Gynaecomastia

Scope

  • Gynaecomastia in young men may be pubertal (physiological), or drug related these patients do not need referral and need reassurance.
  • Gynaecomastia in older men – review medication as this is commonly a side effect of their treatment for another condition.

Investigations

Investigations in patients presenting with symptoms and/or signs suggestive of breast cancer, investigation prior to referral is not recommended.

Management

  • Gynaecomastia in young men may be:
    • pubertal (physiological)
    • drug related e.g. spironolactone, digoxin, phenothiazines, sodium valproate, PPIs, cimetidine, finasteride, anabolic steroids, cannabis
    • these patients do not need referral and need reassurance
  • Gynaecomastia in older men – review medication as this is commonly a side effect of their treatment for another condition.

Referral

Referral Criteria

A 2WW referral should be made
  • For male patients, aged 50 years and older with a unilateral, firm subareolar mass with or without nipple distortion or associated skin changes

Referral Instructions

  • The GP should use e-Referral Service to book the appointment
    • Service: Surgery – 2WW
    • Clinic type: 2WW Breast
    • Service: 2WW-Breast Surgery-TSDFT-Torbay-RA9
  • Tell the patient the appointment details

Referral Forms

South Devon Healthcare Breast Cancer 2WW

Supporting Information

Pathway Group

This guideline has been signed off by South Devon and Torbay CCG

Publication date: August 2017

 

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