GYNECOMASTIA

Abstract
The finding of 5 cases of gynecomastia within one division of soldiers and the fact that in each instance the man complained of inability to wear a pack because of this condition prompted us to restudy this problem. The articles of Lewis and Geschickter1and Wernicke2give extensive bibliographies and adequately trace the disease down from its first description by Basedow in 1848 to the present. The cause of gynecomastia is still obscure except in that group of cases in which obviously associated endocrine disturbances are present, such as chorionepithelioma or teratoma of the testicle and tumors of the adrenal cortex. The great majority of cases, however, present no associated endocrine disturbance and in none of our cases could we find any abnormalities that might be causative of gynecomastia. There were no atrophied testicles nor undescended testes. Many authors3mention trauma as a causative agent; although only

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