A member asked:

Had ultrasound and mammogram 4 bilteral male breast tenderness had for 6 mths. why do both? are either gynecomastia or cancer possible?

11 doctors weighed in across 5 answers
Dr. Creighton Wright answered

Specializes in surgery

Both possible: Mammogram shows mass or calcium ultrasound helps with fluid-cystic asses.

Answered 7/8/2013

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Dr. Zahid Niazi answered

Specializes in Cosmetic Surgery

Important to exclude: Yes both are possible and need to be excluded. Late gynecomastia development may be caused by hormonal imbalance as a side effect of medications.

Answered 1/11/2015

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Dr. Mark Pack answered

Specializes in General Surgery

Both possible: Men can get breast cancer. Men make up 1% of all breast cancers. Bilateral makes it more likely to be gynecomastia, but sometimes removal is the only way to know for sure.

Answered 8/10/2014

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Dr. Michael Gabor answered

Specializes in Diagnostic Radiology

They are: complementary examinations, each providing different information on the same tissue. They are often performed together, and concordant results can increase the confidence level of a particular diagnosis. In your case, gynecomastia is much more probable than cancer. What did the imaging show?

Answered 8/14/2014

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Gynecomastia: Ultrasound is useful at detecting cystic changes and mammogram x-ray is better at detecting calcifications and solid mass. Given your age and the symptoms you describe, it is not unusual to have both exams performed. Hormonal level blood test may also be done as part of the work up. Gynecomastia or pseudogynecomastia are more likely but 1% of all breast cancer does occur in men so cant be ignored

Answered 8/14/2014

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