![Gynecomastia: Look Beyond the Obvious Histology confirmed the diagnosis of papillary urothelial carcinoma of the bladder with expression of human chorionic gonadotropin (hCG) [(A) Papillary urothelial carcinoma pTaG1, hematoxylin and eosin (H&E), 200×; (B) Distribution of hCG-expressing urothelial cells: irregular and focal expression, immunohistochemical stain (brown) for β-hCG, 300×; (C) Expression of hCG in urothelial carcinoma cells: intracytoplasmic and intranuclear expression, immunohistochemical stain for β-hCG, 400×].](https://amjmed.org/wp-content/uploads/2018/02/gr1-2-200x171.jpg)
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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