Walraven M, Wilmink H J, de Boer L M, Muller A F
Afd. Interne Geneeskunde, Diakonessenhuis Utrecht, Bosboomstraat 1, 3582 KE Utrecht.
Ned Tijdschr Geneeskd. 2004 Apr 24;148(17):809-13.
In three patients gynaecomastia was diagnosed: a 22-year-old man with concomitant thyrotoxicosis due to an extensively metastasized extragonadal choriocarcinoma, a 53-year-old man with hypogonadism due to Klinefelter's syndrome that was biochemically obscured due to medications leading to elevated prolactin levels, and a 62-year-old man with acromegaly and secondary hypogonadism due to a mixed prolactin and growth hormone secreting pituitary adenoma. Gynaecomastia calls for thorough evaluation.
诊断出3例男性乳房发育症:1例22岁男性,因广泛转移的性腺外绒毛膜癌伴发甲状腺毒症;1例53岁男性,因克兰费尔特综合征导致性腺功能减退,因药物导致催乳素水平升高而在生化检查中被掩盖;1例62岁男性,因分泌催乳素和生长激素的混合性垂体腺瘤导致肢端肥大症和继发性性腺功能减退。男性乳房发育症需要进行全面评估。