ea0034p86 | Clinical practice/governance and case reports | SFEBES2014
, Wenham Sarah
, Mitra Kakali
, Wayte Avril
, Wilton Tony
Gynaecomastia is common, occurring in 3050% of healthy men, and its aetiology is usually benign. Clinical features inclusive of recent onset, rapid progression, and loss of libido and muscle strength, indicate the need to exclude a malignant aetiology.A 48-year-old man presented with an 18-month history of such clinical features. Investigations revealed cortisol 1136 nmol/l, 17-hydroxyprogesterone 6.6 nmol/l, androstenedione 13.3 nmol/l, DHEAS 21.8...