What is included in the workup of gynecomastia?

Updated: Mar 22, 2018
  • Author: George Ansstas, MD; Chief Editor: George T Griffing, MD  more...
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Patients with physiologic gynecomastia do not require further evaluation. Similarly, asymptomatic and pubertal gynecomastia do not require further tests and should be reevaluated in 6 months. Further evaluation is necessary in patients with the following:

  • Breast size greater than 5 cm (macromastia)

  • A lump that is tender, of recent onset, progressive, or of unknown duration

  • Signs of malignancy (eg, hard or fixed lymph nodes or positive lymph node findings)

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