Advice please. Deffinate diagnosis?

[carrots]

trying to get some info can you help??
Two specialists disagree, one says I have gyna and one not. Have had a lump and a small sist  drained from my right boob, boobs have a nagging pain in particular the one with the sist drained . Pain is eased a lot by using support ( comes and goes). Cant stand any more prodding, bloods ok but was diagnosed glucose intolerance some time ago , no cancer diagnosed but the specialists agree I should support to ease nagging despite no firm clinical diagnosis.
Boobs quite big, using a bra helps a lot and is embarrassing but the lesser evil, support as suggested helps a lot.Can different diagnosis by specialists be normal???
Anyone with a similar story? Does feel strange not to have a clinical diagnosis, specialists disagreeing but at the same time told to use support.
Not sure how this site works but can be contacted on carrotops59@o2.co.uk, please treat this site with respect though.
Thanks

[Litlriki]

Gynecomastia is a descriptive diagnosis that applies to any man who has excessive breast tissue causing the chest area to look more like the breast of a woman, thus the name "woman-like breast." There is nothing complicated or confusing about this, but many doctors seem to be unwilling to commit themselves to a diagnosis, probably because they don't understand the condition.  I think that those who won't commit think that a tissue diagnosis is required.  In other words, when we send a biopsy of the tissue that we remove during gynecomastia surgery, the pathologist will look at the tissue under a microscope and diagnose it as "gynecomastia," which meets certain criteria of a histologic diagnosis. 

While the composition of the tissue causing the breast excess is important in determining how the procedure goes (more versus less suction, more versus less excision, need for skin excision, and so on), my goal is to create a more masculine appearing chest with a minimum of scars.  If there is a tissue diagnosis of gynecomastia, which there often is, that's fine, but I don't need that to decide that someone has gynecomastia.

From your description, you have gynecomastia.  "Boobs quite big, using a bra helps..."  Men who don't have gynecomastia cannot describe themselves in that way.

Find a surgeon who understands how to treat you properly.  He or she will not hesitate to give you the proper diagnosis.

Good luck,

Rick Silverman

[Dr. Elliot Jacobs]

Totally agree with Dr. Silverman.  The definition of gynecomastia "excess tissue on a male chest which results in a female-like breast on a man.  It is a diagnosis made by simply looking at the patient -- period.

Physical exam can confirm excess tissue, which can be either gland, fat or most commonly, a mix of both types of tissue, but still is not needed for the diagnosis.  Nor does one need to perform a biopsy or a mammogram to diagnose it.

Dr Jacobs