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High levels of prolactin are uncommon in people with gynecomastia. If -h, CG levels are abnormally high, then ultrasound of the testicles need to be performed to inspect for signs of a hormone-secreting testicular growth. Markers of testicular, adrenal, or other growths such as urinary 17-ketosteroid or serum dehydroepiandrosterone may also be checked if there is evidence of hormone imbalance on health examination.

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Differential diagnosis [edit] Other reasons for male breast augmentation such as mastitis, breast cancer, pseudogynecomastia, lipoma, sebaceous cyst, dermoid cyst, hematoma, metastasis, ductal ectasia, fat necrosis, or a hamartoma are usually left out prior to making the diagnosis. Another condition that might be puzzled with gynecomastia is enlargement of the pectoralis muscles. [] Imaging [modify] Mammography is the method of option for radiologic evaluation of male breast tissue in the diagnosis of gynecomastia when breast cancer is presumed on health examination.

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If mammography is performed and does not reveal findings suggestive of breast cancer, additional imaging is not usually needed. If a tumor of the adrenal glands or the testes is believed to be accountable for the gynecomastia, ultrasound examination of these structures might be performed. Histology [edit] Early histological features expected to be seen on evaluation of gynecomastic tissue achieved by fine-needle goal biopsy include the following: proliferation and lengthening of the ducts, an increase in connective tissue, an increase in inflammation, and swelling surrounding the ducts, and an increase in fibroblasts in the connective tissue.

When surgery is performed, the gland is routinely sent to the laboratory to confirm the presence of gynecomastia and to look for growths under a microscopic lense. The utility of pathologic evaluation of breast tissue gotten rid of from male teen gynecomastia clients has recently been questioned due to the rarity of breast cancer in this population.

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In more severe cases, medical treatment might be provided consisting of medication or surgical intervention. Medication [edit] Gynecomastia can respond well to medical treatment although it is typically just reliable when done within the first two years after the start of male breast augmentation.  تثدي الرجال الاسباب والعلاج  (SERMs) such as tamoxifen, raloxifene, and clomifene might be beneficial in the treatment of gynecomastia however are not authorized by the Fda for use in gynecomastia.