What is the condition called when male breast enlarges due to abnormal proliferation of ductal glandular tissue?

• A. Gynecomastia
• B. Mastitis
• C. Fibroadenoma
• D. Lipomastia

Answer: (A)

Gynecomastia is the enlargement of male breast due to abnormal proliferation of ductal glandular tissue beneath the nipple. This results from a hormonal imbalance where estrogen effects on the breast tissue outweigh androgens, often occurring during puberty or aging and can be influenced by medications or systemic illnesses. Clinically, it presents as a firm, subareolar mass that may be bilateral or unilateral. It’s different from lipomastia, where the increase is due to fat without true glandular proliferation; and from mastitis, which involves infection with pain, warmth, and redness. Fibroadenoma is a benign glandular tumor typically seen in women and not the cause of this男 breast enlargement.