Gynecomastia

Abstract

The majority of cases of gynecomastia occur at puberty and are believed to be of physiologic hormonal origin. When gynecomastia occurs in patients in their 20s or older, careful investigation of hepatic, testicular and endocrine function is indicated. Since malignant disease of the breast is not a hazard in gynecomastia, conservative therapy is warranted.

There is no medical treatment for gynecomastia, and hormonal therapy, on the whole, has been unsuccessful.