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General Surgery


Answer 3
  1. Perform operative excision. Operative excision is the only course that allows the surgeon to make a definitive diagnosis. The diagnosis is usually gynecomastia; thus, subcutaneous mastectomy ensures that the condition will not recur. Endocrinologic work-up is not usually necessary, unless bilateral pathology is present in the breasts. A testicular examination and history of marijuana use should be explored.

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