Patient's question:
A man has a lump in his breast that is getting bigger and hurts when pressed. What could be the reason?Doctor's answer:
Disease Analysis:Guidance:
Gynecomastia in males is referred to as male breast development. It is most common in the period before and after puberty and in old age. The pathological manifestation is the proliferation of ducts without alveolar proliferation. It is generally classified into two major categories: primary and secondary. It is most frequently seen in pubertal boys and elderly men, primarily caused by transient elevation of endogenous estrogen or a decrease in androgens, and often resolves on its own. Secondary cases are commonly associated with liver diseases, testicular diseases, adrenal diseases, thyroid diseases, diabetes, and tumors of the urogenital or nervous systems. Long-term use of estrogen, such as in the treatment of prostatic diseases, or prolonged use of certain medications like reserpine, rifampin, digitalis, or chlorpromazine may also lead to breast development, which typically resolves after discontinuation of the medication. Additionally, intersex conditions and congenital testicular hypoplasia can also cause breast enlargement.