What should be the focus of the physical exam for gynecomastia?

Updated: Mar 22, 2018
  • Author: George Ansstas, MD; Chief Editor: George T Griffing, MD  more...
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Answer

Also note the following in gynecomastia:

  • Glandular tissue - Gynecomastia can be detected when the size of the glandular tissue exceeds 0.5 cm in diameter

  • Testicles - Examine the testicles, noting their size and consistency; carefully look for nodules or asymmetry

  • Feminization - Note signs of feminization, including typical body hair distribution and eunuchoid habitus

  • Stigmata - Check for any stigmata of chronic liver disease, thyroid disease, or renal disease

Note that hematoma, lipoma, male sexual dysfunction, and neurofibroma can be included in the differential diagnosis of gynecomastia.


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