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Gynaecomastia

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This word means the development of breast tissue in a male. The excess of tissue does not usually mean that it is cancerous. This is common in early puberty as a result of oestrogen (female) hormone excess and invariably resolves spontaneously.

This can also occur in elderly people and the cause can only be elucidated by a careful history and examination.

The main causes are as follows:-

Physiological - Neonatal affect of maternal hormones occurring in old age.

Pelicient Testosterone (Male hormone) - can be due to a disorder of the pituitary gland in a severe systematic illness or malnuritment.

Oestrogen Producing Tumours - In the testes, adrenal gland. Drugs Oestrogen, cannabis, heroin, spironoledone, cimetidine.

Over Active Thyroid
- This is worrying sign and if it does occur, produces embarrassment and concern.

Any 'swelling' in the male in this area should be examined as breast cancer is not confined exclusively to females.

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