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A 13-year-old boy - cd45
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04-10-2007, 06:04 PM
has a 3-cm unilateral, nontender breast nodule. Which of the following management approaches is optimal for this patient?
a.Perform an endocrinologic work-up b. Perform an incisional biopsy c. Perform operative excision d. Provide reassurance and observe
04-10-2007, 06:12 PM
of course D.
Just observe, this is normal whether painful or painless, unilateral or bilateral.
04-10-2007, 06:14 PM
yes i agree with d...and with ur explanation triplehelix.. at puberty boys can get painless/painfull u/l b/l gynecomastia
but the ans given was C..but i dont agree with it Perform operative excision. Operative excision is the only course that allows the surgeon to make a definitive diagnosis. The diagnosis is usually gynecomastia; thus, subcutaneous mastectomy ensures that the condition will not recur. Endocrinologic work-up is not usually necessary, unless bilateral pathology is present in the breasts. A testicular examination and history of marijuana use should be explored.
04-10-2007, 09:18 PM
yeah i agree, ans should be d... gynacomastia at puberty is normal phenomenon,
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