[Puberal gynecomastia]

The clinical evaluation and the treatment of 46 patients that presented with puberal gynecomastia in a period of ten years to an Adolescent Medicine Department were assessed. The evolution period previous to the first appointment was less than six months in 47% of the cases; 59% were going through Tanner stages II and III; 26% presented emotional consequences. The result of the two-year clinical follow-up was: remission in 43%; surgical treatment in 28% and loss from the study in 28%. Assessment of the evolution time, size of gynecomastia and emotional consequences is suggested in order to decide on the treatment.