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Gynecomastia in a mortician. A case report
N Bhat1, E F Rosato, P K Gupta
1Department of Pathology, University of Pennsylvania Medical Center, Philadelphia.
Acta Cytologica
|January 1, 1990
Summary
Gynecomastia, or breast tissue enlargement in males, can occur in morticians due to occupational exposure to embalming creams containing estrogens. Awareness of this risk, termed the "embalmer
Area of Science:
- Endocrinology
- Occupational Health
- Cytopathology
Background:
- Gynecomastia is a common endocrine condition characterized by the enlargement of male breast tissue.
- Occupational exposures in certain professions can lead to unique health challenges.
- Fine needle aspiration (FNA) is a diagnostic technique used to evaluate cellular abnormalities.
Observation:
- A case study detailing fine needle aspiration (FNA) findings in a mortician diagnosed with gynecomastia.
- The FNA smears exhibited cytomorphologic characteristics consistent with gynecomastia.
- The patient's occupation as a mortician involved regular use of embalming creams.
Findings:
- Embalming creams utilized by morticians may contain estrogens or estrogen-like compounds.
- Percutaneous absorption of these compounds can lead to the development of gynecomastia.
- The observed gynecomastia in the mortician is attributed to occupational exposure.
Implications:
- Healthcare providers should consider occupational exposures when diagnosing gynecomastia in morticians.
- Educating morticians about the potential risks associated with embalming cream ingredients is crucial.
- Recognition of this occupational hazard, the "embalmer's curse," aids in appropriate clinical management and prevention.