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Related Experiment Videos

[Gynecomastia. A follow-up study].

S Watt-Boolsen, S Bak

    Ugeskrift for Laeger
    |April 3, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Gynaecomastia classification relies on patient history and clinical exams. Extensive tests rarely improve outcomes for physiological/idiopathic cases, making them unnecessary for surgical referrals.

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    Area of Science:

    • Endocrinology
    • Surgical Gastroenterology

    Context:

    • Gynaecomastia diagnosis traditionally uses exclusion via case history and clinical examination.
    • A study reviewed 138 patients referred for gynaecomastia treatment between 1978-1981.

    Purpose:

    • To evaluate the efficacy of extensive paraclinical investigations in diagnosing the cause of physiological/idiopathic gynaecomastia.
    • To determine if advanced testing improves prognosis in such cases.

    Summary:

    • Of 138 patients, 98 (71%) were initially classified as physiological/idiopathic gynaecomastia.
    • Over a 7.5-year follow-up, underlying diseases potentially causing gynaecomastia were found in five cases.
    • Extensive investigations might have identified three additional cases but offered limited prognostic benefit.

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    Impact:

    • Routine extensive paraclinical investigations for physiological/idiopathic gynaecomastia are not recommended due to limited diagnostic and therapeutic yield.
    • Case history and clinical examination are deemed sufficiently accurate for classifying gynaecomastia in patients referred to surgical departments.