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Gynecomastia on Thoracic Computed Tomography
Muhammed Akif Deniz1, Rukan Matsar Öz2
1Radiology, Dicle University School of Medicine, Diyarbakır, TUR.
Cureus
|February 2, 2024
Summary
Gynecomastia, a benign breast tissue growth in males, was found in 31.3% of patients undergoing thoracic CT scans. Common causes included cancer, chronic kidney disease, and hepatitis B, highlighting the importance of evaluating the breast area during CT imaging.
Area of Science:
- Radiology
- Endocrinology
- Oncology
Background:
- Gynecomastia is a common benign proliferation of male breast ductal epithelium.
- Thoracic computed tomography (CT) imaging provides an opportunity to assess for gynecomastia incidentally.
Purpose of the Study:
- To determine the frequency of gynecomastia in male patients undergoing thoracic CT.
- To identify potential causes and describe imaging characteristics of gynecomastia.
- To compare findings with existing literature.
Main Methods:
- Retrospective analysis of 1500 male patients over 18 years old who underwent thoracic CT.
- Assessment for presence, localization, and type of gynecomastia.
- Evaluation of potential etiologies for identified gynecomastia.
Main Results:
- 31.3% of patients (470/1500) exhibited gynecomastia.
- Bilateral gynecomastia was most common (77.7%), followed by nodular type (52.1%).
- Identified causes included cancer (23.4%), chronic kidney disease (13.2%), and chronic hepatitis B (10.7%).
Conclusions:
- Gynecomastia is frequently detected on thoracic CT scans.
- Identifying gynecomastia aids in diagnosing underlying conditions like cancer and chronic diseases.
- Routine evaluation of the breast area during thoracic CT is recommended for early detection and management.
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