Abstract Archives of the RSNA, 2014
BRE003-b
Gynecomastia vs Pseudogynecomastia: Imaging Diagnosis, Cause and Treatment
Education Exhibits
Presented in 2014
Woo Jin Yang, Presenter: Nothing to Disclose
Jung Kyu Ryu MD, PhD, Abstract Co-Author: Nothing to Disclose
Sun Jung Rhee MD, Abstract Co-Author: Nothing to Disclose
Jeong Yoon Song, Abstract Co-Author: Nothing to Disclose
1) To review the imaging findings of gynecomastia and pseudogynecomastia.
2) To review various causes of gynecomastia and pseudogynecomastia.
3) To review difference in treatments of gynecomastia and pseudogynecomastia.
1. Imaging features of normal male breast, gynecomastia and pseudogynecomastia
A. Mammography.
B. Ultrasonography
C. CT, MR.
2. Cause of gynecomastia and pseudogynecomastia
A. Physiologic gynecomastia : neonates, pubertal boys, and elderly men
B. Pathologic gynecomastia: a increase in estrogen, a decrease in testosterone, medication or drug and idiopathic)
C. Cause of pseudogynecomastia (Excessive fat tissue with a lack of actual breast tissue) : obesity, lipomatosis
3. Treatment strategies for gynecomastia and pseudogynecomastia
A. Gynecomastia:
I. Medical : Selective estrogen-receptor modulator (Tamoxifen)
II. Surgical : Often require “excisional surgery”
B. Pseudogynecomastia:
I. Conservative : Weight reduction
II. Surgical : Can be treated with “liposuction alone”
http://abstract.rsna.org/uploads/2014/14017908/14017908_wk3i.pdf
Yang, W,
Ryu, J,
Rhee, S,
Song, J,
Gynecomastia vs Pseudogynecomastia: Imaging Diagnosis, Cause and Treatment. Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL.
http://archive.rsna.org/2014/14017908.html