ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Adolescent Gynecomastia: Review
Dr. Ayhan ABACI,aa Dr. Atilla BÜYÜKGEBİZa
aÇocuk Sağlığı ve Hastalıkları BD, Endokrin ve Adölesan Ünitesi, Dokuz Eylül Üniversitesi Tıp Fakültesi, İZMİR
Adolescent gynecomastia is the benign enlargement of the male breast due to the proliferation of ductal tissue. Adolescent gynecomastia is usually considered a physiologic condition. Gynecomastia can be detected in up to 70% of boys during puberty. An imbalance in the ratio of estrogen to androgen tissue levels is postulated as a major cause in the development of gynecomastia. This imbalance may be the result of an increase in free plasma estrogens due to an augmented synthesis in the testes or adrenal glands, to enhanced aromatization of precursors or to displacement from sex hormone-binding proteins. Laboratory evaluation should include the measurement of testosterone, estradiol, gonodotropin, and prolactine levels and thyroid function tests. There are three management considerations for gynecomastia: reassurance, drug therapy and surgery (mastectomy).Keywords: Gynecomastia, puberty, estrogens, androgensTurkiye Klinikleri J Med Sci 2006, 26:296-308
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