only 17 percent. It is mainly done in gynecomastia, if history and physical examination of patient raise any malignancy suspicions.[3]
References
- ↑ 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.
- ↑ 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.
- ↑ 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.