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​Symptoms and Signs – Differential Diagnosis of Gynaecomastia
Chronic liver disease
Chronic renal failure
Drugs: spirinolactone, cimetidine, cyproterone acetate, chlorpromazine,
Hyperthyroidism
Hypogonadism
oestrogens, digoxin, drugs of abuse (heroin, marijuana)
Physiological: puberty, elderly
Pseudogynaecomastia: e.g. in obese men
testicular)
Tumours: ectopic hCG (e.g. hepatoma and lung), oestrogen-producing (e.g.

Unilateral
Breast carcinoma
Lipoma, lymphangioma, neurofibroma, haematoma, dermoid cyst
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