Breast Pain in an Early Adolescent Male Without Gynecomastia

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Gonzalo M. Agüero
Servicio de Adolescencia, Hospital de Agudos Dr. Cosme Argerich. Buenos Aires, Argentina
https://orcid.org/0000-0002-6589-9358

Abstract

Pubertal gynaecomastia is the most common cause of breast symptoms in adolescent boys, such as enlargement, lumps or pain.
We report the case of a 13-year-old adolescent with bilateral mastalgia caused by a mechanical/traumatic factor and in the absence of gynecomastia.
The diagnostic presumption was based on key points of the anamnesis and physical examination.
The anamnesis assessed mechanical and traumatic factors of mastalgia, which are not usually evident at baseline.
Physical examination of the nipple-areola complex allows differentiation between gynaecomastia and lipomastia.
Ultrasonography is a complementary resource in doubtful cases.

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Published: 2026-03-26
DOI: https://doi.org/10.51987/Rev.Hosp.Ital.B.Aires.v46i1.1282
Keywords:
adolescent, male, breast pain, gynecomastia, case reports

Article Details

Issue

Vol. 46 No. 1 (2026): Revista del Hospital Italiano de Buenos Aires

Section

Clinical case
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

How to Cite

1.
Agüero GM. Breast Pain in an Early Adolescent Male Without Gynecomastia. Rev Hosp Ital B.Aires [Internet]. 2026 Mar. 26 [cited 2026 Jul. 31];46(1):e0001282. Available from: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/1282

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