![]() ![]() A history of carcinoma (18% and 0%) or a family history of breast carcinoma (36% and 14%) was more common in the patients with carcinoma than in those with gynecomastia, respectively (P < 0.05 P = NS, respectively). Patients with gynecomastia were more likely to present with pain and the majority of these patients described tenderness on clinical examination. A lump was the presenting complaint in patients with carcinoma unless the disease was advanced. Patients with carcinoma delayed significantly longer before presentation than patients with gynecomastia, a median of 33 versus 3.4 months, respectively. ![]() The medical records of these patients were reviewed and data were collected from patients' charts and histopathology records. Over a 14-year period, 60 patients > or = 40 years old were operated on four unilateral breast masses (11 carcinoma, 49 gynecomastia) at the University College Hospital, Galway, Ireland. The main problem in this age group is to differentiate gynecomastia or benign enlargement from carcinoma. Breast enlargement in men is a common condition with advancing age.
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