Image in medicine
Gynecomastia and testicular cancer
Ginecomastia y tumor testicular
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He consulted for gynecomastia related to the said use (epiphenomenon). Lab tests including hormonal profile showed normal results. The patient was then referred to Endocrinology for evaluation. An MRI of the hypothalamic-pituitary axis was performed, which was normal. A breast ultrasound showed a mild symmetrical bilateral gynecomastia. A testicular ultrasound was pending.</p><p id="par0010" class="elsevierStylePara elsevierViewall">The patient came back to our clinic for a 1-week history of cough and loss of 7<span class="elsevierStyleHsp" style=""></span>kg. Two chest radiographs were performed, lateral and posteroanterior, showing “balloon release” images, as seen in <a class="elsevierStyleCrossRefs" href="#fig0005">Figs. 1 and 2</a>. For this reason we decided to refer the patient to the hospital emergency services.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">The patient was admitted to the internal medicine ward to be evaluated. A testicular ultrasound was performed during admission, showing a primary testicular neo-formative process. A thorax and abdomen CT scan was also performed, where bilateral nodules were described, many of them cavitated, with peripheral enhancement and bilateral pleural effusion, accompanied by large mediastinal masses, as well as major bilateral hilar lymphadenopathies. The patient was then referred to Oncology, where he underwent an orchiectomy, initiating chemotherapy the day after surgery. He developed symptoms of severe respiratory distress during admission, requiring invasive ventilation and ICU admission.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Galobart Morilla P, Sampedro Abascal C. Ginecomastia y tumor testicular. Med Clin (Barc). 2017;148:e31.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 627 "Ancho" => 850 "Tamanyo" => 75305 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 811 "Ancho" => 650 "Tamanyo" => 49941 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014800000006/v1_201704120030/S238702061730178X/v1_201704120030/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014800000006/v1_201704120030/S238702061730178X/v1_201704120030/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S238702061730178X?idApp=UINPBA00004N" ]
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