Pseudogynecomastia vs. Gynecomastia

Left picture: It is only seemingly a gynecomastia; in fact, a pseudogynecomastia is present as part of an obesity. Right picture: Here, the diagnosis is a distinct gynecomastia of a developing teenager.

An impressive enlargement of both breasts is visible in both boys, and, considering the axillary folds and the stature, a distinct obesity. Left picture: The patient has just reached the age of 10 years. Right picture: This is a 13.5-year-old teenager. Left picture: The mammary glands and the areolas are inconspicuous. Right picture: A broad areola of the right breast is visible, and on both sides enlarged mammary glands are palpable.