E. Ginn, P. Modi, O.C. Eboka, J.U. Maton, C. Ferrie, M.K. Abdoun and I. C. Skevofilax*
Gynecomastia is defined as benign glandular proliferation of breast tissue in males resulting in enlargement which can occur from hormonal imbalance caused by medications, foods, PIEDS, adolescence, obesity, narcotics, and even some fermented drinks. Historically there are various forms of grading and treatment depending on the patient’s presentation, including tanner staging, ultrasound, simon classification of gynecomastia, and concentric circles. All of these methods for grading are based on a physical exam, and treatment varies depending on if there is an underlying condition, which must be addressed first before pursuing surgery. Though there currently are some guidelines for management and diagnosis of gynecomastia, there is not a golden standard for diagnosis or surgery. The purpose of this study is to provide evidence to contribute towards setting a golden standard for diagnosis and treatment of gynecomastia through a new gynecomastia grading system with clearer guidelines.