Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
 • Adrenal Neoplasm
 • Increased Extraglomerular Aromatase Activity
 • Liver Disease
Testicular Mass on Ultrasound
 • Leydig Cell Tumor
 • Sertoli Cell Tumor
No Testicular Mass on Ultrasound
 • Extragonadal Germ Cell Tumor
 • HCG Secreting Non-Trophoblastic Neoplasm
Testicular Mass on Ultrasound
 • Testicular Germ Cell Tumor
Increased T4, Decreased TSH
 • Hyperthyroidism
Increased Testosterone
 • Testicular Germ Cell Tumor
Normal T4 and TSH
 • Androgen Resistance
Decreased Testosterone
 • Hypogonadism
 • Klinefelter's Syndrome
 • Kallman's Syndrome
 • Testicular Torsion
 • Testicular Trauma
 • Congenital Anorchia
 • Viral Orchitis
Increased Prolactin
 • Prolactin Secreting Tumor
Normal Prolactin
 • Non-Tumor Secondary Hypogonadism

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Calgary Blackbook @CalgaryBlackBook · 4 years ago
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