Gynecomastia as a first clinical sign of nonseminomatous germ cell tumor
| Autor: | Dimitrios Baltogiannis, E. Vlachopoulou, Fotios Dimitriadis, Atsushi Takenaka, S. Vappa, Dimitrios Giannakis, Stavros Tsambalas, Panagiota Tsounapi, Nikolaos Sofikitis, N. Kolitsas |
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| Rok vydání: | 2010 |
| Předmět: |
Oncology
Male medicine.medical_specialty Pathology Adolescent Medical Oncology/methods Urology Testicular tumor Gynecomastia/complications/*diagnosis macromolecular substances Medical Oncology Diagnosis Differential Testicular Neoplasms Internal medicine medicine Humans skin and connective tissue diseases Testicular cancer business.industry Neoplasms Germ Cell and Embryonal/complications/*diagnosis Testicular Neoplasms/complications/*diagnosis Neoplasms Germ Cell and Embryonal medicine.disease medicine.anatomical_structure Gynecomastia business Germ cell Sign (mathematics) |
| Zdroj: | Urologia internationalis. 87(2) |
| ISSN: | 1423-0399 |
| Popis: | Introduction: Gynecomastia is a common clinical sign in several diseases. In this report we present a case of gynecomastia with underlying testicular tumor which remained misdiagnosed for a prolonged period of time. Case Report: A 16-year-old adolescent noticed unilateral painless swelling of the left breast. He was referred to the Department of General Surgery and examined by a breast surgeon. A diagnosis of mastitis was made and a treatment with an oral antibiotic drug began. After failure of the initial antibiotic treatment, the patient was referred to the Department of Endocrinology and left testicular cancer was diagnosed. Unilateral high inguinal orchidectomy and subsequent chemotherapeutic treatment were performed. Conclusion: Primary care physicians should be aware of the possibility of a concomitant presence of gynecomastia and testicular cancer. We suggest a physical examination as well as a laboratory investigation, and testicular ultrasonography of the testes in all patients with gynecomastia. |
| Databáze: | OpenAIRE |
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