GYNECOMASTI - an increase in the mammary glands in men.
True gynecomastia occurs as a result of the growth of the glandular tissue of the mammary gland, false - due to excessive accumulation of adipose tissue in the mammary gland in men. True gynecomastia is physiological (for example, pubertal gynecomastia) and pathological, associated with an increased formation or a violation of estrogen metabolism. The latter develops at any age in testicular pathology (hypoplasia, cryptorchidism, testicular atrophy, for example due to injuries, tumors), as well as in severe lesions of the liver and kidneys, less often in diseases of the thyroid gland and adrenal glands.
When diffuse gynecomastia in the mammary gland appear seals, moving relative to the underlying tissues and painful on palpation. Nodular gynecomastia is often one-sided, with palpation it is determined by a dense, egg-shaped painless seal with clear contours.
The diagnosis is based on the characteristic clinical picture and the results of the determination of estrogen in the blood. Nodular gynecomastia is differentiated from the early stage of breast cancer on the basis of a cytological study of material obtained by puncture of the induration in the mammary gland.
Treatment of diffuse forms of gynecomastia often carried out with androgenic drugs. Treatment of the nodal form of gynecomastia - surgical (partial or complete resection of the mammary gland). Physiological gynecomastia does not require treatment.