Gynaecomastia: a decade of experience

Area of Science:

• Andrology
• Endocrinology
• General Surgery

Background:

• Gynecomastia is the most frequent benign male breast condition, representing up to 80% of male breast referrals.
• The study aimed to analyze trends in gynecomastia referrals and their clinical practice implications.

Purpose of the Study:

• To identify changes in the volume of gynecomastia referrals.
• To assess the impact of these changes on clinical management and practice.

Main Methods:

• Patient data was extracted from two prospective databases.
• Diagnosis was confirmed through clinical evaluation, ultrasound scans (USS), and/or histology.

Main Results:

• A significant rise in male patients referred and diagnosed with gynecomastia was observed.
• Gynecomastia prevalence was highest in males under twenty.
• Core biopsy (CB) emerged as the preferred histological method for unilateral cases, with no change in surgical intervention rates.

Conclusions:

• The majority of men diagnosed with gynecomastia seek reassurance regarding its benign nature.
• Psychological support should be integrated into the treatment plan for affected individuals.