Gynecomastia – evaluation and current treatment options

CLINICAL QUESTION: What is the best management approach for gynecomastia? RESULTS: In most patients, surgical correction usually leads to immediate cosmetic and symptomatic improvement and is considered the best approach. In men who are being treated with antiandrogen therapies, pharmacological intervention with tamoxifen is the most effective approach, followed by radiotherapy. IMPLEMENTATION: : Failure to detect the very rare male breast cancer. Overly aggressive early intervention or evaluation. Appropriate medical intervention. When to refer to specialist treatment;