Ginekomasti pada Laki-Laki dengan Mikroadenoma Hipofisis

Authors

  • Dicky Faizal Irnandi Laboratorium Biokimia Biomolekuler Fakultas Kedokteran Universitas Brawijaya
  • Tjahjo Djojo Tanojo Klinik Andrologi Rumah Sakit Umum Daerah Dr. Soetomo Surabaya

DOI:

https://doi.org/10.21776/ub.jkb.2017.029.04.16

Keywords:

Feminisasi laki-laki, ginekomasti, karakteristik seksual sekunder, mikroadenoma hipofisis

Abstract

Ginekomasti adalah pembesaran payudara laki-laki yang mengacu pada proliferasi komponen duktal. Ditemukan kasus ginekomasti yang jarang terjadi. Seorang pria berusia 44 tahun datang dengan keluhan utama pembesaran kedua payudara sejak tiga tahun terakhir. Pada pemeriksaan fisik, ditemukan ginekomasti kelas II (tanner IV) dengan galaktorhea. Pemeriksaan genitalia menunjukkan panjang penis 10cm dan volume testis 6mL dengan konsistensi lunak. Nilai testosteron 22,65ng/dL, LH <0,07mIU/mL, dan FSH <0,3mIU/mL. Pemeriksaan ultrasonografi (USG) payudara menunjukkan ginekomasti bilateral dengan ektasis duktal bilateral. Ultrasonografi (USG) abdomen menunjukkan tidak ada signifikansi yang terkait ginekomasti. Ultrasonografi (USG) skrotum menunjukkan testis yang normal di kedua sisi. Magnetic Resonansi Imagine (MRI) kepala (dengan kontras) ditemukan mikroadenoma hipofisis. Pasien didiagnosis sebagai ginekomasti dengan mikroadenoma hipofisis. Pasien direncanakan untuk mendapatkan terapi penggantian testosteron.

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Published

2017-08-31

Issue

Vol 29, No. 4 (2017)

Section

Case Report

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