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Gynecomastia: Look Beyond the Obvious

A 29-year-old man was referred to our clinic with a 4-week history of a tender predominant left breast enlargement without nipple discharge. He had been practicing bodybuilding regularly for years, but denied taking anabolic androgenic steroids. His past medical history was unremarkable apart from surgical treatment of undescended testes in childhood. His sexual desire and […]

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Hypertestosteronemia and Infertility from a Mediastinal Extragonadal Germ Cell Tumor

Extragonadal germ cell tumors are tumors of gonadal origin representing less than 5% of germ cell malignancies that form outside gonads. These are typically found in the mediastinum, retroperitoneum, or pineal gland. A 26-year-old man presented to the infertility clinic in January 2016 with a 2-year history of infertility. He had known hypertrophic cardiomyopathy due […]

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Does Testerone Supplementation Impact Heart Disease Risk? (video)

Does testosterone supplementation impact heart disease risk? The March 2017 issue of the American Journal of Medicine includes a new meta-analysis that looks at the use of testosterone supplements and cardiovascular disease risk. In this video Dr. Joseph S. Alpert talks about testosterone supplements and risk. Read the Research: Cardiovascular Risks of Exogenous Testosterone Use […]

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Cardiovascular Risks of Exogenous Testosterone Use Among Men (videos)

We sought to evaluate whether exogenous testosterone therapy is associated with increased risk of serious cardiovascular events as compared with other treatments or placebo. Methods Study selection included randomized controlled trials (RCTs) and observational studies that enrolled men aged 18 years or older receiving exogenous testosterone for 3 or more days. The primary outcomes were […]

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Male Breast: Clinical and Imaging Evaluations of Benign and Malignant Entities with Histologic Correlation

  Breast cancer is an uncommon disease in men. As a result, the diagnosis may not initially be considered. Understanding the common benign and malignant entities affecting the male breast is critical for timely and accurate diagnosis in the primary care setting. Most patients present with a palpable breast mass or pain. The usual etiology […]

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