Gynecomastia: The Daily PANCE Blueprint

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Gynecomastia: The Daily PANCE Blueprint

A 15-year-old boy is brought to the clinic by his parents due to concerns about breast enlargement over the past 8 months. The patient is healthy, not taking any medications, and has no other significant symptoms. On physical examination, he has a normal BMI and exhibits bilateral breast tissue enlargement beneath the areolas, with no nipple discharge or skin changes. He has normal pubic and axillary hair growth and no testicular abnormalities. Thyroid function tests and liver enzymes are within normal limits. What is the most likely cause of this patient's breast tissue growth?

A. Testicular tumor
B. Drug-induced gynecomastia
C. Adrenal tumor
D. Physiologic pubertal gynecomastia
E. Klinefelter syndrome

Answer and topic summary

The answer is D. Physiologic pubertal gynecomastia

Physiologic pubertal gynecomastia is a common and benign condition that affects many adolescent boys. It results from the hormonal changes during puberty, leading to a temporary imbalance between estrogen and testosterone. This condition typically resolves on its own within one year without the need for treatment.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Reproductive System ⇒ Breast Disorders ⇒ Gynecomastia

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