S. Hanneken, MD; R. Kruse, MD; P. Dall, MD; T. Ruzicka, MD; N. J. Neumann, MD
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Hanneken S, Kruse R, Dall P, Ruzicka T, Neumann NJ. Unilateral Pseudogynecomastia: A Novel Work-Related Disease. Ann Intern Med. 2004;140:W-28. doi: 10.7326/0003-4819-140-6-200403160-00034-w3
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Published: Ann Intern Med. 2004;140(6):W-28.
TO THE EDITOR:
Background: The distinction between gynecomastia, which affects breast glandular tissue (1, 2), and pseudogynecomastia, which affects only subcutaneous fat tissue (lipomastia), is essential (3, 4). Pseudogynecomastia can occur bilaterally and unilaterally and is mainly related to obesity.
Objective: To describe a patient who developed pseudogynecomastia of his right breast caused by strenuous physical work over a 10-year period.
Methods and Findings: On clinical examination, the patient, a 39-year-old man, had a significantly enlarged right breast with a horizontal skin fold of 6 to 7 cm. The enlargement extended to the right axilla and to the back (Figure). Palpation of the right breast indicated only soft tissue without any induration. Results of the andrologic examination and tumor marker levels were nonpathologic.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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