Gynecomastia is a medical condition of male breast abnormality that is not uncommon. It is typically caused by physiological or hormonal issues. However, there are unfortunate cases where the underlying cause of the male breast enlargement can be more serious.
There is a correlation between gynecomastia and cancer. Therefore, it’s crucial for me to raise awareness about this condition so that anyone who may be affected can be prompted to seek a more comprehensive health screening and explore treatment options.
Gynecomastia may be a symptom in testicular cancer
Many people may not realise that testicular cancer can present with various symptoms, including breast enlargement and gynecomastia. Studies have shown that about 10% of patients with testicular cancer experience gynecomastia or breast enlargement.
When patients present with these symptoms, we typically perform breast examinations, investigations, and ultrasounds to rule out any organic causes.
Male breast cancer and gynecomastia have similar symptoms
While we often discuss breast cancer in women, male breast cancer is also a possibility, albeit rare; accounting for about 0.2% of all male cancers!
Male breast cancer can manifest with symptoms similar to those seen in female breast cancer, including enlargement, pain, discomfort, discharge, skin changes, or hard, firm nodules in the chest or armpit area.
For patients with gynecomastia, thorough examinations and investigations are crucial to exclude potential malignancies before proceeding with treatment, even though male breast cancer is extremely rare.
Real story on discovering carcinoma in situ in a gyno patient
In my 20 years of experience treating gynecomastia, I have encountered a few cases with a high risk of carcinoma in situ, a condition where pre-cancerous patients may have no noticeable symptoms and seek treatment for gynecomastia instead.
I encourage you to listen to my podcast for a real patient story that illustrates these points.
It’s important for men dealing with gynecomastia to take this medical condition seriously. Do not dismiss it as merely excess fat or bad genetics.
