Case 1 Answer 2

The mammographic work-up is definitive to establish the diagnosis of gynecomastia. An ultrasound would only be necessary if there were a mass on the mammogram. In general, men do not commonly get benign breast findings such as cysts.

Clinical follow-up is recommended. The most common causes of gynecomastia are pharmacologic elevation of estrogen levels, marijuana use and liver disease.

 

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