Conclusions Atypical presentations of gynecomastia are often not recognized, with little attention to breast development in prepubertal
non-obese children. Since prepubertal gynecomastia could be a sign of possible underlying diseases, a thorough examination
and further research is recommended. If there is no causal treatment, surgical resection is the therapy of first choice. Peripheral
liposuction and surgical resection of the gland tissue are the mainstay of treatment. In summary, we describe two cases of
prepubertal unilateral gynecomastia with a normal endocrine workup. Further research is needed to establish the pathophysiologic
mechanisms of prepubertal gynecomastia, since underlying etiology in most cases remains unclear.
Content Type Journal ArticleCategor…
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